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开发用于蒙特利尔个体患者层面HIV护理的核心患者报告结局集:两阶段多方法项目方案

Development of a core patient-reported outcome set for use in HIV care at the individual patient level in Montreal: protocol for a two-phased multimethod project.

作者信息

Engler Kim, Lessard David, Lacombe Karine, Palich Romain, Lebouché Bertrand

机构信息

Center for Outcomes Research and Evaluation, Research Institute of the McGill University Health Centre, Montreal, Québec, Canada

Center for Outcomes Research and Evaluation, Research Institute of the McGill University Health Centre, Montreal, Québec, Canada.

出版信息

BMJ Open. 2025 Jan 15;15(1):e088822. doi: 10.1136/bmjopen-2024-088822.

Abstract

INTRODUCTION

There is international interest in using patient-reported outcome measures in HIV care to improve the well-being of people with HIV, but the prioritisation of specific outcomes and measures remains unclear. This project's objective is to engage both people with HIV and healthcare, social and community service providers to develop a French and English-language core set of patient-reported outcomes and measures for use in HIV care at the patient level in Montreal (Canada).

METHODS AND ANALYSIS

This multimethod project will follow guidance from the Core Outcome Measures in Effectiveness Trials Initiative and involve two phases. Phase 1 will see the selection of the core set of outcomes (ie, the health concepts to target) and include a rapid scoping review to inform a Delphi study with a panel of 50 people with HIV and providers in Montreal. It will end with a multidisciplinary consensus meeting to make final decisions on the outcomes. Phase 2 will be devoted to choosing the measures to assess the selected outcomes. It will include a systematic search for instruments, an appraisal of the quality and feasibility of the identified instruments and a consensus meeting for the final selection.

ETHICS AND DISSEMINATION

Research ethics board (REB) approval was obtained on 9 December 2024, from the institutional REB of the Research Institute of the McGill University Health Centre (reference number: 2024-9695). Findings will primarily be disseminated to (1) healthcare and social service providers through academic rounds and a provincial continuing education programme for HIV clinicians; (2) to people with HIV through partner community organisations and (3) a range of stakeholders at local, national and international conferences and through peer-reviewed publications.

摘要

引言

在艾滋病护理中使用患者报告的结局指标以改善艾滋病患者的福祉受到国际关注,但具体结局指标和测量方法的优先级仍不明确。本项目的目标是让艾滋病患者以及医疗、社会和社区服务提供者共同参与,制定一套法语和英语的核心患者报告结局指标及测量方法,供加拿大蒙特利尔的患者在艾滋病护理中使用。

方法与分析

这个多方法项目将遵循有效性试验核心结局指标倡议的指导,分为两个阶段。第一阶段将选择核心结局指标集(即要针对的健康概念),包括快速范围审查,以为德尔菲研究提供信息,该研究将有50名蒙特利尔的艾滋病患者和提供者组成的小组参与。它将以多学科共识会议结束,就结局指标做出最终决定。第二阶段将致力于选择评估所选结局指标的测量方法。它将包括对工具进行系统搜索、对已识别工具的质量和可行性进行评估以及进行最终选择的共识会议。

伦理与传播

2024年12月9日获得了麦吉尔大学健康中心研究所机构研究伦理委员会(REB)的批准(参考编号:2024 - 9695)。研究结果将主要通过以下方式传播:(1)通过学术轮讲和面向艾滋病临床医生的省级继续教育项目传播给医疗和社会服务提供者;(2)通过合作伙伴社区组织传播给艾滋病患者;(3)在地方、国家和国际会议上以及通过同行评审出版物传播给一系列利益相关者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2963/11751937/92f0c95f77f7/bmjopen-15-1-g001.jpg

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