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在门诊哮喘诊所实施儿科患者报告结局测量:一项可行性评估研究。

Implementing paediatric patient-reported outcome measures in outpatient asthma clinics: a feasibility assessment study.

机构信息

Department of Medicine, University of Calgary, Calgary, Alberta, Canada

Department of Community Health Sciences, University of Calgary, Calgary, Alberta, Canada.

出版信息

BMJ Open. 2023 Nov 9;13(11):e073260. doi: 10.1136/bmjopen-2023-073260.

Abstract

OBJECTIVE

Implementation of patient-reported outcome measures (PROMs) is limited in paediatric routine clinical care. The KidsPRO programme has been codesigned to facilitate the implementation of PROMs in paediatric healthcare settings. Therefore, this study (1) describes the development of innovative KidsPRO programme and (2) reports on the feasibility of implementing PedsQL (Pediatric Quality of Life Inventory) PROM in asthma clinics using the KidsPRO programme.

DESIGN

Feasibility assessment study.

SETTING

Outpatient paediatric asthma clinics in the city of Calgary, Canada.

PARTICIPANTS

Five paediatric patients, four family caregivers and three healthcare providers were recruited to pilot the implementation of PedsQL PROM using KidsPRO. Then, a survey was used to assess its feasibility among these study participants.

MAIN OUTCOME MEASURES

Participants' understanding of using PROMs, the adequacy of support provided to them, the utility of using PROMs as part of their appointment, and their satisfaction with using PROMs.

ANALYSES

The quantitative data generated through closed-ended questions was analysed and represented in the form of bar charts for each category of study participants (ie, patients, their family caregivers and healthcare providers). The qualitative data generated through the open-ended questions were content analysed and categorised into themes.

RESULTS

The experience of using PROMs was overwhelmingly positive among patients and their family caregivers, results were mixed among healthcare providers. Qualitative data collected through open-ended questions also complemented the quantitative findings.

CONCLUSION

The evidence from this study reveals that the implementation of PROMs in routine paediatric clinical care asthma clinics in Alberta is seems to be feasible.

摘要

目的

在儿科常规临床护理中,实施患者报告结局测量(PROMs)受到限制。KidsPRO 计划已被精心设计,以促进儿科医疗保健环境中 PROM 的实施。因此,本研究(1)描述了创新的 KidsPRO 计划的开发,(2)报告了使用 KidsPRO 计划在哮喘诊所实施 PedsQL(儿科生活质量量表)PROM 的可行性。

设计

可行性评估研究。

地点

加拿大卡尔加里市的儿科哮喘门诊。

参与者

招募了五名儿科患者、四名家庭照顾者和三名医疗保健提供者,以试用使用 KidsPRO 实施 PedsQL PROM。然后,使用问卷调查评估了这些研究参与者对其的可行性。

主要观察指标

参与者对使用 PROM 的理解、对他们提供的支持是否充分、将 PROM 用作预约一部分的效用以及他们对使用 PROM 的满意度。

分析

通过封闭式问题生成的定量数据进行了分析,并以每个研究参与者(即患者、他们的家庭照顾者和医疗保健提供者)类别为形式以柱状图表示。通过开放式问题生成的定性数据进行了内容分析,并分类为主题。

结果

患者及其家庭照顾者对使用 PROM 的体验非常积极,而医疗保健提供者的结果则喜忧参半。通过开放式问题收集的定性数据也补充了定量发现。

结论

这项研究的证据表明,在阿尔伯塔省的常规儿科临床护理哮喘诊所中实施 PROM 似乎是可行的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82df/10649366/0799859817c3/bmjopen-2023-073260f01.jpg

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