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电子患者报告结局用于支持创伤性脑损伤患者的护理:PRiORiTy 研究定性方案。

Electronic patient reported outcomes to support care of patients with traumatic brain injury: PRiORiTy study qualitative protocol.

机构信息

Centre for Patient Reported Outcomes Research, Institute of Applied Health Research, University of Birmingham, Birmingham, UK.

National Institute for Health Research Surgical Reconstruction and Microbiology Research Centre, Queen Elizabeth Hospital Birmingham, Birmingham, UK.

出版信息

BMJ Open. 2019 Jan 25;9(1):e024617. doi: 10.1136/bmjopen-2018-024617.

Abstract

INTRODUCTION

Traumatic brain injury (TBI) represents a major health and socioeconomic problem internationally. The expansive nature of injuries results in a heterogeneous population. The degree and type of long-term impacts following TBI and improvement following injury are highly variable. The use of electronic Patient Reported Outcomes Measures (ePROMs) could help identify residual impacts of TBI and support patient management and care. The Patient Reported Outcomes Research in Trauma study is a qualitative study exploring the long-term symptoms and impacts that are experienced by those with TBI and the potential utility of an ePROM platform to collect real-time information on patient symptoms and quality of life to inform treatment and identify support needs.

METHODS AND ANALYSIS

Semi-structured telephone and face-to-face interviews will be conducted with approximately 30-40 individuals recruited from five groups: (1) people with TBI; (2) carers and relatives of individuals with TBI; (3) TBI healthcare professionals; (4) researchers and (5) third sector staff members and volunteers working with those with TBI. Data will be analysed using directed thematic analysis employing an iterative coding frame that will be modified as analysis progresses. Intercoder triangulation will be employed to enhance credibility.

ETHICS AND DISSEMINATION

This study was approved by the West Midlands-Black Country Research Ethics Committee (Ref: 18/WM/0033). Findings will be disseminated via conference presentations, peer-reviewed journals, social media (@CPROR_UoB; http://www.birmingham.ac.uk/cpror) and the National Institute for Health Research Surgical Reconstruction and Microbiology Research Centre.

摘要

简介

创伤性脑损伤(TBI)是一个在国际范围内具有重大健康和社会经济意义的问题。由于损伤的广泛性,导致患者群体存在异质性。TBI 后的长期影响的程度和类型以及受伤后的改善情况高度可变。使用电子患者报告结局测量(ePROM)可以帮助确定 TBI 的残留影响,并支持患者管理和护理。创伤患者报告结局研究是一项定性研究,旨在探索 TBI 患者所经历的长期症状和影响,以及使用 ePROM 平台收集患者症状和生活质量实时信息的潜在效用,以便为治疗提供信息并确定支持需求。

方法和分析

将对来自五个群体的约 30-40 名个体进行半结构式电话和面对面访谈:(1)TBI 患者;(2)TBI 患者的照顾者和亲属;(3)TBI 医疗保健专业人员;(4)研究人员;(5)与 TBI 患者一起工作的第三部门工作人员和志愿者。数据将使用定向主题分析进行分析,采用迭代编码框架,该框架将随着分析的进展进行修改。将采用编码员间三角验证来提高可信度。

伦理和传播

这项研究得到了西米德兰兹-布莱克乡村研究伦理委员会的批准(注册号:18/WM/0033)。研究结果将通过会议演讲、同行评议期刊、社交媒体(@CPROR_UoB;http://www.birmingham.ac.uk/cpror)和国家卫生研究院外科重建和微生物学研究中心进行传播。

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