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针对囊性纤维化群体的虚拟以患者为中心的结局研究培训项目的开发与评估。

Development and evaluation of a virtual patient-centered outcomes research training program for the cystic fibrosis community.

作者信息

Godfrey Emily M, Thayer Erin K, Mentch Laura, Kazmerski Traci M, Brown Georgia, Pam Molly, Al Achkar Morhaf

机构信息

Department of Family Medicine, School of Medicine, University of Washington, 4311 11th Ave NE, Box 354982, Seattle, WA, 98105, USA.

Cystic Fibrosis Reproductive and Sexual Health Collaborative, Seattle, USA.

出版信息

Res Involv Engagem. 2021 Dec 4;7(1):86. doi: 10.1186/s40900-021-00328-4.

Abstract

BACKGROUND

Patient-centered outcomes research (PCOR) emphasizes patient-generated research priorities and outcomes, and engages patients throughout every stage of the research process. In the cystic fibrosis (CF) community, patients frequently provide input into research studies, but rarely are integrated onto research teams. Therefore, we developed and evaluated a virtual pilot PCOR training program to build PCOR capacity in the CF community (patients, caregivers, researchers, nonprofit stakeholders and providers). We aimed to show changes among participants' perceived PCOR knowledge (a.k.a PCOR knowledge), confidence in engaging stakeholders, and post-training session satisfaction.

METHODS

Guided by a prior CF community educational needs assessment, our researcher and patient-partner team co-developed a four-part virtual online training program. We structured the program towards two learner groups: patients/caregivers and researchers/providers. We evaluated participants' PCOR knowledge, confidence in engaging stakeholders, and session satisfaction by administering 5-point Likert participant surveys. We tested for significant differences between median ratings pre- and post-training.

RESULTS

A total of 28 patients/caregivers, and 31 researchers/providers participated. For both learner groups, we found the training resulted in significantly higher PCOR knowledge scores regarding "levels of engagement" (p = .008). For the patient/caregiver group, training significantly increased their PCOR knowledge about the barriers/enablers to doing PCOR (p = .017), effective PCOR team elements (p = .039), active participation (p = .012), and identifying solutions for successful PCOR teams (p = .021). For the researcher/healthcare provider group, training significantly increased participants' ability to describe PCOR core principles (p = .016), identify patient-partners (p = .039), formulate research from patient-driven priorities (p = .039), and describe engagement in research grants (p = .006). No learner group had significant changes in their confidence score. Most participants were either "satisfied" or "very satisfied" with the training program.

CONCLUSIONS

Overall, our virtual pilot PCOR training program was well received by patients, caregivers, researchers and providers in the CF community. Participants significantly improved their perceived knowledge with core PCOR learning items. Trial registration Retrospectively registered at clinicaltrials.gov (NCT04999865).

摘要

背景

以患者为中心的结果研究(PCOR)强调患者提出的研究重点和结果,并让患者参与研究过程的每个阶段。在囊性纤维化(CF)群体中,患者经常为研究提供意见,但很少被纳入研究团队。因此,我们开发并评估了一个虚拟试点PCOR培训项目,以增强CF群体(患者、护理人员、研究人员、非营利利益相关者和提供者)的PCOR能力。我们旨在展示参与者在PCOR知识(即PCOR知识)、与利益相关者互动的信心以及培训后满意度方面的变化。

方法

在先前CF群体教育需求评估的指导下,我们的研究人员和患者合作伙伴团队共同开发了一个由四部分组成的虚拟在线培训项目。我们将该项目针对两个学习群体:患者/护理人员和研究人员/提供者。我们通过进行5分制的李克特参与者调查来评估参与者的PCOR知识、与利益相关者互动的信心以及课程满意度。我们测试了培训前后中位数评分的显著差异。

结果

共有28名患者/护理人员和31名研究人员/提供者参与。对于两个学习群体,我们发现培训使关于“参与程度”的PCOR知识得分显著更高(p = 0.008)。对于患者/护理人员群体,培训显著增加了他们关于开展PCOR的障碍/促进因素(p = 0.017)、有效的PCOR团队要素(p = 那么039)、积极参与(p = 0.012)以及为成功的PCOR团队确定解决方案(p = 0.021)的PCOR知识。对于研究人员/医疗保健提供者群体,培训显著提高了参与者描述PCOR核心原则(p = 0.016)、识别患者合作伙伴(p = 0.039)、根据患者驱动的重点制定研究(p = 0.039)以及描述参与研究资助(p = 0.006)的能力。没有学习群体的信心得分有显著变化。大多数参与者对培训项目“满意”或“非常满意”。

结论

总体而言,我们的虚拟试点PCOR培训项目在CF群体的患者、护理人员、研究人员和提供者中受到好评。参与者在PCOR核心学习项目方面的感知知识有显著提高。试验注册 在clinicaltrials.gov上进行回顾性注册(NCT04999865)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a263/8645106/e82dca744e39/40900_2021_328_Fig1_HTML.jpg

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