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中国特发性肺纤维化患者的就医历程与生活质量(IPFLife):一项序贯探索性混合方法研究方案

Patient journey and Quality of Life for Patients with Idiopathic Pulmonary Fibrosis (IPFLife) in China: a sequential exploratory mixed methods research protocol.

作者信息

Chu Hongling, Ding Yanling, Zhou Yunxian, Ji Ping, Yuan Bo, Zhan Xi, Lu Xiaoxi, Liu Ning, Zhang Yue, Yan Bixuan, Fang Xiang, Xu Xiaohan, Huang Zhen, Li Wenqiang, Shen Ning, Zhan Siyan

机构信息

Research Center of Clinical Epidemiology, Peking University Third Hospital, Beijing, China.

Key Laboratory of Epidemiology of Major Diseases, Peking University, Beijing, China.

出版信息

BMJ Open. 2025 Aug 12;15(8):e098770. doi: 10.1136/bmjopen-2025-098770.

Abstract

INTRODUCTION

Idiopathic pulmonary fibrosis (IPF) is a rare, chronic and progressive lung disease with a significant impact on patients' quality of life. While much research has focused on disease mechanisms and treatment efficacy, limited attention has been paid to the landscape, unmet needs, patient experiences and quality of life. Understanding these aspects through the patient journey is essential for developing patient-centred therapeutic strategies. Therefore, this study aims to explore the status of diagnosis, treatment, the unmet needs and patient experiences of IPF in China through an analysis of the patient journey using mixed methods research. The findings in this study provide valuable insights to guide drug development, optimise clinical decision-making and support health technology assessments.

METHODS AND ANALYSIS

An exploratory sequential mixed methods design will be used in two phases. In the qualitative phase, 50 patients with IPF and 15 experienced physicians will be recruited to complete in-depth interviews. Patient journey and unmet medical needs will be the focus of data collection. Based on the findings of the qualitative study, a structured questionnaire will be developed for the subsequent quantitative study. Data will be collected from 245 patients with IPF to quantitatively analyse critical points in the patient journey, quality of life, unmet needs and treatment expectations. The integration of patient experience data into the drug/intervention development lifecycle in this mixed methods research will enhance the relevance of IPF interventions, optimising disease management strategies and improving patient health outcomes.

ETHICS AND DISSEMINATION

The study has been approved by the Peking University Third Hospital Medical Science Research Ethics Committee (2024-188-02). Prior to the study, study information will be provided, and consent will be obtained. Findings in this study will be disseminated in peer-reviewed publications and conferences.

TRIAL REGISTRATION NUMBER

NCT06629623.

摘要

引言

特发性肺纤维化(IPF)是一种罕见的慢性进行性肺部疾病,对患者的生活质量有重大影响。虽然许多研究集中在疾病机制和治疗效果上,但对其现状、未满足的需求、患者体验和生活质量的关注有限。通过患者就医过程了解这些方面对于制定以患者为中心的治疗策略至关重要。因此,本研究旨在通过使用混合方法研究分析患者就医过程,探讨中国IPF的诊断、治疗现状、未满足的需求和患者体验。本研究的结果为指导药物开发、优化临床决策和支持卫生技术评估提供了有价值的见解。

方法与分析

将采用探索性序贯混合方法设计,分两个阶段进行。在定性阶段,将招募50名IPF患者和15名经验丰富的医生进行深入访谈。患者就医过程和未满足的医疗需求将是数据收集的重点。基于定性研究的结果,将制定一份结构化问卷用于后续的定量研究。将从245名IPF患者中收集数据,以定量分析患者就医过程中的关键点、生活质量、未满足的需求和治疗期望。在这项混合方法研究中,将患者体验数据整合到药物/干预开发生命周期中,将提高IPF干预措施的相关性,优化疾病管理策略并改善患者健康结局。

伦理与传播

本研究已获得北京大学第三医院医学科研伦理委员会批准(2024 - 188 - 02)。在研究之前,将提供研究信息并获得同意。本研究的结果将在同行评审的出版物和会议上发表。

试验注册号

NCT06629623。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ffec/12352259/1df922f5373c/bmjopen-15-8-g001.jpg

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