Protocol for a type 1 hybrid effectiveness/implementation clinical trial of collaborative specialty care for Veterans with Gulf War Illness.
Protocol for a type 1 hybrid effectiveness/implementation clinical trial of collaborative specialty care for Veterans with Gulf War Illness.
复制标题
针对患有海湾战争疾病的退伍军人进行协作专业护理的 1 型混合有效性/实施临床试验方案。
DOI：
10.1016/j.lfs.2021.120004
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发表时间：
2022
期刊：
影响因子：
6.1
通讯作者：
McAndrew,LisaM
中科院分区：
文献类型：
--
作者：
Schneider,AaronH;Bair,MatthewJ;Helmer,DrewA;Hyde,Justeen;Litke,David;Lu,Shou-En;Rogers,ErinS;Sherman,ScottE;Sotolongo,Anays;Anastasides,Nicole;Sullivan,Nicole;Graff,Fiona;McAndrew,LisaM
我们描述了一项临床试验，这是寻求确定的有效性和理解的实施结果，为退伍军人与海湾战争疾病（GWI）的远程协作专科护理。主要方法本研究将是一个混合1型随机有效性实施试验比较远程协作专科护理与电子咨询海湾战争退伍军人与GWI（N= 220）。在远程协作专业护理中，专业提供者团队将为退伍军人提供健康指导和解决问题的治疗，并推荐止痛剂优化计划。在电子咨询中，专科提供者团队将向初级保健团队提出一次性建议，以便在当地提供健康指导、解决问题的治疗和止痛剂优化。主要目的是确定远程协作专科护理与电子咨询相比的有效性，以减少与GWI相关的残疾。我们的第二个目标将是了解实施结果。重要性有必要改善护理退伍军人与GWI。一个潜在的有用的模式，以改善护理是远程协作的专业护理，在那里的专家与初级保健提供者协同治疗patients.DiscussionThis是第一个临床试验，前瞻性地比较不同的护理模式与GWI退伍军人。这是对多项要求研究改善GWI退伍军人治疗的呼吁的回应，包括来自美国国家医学院的呼吁。
AimsWe describe a clinical trial which is seeking to determine the effectiveness and understand implementation outcomes for tele-collaborative specialty care for Veterans with Gulf War Illness (GWI).Main methodsThis study will be a hybrid type 1 randomized effectiveness-implementation trial comparing tele-collaborative specialty care to electronic consultation for Gulf War Veterans with GWI (N= 220). In tele-collaborative specialty care, the specialty provider team will deliver health coaching and problem-solving treatment to Veterans and recommend a plan for analgesic optimization. In electronic consultation, the specialty provider team will make a one-time recommendation to the primary care team for locally delivered health coaching, problem-solving treatment and analgesic optimization. The primary aim will be to determine the effectiveness of tele-collaborative specialty care as compared to electronic consultation to reduce disability related to GWI. Our secondary aim will be to understand implementation outcomes.SignificanceThere is a need to improve care for Veterans with GWI. A potentially useful model to improve care is tele-collaborative specialty care, where the specialists work with the primary care provider to synergistically treat the patients.DiscussionThis is the first clinical trial to prospectively compare different models of care for Veterans with GWI. This responds to multiple calls for research to improve treatment for Veterans with GWI, including from the National Academy of Medicine.