Study Protocol for a Pilot Randomized Trial of a Virtual Occupational Therapy Fall Prevention Intervention for People With HIV and Alcohol Use.
Study Protocol for a Pilot Randomized Trial of a Virtual Occupational Therapy Fall Prevention Intervention for People With HIV and Alcohol Use.
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针对艾滋病毒和酗酒者的虚拟职业治疗跌倒预防干预的试点随机试验研究方案。
DOI：
10.1177/11782218221145548
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发表时间：
2022
影响因子：
2.1
通讯作者：
Saitz, Richard
中科院分区：
文献类型：
--
作者：
Shin, Danny;Gill, Simone, V;Kim, Theresa W.;Magane, Kara M.;Mason, Tiana;Heeren, Timothy;Winter, Michael;Helfrich, Christine;Saitz, Richard
艾滋病毒感染者由于多种用药、使用不健康物质（高风险酒精和/或非法药物）、身体活动少、身体虚弱以及典型的与年龄相关的身体变化，有跌倒的风险。预防跌倒是减少与跌倒和骨折相关的发病率所必需的，然而，关于预防跌倒干预的设计以及是否可以虚拟交付的数据缺乏。我们描述了一项虚拟职业治疗预防跌倒干预的随机试验方案，该方案针对近期饮酒和/或吸毒的高危HIV感染者。PLWH将从波士顿ARCH 4F队列研究中招募，这是一项PLWH的观察性研究，旨在研究酒精对跌倒的影响。试验参与者将被随机分配到以职业治疗为主导的预防跌倒干预组，或接受有关预防跌倒和饮酒的书面教育（对照组）。为期10周的预防跌倒干预是基于对PLWH关于跌倒的定性访谈的结果，将包括每周的虚拟小组会议、家庭练习和电话检查，由职业治疗师提供。主要结果测量将是参加小组的数量和参与者完成的满意度调查。将检查跌倒次数、酒精和其他药物使用以及身体功能的变化。虚拟职业治疗预防跌倒干预解决了PLWH和酒精使用中出现的跌倒风险问题。这项试点研究将提供与跌倒相关的结果的初步估计，以及为更大规模试验提供研究程序的可行性。NCT04804579。波士顿大学协议记录H-41041
People living with HIV (PLWH) are at risk for falls due to polypharmacy, unhealthy substance (risky alcohol and/or illicit drug) use, low physical activity, and frailty combined with typical age-related physical changes. Fall prevention is needed to reduce the morbidity related to falls and fractures, however, there is a paucity of data on the design of a fall prevention intervention and whether it can be delivered virtually. We describe the protocol of a pilot randomized trial of a virtual occupational therapy fall prevention intervention for people with HIV at high risk for falls and recent alcohol and/or drug use. PLWH will be recruited from the Boston ARCH 4F Cohort study, an observational study of PLWH to examine the impact of alcohol on falls. Trial participants will be randomized to either an occupational therapy-led fall prevention intervention or provided with written education about fall prevention and alcohol use (control). The 10-week fall prevention intervention was based upon results from qualitative interviews with PLWH about falls and will consist of weekly virtual group sessions, home exercises and phone-check-ins, delivered by occupational therapists. The primary outcome measures will be number of groups attended and a participant-completed satisfaction survey. Change in number of falls, alcohol and other drug use, and physical functioning will be examined. A virtual occupational therapy fall prevention intervention addresses the emerging concern of fall risk in PLWH and alcohol use. This pilot study will provide preliminary estimates of fall-related outcomes as well as feasibility of study procedures for a larger trial. NCT04804579. Boston University Protocol Record H-41041
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DOI：
10.1016/j.jana.2017.09.007
发表时间：
2018-03
期刊：
The Journal of the Association of Nurses in AIDS Care : JANAC
影响因子：
--
作者：
Marhefka SL;Turner D;Lockhart E;Rivara A;Wang W;Shuter J
通讯作者：
Shuter J
影响因子：
4.4
作者：
Flickinger TE;DeBolt C;Xie A;Kosmacki A;Grabowski M;Waldman AL;Reynolds G;Conaway M;Cohn WF;Ingersoll K;Dillingham R
通讯作者：
Dillingham R
影响因子：
3.6
作者：
Kuptniratsaikul, Vilai;Praditsuwan, Rungnirand;Pooliam, Julaporn
通讯作者：
Pooliam, Julaporn
DOI：
10.1097/phm.0000000000000654
发表时间：
2017-07
影响因子：
3
作者：
Gill SV;Khetani MA;Yinusa-Nyahkoon L;McManus B;Gardiner PM;Tickle-Degnen L
通讯作者：
Tickle-Degnen L
影响因子：
3.9
作者：
Leonhard, C;Mulvey, K;Shwartz, M
通讯作者：
Shwartz, M