BREATHLEssness in INDIA (BREATHE-INDIA)-Study protocol for the co-design of a community breathlessness intervention in India using realist methods and intervention mapping.
BREATHLEssness in INDIA (BREATHE-INDIA)-Study protocol for the co-design of a community breathlessness intervention in India using realist methods and intervention mapping.
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DOI：
10.1371/journal.pone.0293918
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发表时间：
2023
期刊：
影响因子：
3.7
通讯作者：
中科院分区：
文献类型：
--
作者：
尽管接受了因果疾病的治疗，但仍持续呼吸困难(S)使人丧失能力，这与与治疗相关的高昂费用和糟糕的社会经济结果有关。资源匮乏的国家背负着不成比例的呼吸问题负担，通常以呼吸困难为特征。低成本、自我管理、呼吸困难的针对性干预措施在社区环境中是有效和可提供的，但已在高收入国家开发。我们的目标是了解呼吸困难自我管理如何在“现实生活”人群和文化背景下发挥作用，发展规划理论，并共同设计一个原型干预措施，以改善印度持续的呼吸困难管理。使用现实主义方法、干预地图和医学研究理事会复杂干预框架，我们将进行两个阶段的工作，由我们的专家组(呼吸、初级、姑息治疗医生)和关键利益相关群体(意见领袖临床医生、社区卫生工作者和有过呼吸困难经历的人)支持。1)实事求是的审查和评估，以确定和提炼气喘吁吁的自我管理的证据和理论，产生干预和实施方案理论。我们将通过我们的专家组、范围搜索和系统搜索(Medline、EbScott host、CINAHL、Scope us、心理学信息)来识别文献。我们将把干预内容映射到“什么对谁有效，对谁有效，在哪里进行”。2)干预开发使用干预映射将干预和实施计划理论映射到干预内容，开发支持干预交付的材料，并共同设计一个准备好早期接受和交付的教育干预原型--印度的可行性测试和评估规划。使用利益相关者小组是为了让有过喘息和/或管理经验的人对我们团队基于对辅助数据源的审查而开发的内容发表他们的观点。因此，专家和利益攸关方不是研究对象，但被列为研究小组的扩展成员，不会遵循知情同意程序。如果专家和利益相关者愿意，他们将在我们项目产生的产出中获得感谢。我们的审查行为将与Rameses的质量标准保持一致。在我们的研究结束时，我们将共同设计一种用于印度社区环境的呼吸干预措施，为进一步评估：有效性、社会经济结果、可接受性和可转移到其他低资源环境做好准备。
Breathlessness that persists despite treatment of causal disease(s) is disabling, associated with high therapy-related costs and poor socioeconomic outcomes. Low resource countries bear a disproportionate burden of respiratory problems, often characterised by disabling breathlessness. Low-cost self-management breathlessness-targeted interventions are effective and deliverable in community settings but have been developed in high-income countries. We aim to understand how breathlessness self-management works in ‘real life’ populations and cultural contexts, to develop programme theory and co-design a prototype intervention to improve persistent breathlessness management in India. Using a Realist approach, Intervention Mapping and the Medical Research Council Complex Intervention Framework we will undertake two phases of work supported by our Expert Group (of respiratory, primary, palliative care physicians) and key stakeholder groups (opinion leader clinicians, community health workers and people with lived experiences of breathlessness). 1) Realist review and evaluation to identify and refine evidence and theory for breathlessness self-management, producing intervention and implementation programme theory. We will identify literature through our Expert Group, scoping searches and systematic searches (Medline, Ebscohost, CINAHL, Scopus, Psychinfo). We will map intervention components to ‘what works, for whom, and where.’ 2) Intervention development using Intervention Mapping to map intervention and implementation programme theory to intervention components, develop materials to support intervention delivery, and co-design a prototype educational intervention ready for early acceptability and delivery-feasibility testing and evaluation planning in India. Use of stakeholder groups is to allow people with experience of breathlessness and/or its management to contribute their views on content developed by our team based upon review of secondary data sources. Experts and Stakeholders are therefore not research subjects but are included as extended members of the study team and will not follow informed consent procedures. Experts and stakeholders will be acknowledge in outputs arising from our project if they wish to be. Our review conduct will be consistent with RAMESES quality standards. At the conclusion of our study, we will have co-designed a breathlessness intervention for use in the community setting in India ready for further evaluation of: effectiveness, socioeconomic outcomes, acceptability and transferability to other low resource settings.
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影响因子：
3.1
作者：
Clark J;Chang S;Kinchin I;Ferreira D;Kochovska S;Morgan D;Poulos LM;Johnson MJ;Ekström M;Currow DC
通讯作者：
Currow DC
影响因子：
4.6
作者：
Currow, David C.;Chang, Sungwon;Johnson, Miriam J.
通讯作者：
Johnson, Miriam J.
影响因子：
34.3
作者：
Brakema, Evelyn A.;van der Kleij, Rianne M. J. J.;Reis, Ria
通讯作者：
Reis, Ria
影响因子：
5.8
作者：
Brakema, Evelyn A.;Tabyshova, Aizhamal;Williams, Sian
通讯作者：
Williams, Sian
影响因子：
1.1
作者：
Damani, Anuja;Ghoshal, Arunangshu;Deodhar, Jayita
通讯作者：
Deodhar, Jayita