Division of Vascular Surgery, Department of Surgery, University of California Los Angeles, 200 UCLA Medical Plaza, Suite 526, Los Angeles, CA 90095.
McGovern Medical School, Houston, TX.
Semin Vasc Surg. 2022 Mar;35(1):69-77. doi: 10.1053/j.semvascsurg.2022.02.002. Epub 2022 Feb 17.
The Aortic Dissection (AD) Collaborative was established to evaluate patient-centered research priorities in AD. Education was identified as a topic of interest by the stakeholders. The AD Collaborative Education Working Group evaluated existing educational resources and identified areas amenable to comparative effectiveness research. The most important positive qualities of available AD education resources are ease of use, diversity of representation, accessibility, and organization. The most important negative qualities of these resources are non-patient-centered language, promotional themes, and those with limited applicability and accessibility. Through a series of focus groups, the Working Group identified target audiences for AD education and educational material content and critically assessed and prioritized barriers to effective AD education. Both the target audiences and the barriers include clinicians and patients themselves. The Working Group defined initiatives to overcome barriers, to include a comprehensive, universally agreed on AD resource that is updated in real time and making education accessible to all relevant target audiences. The Working Group then prioritized needs for comparative effectiveness research in AD education and determined that clinician education is the top priority for future efforts. The Working Group determined that assessment and evaluation of specific and appropriate screening strategies is the second most important priority. Finally, the Working Group identified patient education as the third most important priority, specifically determining how patients and their support groups learn best, the ideal strategies for information dissemination, and methods of assessing understanding and satisfaction with the education process.
主动脉夹层 (AD) 协作组的成立是为了评估 AD 患者为中心的研究重点。教育是利益相关者感兴趣的主题之一。AD 协作组教育工作组评估了现有的教育资源,并确定了可进行比较有效性研究的领域。现有 AD 教育资源最重要的积极特点是易于使用、代表性多样、易于获取和组织。这些资源最重要的消极特点是语言不针对患者、有宣传性质、适用范围有限、难以获取。通过一系列焦点小组,工作组确定了 AD 教育的目标受众和教育材料内容,并对有效 AD 教育的障碍进行了批判性评估和优先级排序。目标受众和障碍都包括临床医生和患者本身。工作组定义了克服障碍的举措,包括一个全面的、普遍认可的、实时更新的 AD 资源,并使所有相关目标受众都能获得教育。然后,工作组对 AD 教育中的比较有效性研究的需求进行了优先级排序,并确定临床医生教育是未来工作的首要重点。工作组确定评估和评估特定和适当的筛选策略是第二优先事项。最后,工作组确定患者教育是第三优先事项,特别是确定患者及其支持团体的最佳学习方式、信息传播的理想策略以及评估对教育过程的理解和满意度的方法。