Bilingual randomized controlled trial design, of a telephone-based intervention to promote rehabilitation adherence; A study focus on recruitment of Hispanic children with traumatic brain injury.
Bilingual randomized controlled trial design, of a telephone-based intervention to promote rehabilitation adherence; A study focus on recruitment of Hispanic children with traumatic brain injury.
复制标题
双语随机对照试验设计，基于电话的干预措施，以促进康复依从性；
DOI：
10.1016/j.cct.2023.107362
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发表时间：
2023
影响因子：
2.2
通讯作者：
Bell,Kathleen
中科院分区：
文献类型：
--
作者：
Jimenez,Nathalia;Williams,CydniN;Keenan,Heather;Rinaldi,Robert;Fuentes,Molly;Woodward,Danielle;Rivara,FrederickP;Zhou,Chuan;Ko,LindaK;Bell,Kathleen
虽然西班牙裔儿童在创伤性脑损伤（TBI）后残疾方面存在很大的长期差异，但在这一快速增长的高危人群中，改善结局的循证干预措施存在差距。我们开发和试点测试双语/双文化干预告知西班牙裔家庭组成的脑损伤教育和门诊导航（第一BIEN）。它集成了双语的人通过移动的电话设备提供的视频内容丰富的教育，与门诊导航的双语和双文化导航员在过渡期的护理和学校return.MethodsRandomized对照试验，以测试的疗效第一BIEN保持长期坚持康复，并确定其对儿童的功能结果。主要结局是出院后6个月在集中急性设施和社区提供者的治疗依从性。次要结果是使用PROMIS父母报告措施和父母健康素养，自我效能和心理健康的儿童的功能状态;在基线（受伤前和出院）出院后3个月，6个月和12个月测量。儿童的学习成绩评估使用学校记录的前一年和一年后injure.DiscussionOur研究评估一种新颖的，灵活的和可扩展的方法，使用移动的电话设备，以帮助过渡的护理，增加治疗依从性和改善TBI的结果。它满足了未充分研究人群的需求，并利用了他们的优势。它是由一个双语和双文化的团队与研究人群的深刻理解。它可以作为一个模型TBI的家庭为中心的干预措施，在风险群体。试验注册：临床试验。于2022年3月2日注册。
BackgroundWhile Hispanic children experience large long-term disparities in disability after traumatic Brain Injury (TBI), there is a gap in evidenced-based interventions to improve outcomes among this rapidly growing and at high-risk population. We developed and pilot tested a bilingual/bicultural intervention informed by Hispanic families consisting of Brain Injury Education and outpatient Navigation (1st BIEN). It integrates bilingual in-person education enriched by video content delivered through mobile phone devices, with outpatient navigation by bilingual and bicultural navigators during transitions of care and school return.MethodsRandomized controlled trial to test the efficacy of 1st BIEN to maintain long-term adherence to rehabilitation and determine its effect on children's functional outcomes. The primary outcome is treatment adherence at 6 months post-discharge at centralized acute facilities and community providers. Secondary outcomes are functional status of the child using PROMIS parental report measures and parental health literacy, self-efficacy, and mental health; measured at baseline (pre-injury and discharge) 3-,6- and 12- months post discharge. Children's academic performance is assessed using school records the year before and the year after injury.DiscussionOur study evaluates a novel, flexible and scalable approach using mobile phone devices to aid transitions of care, increase treatment adherence and improve TBI outcomes. It addresses the needs of an understudied population and builds upon their strengths. It is implemented by a bilingual and bicultural team with a deep understanding of the study population. It can serve as a model for TBI family centered interventions for at risk groups.Trial registration:ClinicalTrials.govNCT05261477. Registered on March 2, 2022.