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急性脊髓损伤护理人员远程医疗过渡援助计划:一项混合方法随机对照试验的方案

Telehealth Transition Assistance Program for Acute Spinal Cord Injury Caregivers: Protocol for a Mixed-Methods, Randomized Controlled Trial.

作者信息

Perrin Paul B, McDonald Scott D, Watson Jack D, Pierce Bradford S, Elliott Timothy R

机构信息

Virginia Commonwealth University, Richmond, VA, United States.

Central Virginia VA Health Care System, Richmond, VA, United States.

出版信息

JMIR Res Protoc. 2021 Mar 29;10(3):e28256. doi: 10.2196/28256.

Abstract

BACKGROUND

While spinal cord injury (SCI) caregiving can be a rewarding experience, caregivers often experience reduced mental and physical health.

OBJECTIVE

This article describes the methodology of a study examining the efficacy of a newly developed telehealth Transition Assistance Program (TAP) for caregivers of individuals with acute SCI.

METHODS

A mixed-methods, randomized controlled trial is comparing TAP outcomes to that of a standard-of-care control. The study is recruiting for 48 months and incorporating quantitative outcome measures.

RESULTS

This study was funded by the Craig H. Neilsen Foundation in April 2017. It was approved by the institutional review boards at Virginia Commonwealth University and the Hunter Holmes McGuire Veterans Affairs Medical Center that same year. Participant recruitment and data collection began in 2018.

CONCLUSIONS

This study is implementing and testing an SCI caregiver intervention unlike any created before, targeting a critical time period that, until now, other SCI caregiver interventions have overlooked. Research personnel intend to disseminate the intervention and study findings through the publication of manuscripts and presentations at conferences. If the current study shows improvements in caregiver or patient well-being, the TAP for SCI caregivers could become part of the standard of care for acute SCI.

TRIAL REGISTRATION

ClinicalTrials.gov NCT03244098; https://www.clinicaltrials.gov/ct2/show/NCT03244098.

INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/28256.

摘要

背景

虽然脊髓损伤(SCI)护理可能是一次有益的经历,但护理人员的身心健康往往会下降。

目的

本文描述了一项研究的方法,该研究旨在检验一种新开发的远程医疗过渡援助计划(TAP)对急性脊髓损伤患者护理人员的疗效。

方法

一项混合方法的随机对照试验正在将TAP的结果与标准护理对照的结果进行比较。该研究的招募期为48个月,并纳入了定量结果测量。

结果

这项研究于2017年4月获得克雷格·H·尼尔森基金会的资助。同年,它获得了弗吉尼亚联邦大学和亨特·霍姆斯·麦圭尔退伍军人事务医疗中心机构审查委员会的批准。参与者招募和数据收集于2018年开始。

结论

这项研究正在实施和测试一种前所未有的脊髓损伤护理人员干预措施,针对的是一个关键时期,而在此之前,其他脊髓损伤护理人员干预措施都忽略了这一时期。研究人员打算通过发表手稿和在会议上发言来传播该干预措施和研究结果。如果当前研究显示护理人员或患者的幸福感有所改善,那么针对脊髓损伤护理人员的TAP可能会成为急性脊髓损伤标准护理的一部分。

试验注册

ClinicalTrials.gov NCT03244098;https://www.clinicaltrials.gov/ct2/show/NCT03244098。

国际注册报告识别码(IRRID):DERR1-10.2196/28256。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d6a/8086783/4d4497bb14da/resprot_v10i3e28256_fig1.jpg

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