Use of Theoretical Frameworks in the Development and Testing of Palliative Care Interventions.
Use of Theoretical Frameworks in the Development and Testing of Palliative Care Interventions.
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DOI：
10.1016/j.jpainsymman.2021.10.011
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发表时间：
2022-03
影响因子：
4.7
通讯作者：
Kavalieratos D
中科院分区：
文献类型：
--
作者：
Ingle MP;Check D;Slack DH;Cross SH;Ernecoff NC;Matlock DD;Kavalieratos D
姑息治疗（PC）研究在过去20年中不断发展。然而，PC干预的因果成分和途径仍不清楚。记录理论框架在开发和测试PC干预措施中的流行和应用。我们对先前发表的PC随机临床试验的系统评价进行了二次分析。对试验进行评估，以明确提及支持干预发展的理论框架、过程或交付模型或临床实践指南。我们使用结构化数据提取表记录研究人群、结局以及作者是否以及如何使用理论框架、过程/交付模型或临床实践指南。我们采用了一个适应的编码方案，以评估使用的理论框架。我们回顾了1984年至2021年间进行的85项PC试验。38%（n=32）的试验明确提到理论框架、过程或交付模型或临床实践指南作为干预设计的基础。只有9项试验包括理论框架，而其余23项引用了过程/交付模型或临床实践指南。大多数PC试验没有引用其干预设计的理论基础。未来的工作应该集中在开发和验证新的理论框架和修改现有的理论和模型，以更好地解释各种PC干预的机制。本文介绍了流行和应用的理论框架的发展和测试姑息治疗干预在过去的几十年。我们的研究结果表明，在姑息治疗干预措施的设计理论框架的应用领域的增长。
Palliative care (PC) research has grown over the last 20 years. Yet, the causal components and pathways of PC interventions remain unclear. To document the prevalence and application of theoretical frameworks in developing and testing PC interventions. We conducted a secondary analysis of previously published systematic reviews of PC randomized clinical trials. Trials were evaluated for explicit mention of a theoretical framework, process or delivery model, or clinical practice guideline that supported the development of the intervention. We used a structured data extraction form to document study population, outcomes, and whether and how authors used a theoretical framework, process/delivery model, or clinical practice guideline. We applied an adapted coding scheme to evaluate use of theoretical frameworks. We reviewed 85 PC trials conducted between 1984 and 2021. Thirty-eight percent (n=32) of trials explicitly mentioned a theoretical framework, process or delivery model, or clinical practice guideline as a foundation for the intervention design. Only 9 trials included a theoretical framework, while the remaining 23 cited a process/delivery model or clinical practice guideline. Most PC trials do not cite a theoretical foundation for their intervention design. Future work should focus on developing and validating new theoretical frameworks and modifying existing theories and models to better explain the mechanisms of the variety of PC interventions. This article describes the prevalence and application of theoretical frameworks in the development and testing of palliative care interventions over the last several decades. Our results demonstrate area for growth in the application of theoretical frameworks in the design of palliative care interventions.
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影响因子：
2.2
作者：
Bakitas M;Lyons KD;Hegel MT;Balan S;Barnett KN;Brokaw FC;Byock IR;Hull JG;Li Z;McKinstry E;Seville JL;Ahles TA
通讯作者：
Ahles TA
影响因子：
13.8
作者：
Dionne-Odom, J. Nicholas;Ejem, Deborah B.;Bakitas, Marie A.
通讯作者：
Bakitas, Marie A.
影响因子：
4.7
作者：
Dionne-Odom, J. Nicholas;Azuero, Andres;Bakitas, Marie A.
通讯作者：
Bakitas, Marie A.
DOI：
10.1093/geronb/gbq053
发表时间：
2010-09-01
影响因子：
6.2
作者：
Alley, Dawn E.;Putney, Norella M.;Bengtson, Vern L.
通讯作者：
Bengtson, Vern L.
影响因子：
39
作者：
Bakitas, Marie A.;Dionne-Odom, J. Nicholas;Pamboukian, Salpy V.
通讯作者：
Pamboukian, Salpy V.