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研究方案:全科医疗器官捐赠干预——一项可行性研究(GPOD)

Research protocol: general practice organ donation intervention-a feasibility study (GPOD).

作者信息

Jones Catrin Pedder, Papadopoulos Chris, Randhawa Gurch, Asghar Zeeshan

机构信息

1Institute for Health Research, University of Bedfordshire, Putteridge Bury, Hitchin Road, Luton, LU2 8LE UK.

2NHS Blood and Transplant, 75 Cranmer Terrace, Tooting, London, SW17 0RB UK.

出版信息

Pilot Feasibility Stud. 2018 Nov 12;4:171. doi: 10.1186/s40814-018-0362-9. eCollection 2018.

Abstract

BACKGROUND

New interventions are required to increase the number of people donating their organs after death. In the United States of America (USA), general practice has proved to be a successful location to increase organ donor registration. However, a dearth of research exists examining this in the United Kingdom (UK). due to the unique challenges presented by the National Health Service (NHS). This protocol outlines a feasibility study to assess whether UK general practice is a feasible and acceptable location for organ donation intervention targeting NHS Organ Donor Register (NHS ODR) membership.

METHODS

The primary intervention element, prompted choice, requires general practice to ask patients in consultations if they wish to join the NHS ODR. Two additional intervention techniques will be used to support prompted choice: staff training and leaflets and posters. The intervention will run for 3 months (April-July 2018) followed by a period of data collection. The following methods will be used to assess feasibility, acceptability and fidelity: registration data, a training evaluation survey, focus groups with staff and online surveys for staff and patients.

DISCUSSION

By examining the feasibility, acceptability and fidelity of a prompted choice intervention in UK general practice, important knowledge can be gathered on whether it is a suitable location to conduct this. Additional learning can also be gained generally for implementing interventions in general practice. This could contribute to the knowledge base concerning the feasibility of NHS general practice to host interventions.

TRIAL REGISTRATION

International Standard Randomised Controlled Trial Number ISRTN44530504 (Jones et al, General practice organ donation intervention: a feasibility study ISRCTN44530504, 2017) Registration on 26 September 2017.

摘要

背景

需要新的干预措施来增加死后器官捐献者的数量。在美国,事实证明普通医疗诊所是增加器官捐献登记的成功场所。然而,由于英国国家医疗服务体系(NHS)带来的独特挑战,在英国对此进行研究的却很少。本方案概述了一项可行性研究,以评估英国普通医疗诊所是否是针对NHS器官捐献登记处(NHS ODR)成员资格进行器官捐献干预的可行且可接受的场所。

方法

主要干预要素即引导式选择,要求普通医疗诊所在诊疗过程中询问患者是否希望加入NHS ODR。将使用另外两种干预技术来支持引导式选择:员工培训以及传单和海报。干预将持续3个月(2018年4月至7月),随后是一段数据收集期。将使用以下方法来评估可行性、可接受性和保真度:登记数据、培训评估调查、员工焦点小组以及针对员工和患者的在线调查。

讨论

通过研究在英国普通医疗诊所进行引导式选择干预的可行性、可接受性和保真度,可以收集到关于它是否是进行此项干预的合适场所的重要知识。在普通医疗诊所实施干预方面通常也可以获得更多经验。这可能有助于积累有关NHS普通医疗诊所开展干预可行性的知识库。

试验注册

国际标准随机对照试验编号ISRTN44530504(琼斯等人,普通医疗诊所器官捐献干预:一项可行性研究ISRCTN44530504,2017)于2017年9月26日注册。

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