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研究方案:一项横断面调查,旨在确定临床医生在评估和治疗持续性抽动障碍方面实施临床实践指南的障碍。

Study protocol: A cross-sectional survey of clinicians to identify barriers to clinical practice guideline implementation in the assessment and treatment of persistent tic disorders.

机构信息

Department of Neurology, Atrium Health Wake Forest Baptist, Wake Forest University School of Medicine, Winston-Salem, NC, United States of America.

Department of Neurology, Division of Neurodegenerative Diseases Weill Cornell Medicine, Parkinson's Disease and Movement Disorders Institute, New York, NY, United States of America.

出版信息

PLoS One. 2023 Jul 19;18(7):e0288408. doi: 10.1371/journal.pone.0288408. eCollection 2023.

Abstract

INTRODUCTION

Eight members of the International Parkinson's Disease and Movement Disorders Society Tic and Tourette Syndrome Study Group formed a subcommittee to discuss further barriers to practice guideline implementation. Based on expert opinion and literature review, the consensus was that practice variations continue to be quite broad and that many barriers in different clinical settings might negatively influence the adoption of the American Academy of Neurology and the European Society for the Study of Tourette Syndrome published guidelines.

OBJECTIVES

  1. To identify how clinical practices diverge from the existing American Academy of Neurology and European Society for the Study of Tourette Syndrome guidelines, and 2) to identify categories of barriers leading to these clinical care gaps.

METHODS AND ANALYSIS

This article presents the methodology of a planned cross-sectional survey amongst healthcare professionals routinely involved in the clinical care of patients with persistent tic disorders, aimed at 1) identifying how practices diverge from the published guidelines; and 2) identifying categories of barriers leading to these clinical care gaps. Purposeful sampling methods are used to identify and recruit critical persistent tic disorders stakeholders. The analysis will use descriptive statistics.

摘要

简介

国际帕金森病和运动障碍学会 Tic 和妥瑞氏综合征研究组的 8 名成员组成了一个小组委员会,讨论实践指南实施的进一步障碍。基于专家意见和文献回顾,共识认为实践差异仍然非常广泛,并且许多不同临床环境中的障碍可能会对美国神经病学学会和欧洲妥瑞氏综合征研究学会发表的指南的采用产生负面影响。

目的

1)确定临床实践与现有的美国神经病学学会和欧洲妥瑞氏综合征研究学会指南的差异,以及 2)确定导致这些临床护理差距的障碍类别。

方法和分析

本文介绍了一项针对常规参与持续性抽动障碍患者临床护理的医疗保健专业人员的计划横断面调查的方法,旨在 1)确定实践与已发表指南的差异;以及 2)确定导致这些临床护理差距的障碍类别。目的抽样方法用于识别和招募关键的持续性抽动障碍利益相关者。分析将使用描述性统计。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2428/10355449/7ccb9bcb418d/pone.0288408.g001.jpg

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