Implementation of a data-driven pre-hospital lay first responder program in Cameroon

在喀麦隆实施数据驱动的院前急救人员计划

• 批准号: 10805783
• 负责人: Sabrinah Ariane Christie
• 金额: $ 19.16万
• 依托单位: UNIVERSITY OF CALIFORNIA LOS ANGELES
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-16 至 2028-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10805783
• 关键词: Affect; Africa South of the Sahara; Blood Transfusion; Cameroon; Caring; Cessation of life; Clinical; Clinical Data; Clinical Practice Patterns; Code; Complication; Country; Data; Development; Educational Curriculum; Effectiveness; Environment; Evaluation; Exposure to; Feedback; First Aid; Focus Groups; Genetic Transcription; Goals; Hospital Mortality; Hospitalization; Hospitals; Hour; Improve Access; Infrastructure; Injury; Interruption; Interview; Laboratories; Life; Medical; Medical Records; Methods; Mission; Morbidity - disease rate; Outcome; Patient Admission; Patients; Pattern; Patterns of Care; Physiological; Population; Pre-hospitalization care; Public Health; Registries; Reproducibility; Research; Research Assistant; Research Infrastructure; Rural; Series; Severities; Structure; Surveys; Techniques; Time; Training; Training Programs; Translations; Trauma; Trauma patient; United States National Institutes of Health; Validation; care systems; cohort; data registry; design; disability; effectiveness evaluation; first responder; implementation protocol; implementation science; improved; injured; injury-related death; knowledge base; low and middle-income countries; mortality; operation; post implementation; prevent; programs; prospective; recruit; trauma care; trend

Project Summary/Abstract Implementing effective prehospital medical care could prevent over half of injury-related deaths. As a first step toward development of prehospital care systems, several low- and middle-income countries (LMIC) in sub- Saharan Africa (SSA) have instituted lay first responder (LFR) programs training non-medical professionals with high exposure to injury in first aid and safe transport of injured patients. Although promising, lack of research infrastructure and medical records in SSA has limited prior evaluation of the feasibility and effectiveness of LFR implementation in increasing quality prehospital care. Cameroon is disproportionately affected by injury and lacks a prehospital care system, likely contributing to treatment delays and preventable morbidity and mortality. Development of a lay first responder program could increase access to prehospital care and facilitate timely treatment of injuries but only if it is feasible and effective for the Cameroonian context. The long-term goal of this research is to reduce the burden associated with injury in Cameroon. This study’s overall objective is to increase access to quality prehospital trauma care in Cameroon by using an implementation science approach to develop and evaluate a data-driven LFR program in Cameroon. The study hypothesis is that is implementation of a data-adapted lay first responder program is a feasible and effective method of increasing access to prehospital care among injured Cameroonian patients. To accomplish our objective, this study will pursue three specific aims: 1) Develop a Cameroon-adapted LFR program using a two-stage, mixed-methods approach; 2) Evaluate feasibility of LFR program implementation in the Cameroonian context; and 3) Evaluate effectiveness of LFR program implementation in the Cameroonian context. Validating LFR as a feasible means to increase access to prehospital care will remove a major roadblock in delivering timely trauma care and provide a critical target for reducing the detrimental impact of injury on this population. Understanding associations between LFR implementation, physiologic parameters and outcomes will allow data-informed, iterative improvement of LFR training. Development of a reproducible method for context-adaptation of LFR could be rapidly scaled for wider implementation throughout Cameroon and validated in other LMIC contexts and sectors.

项目概要/摘要 实施有效的院前医疗护理可以避免一半以上的伤害相关死亡。作为第一步 为了发展院前救护系统，一些低收入和中等收入国家（LMIC） 撒哈拉非洲 (SSA) 制定了非专业急救员 (LFR) 计划，培训非医疗专业人员 在急救和安全运输受伤患者时容易受伤。虽然有希望，但缺乏 SSA 的研究基础设施和医疗记录限制了对可行性的事先评估 LFR 实施在提高院前护理质量方面的有效性。喀麦隆的比例不高 受伤害影响且缺乏院前护理系统，可能导致治疗延误和可预防的 发病率和死亡率。制定非专业急救人员计划可以增加获得服务的机会 院前护理并促进伤员的及时治疗，但前提是对于伤者来说是可行且有效的 喀麦隆背景。这项研究的长期目标是减轻与伤害相关的负担 喀麦隆。这项研究的总体目标是增加喀麦隆获得优质院前创伤护理的机会 通过使用实施科学方法来开发和评估数据驱动的 LFR 计划 喀麦隆。研究假设是，实施数据适应的非专业急救人员计划是一个 增加喀麦隆受伤患者获得院前护理的可行且有效的方法。 为了实现我们的目标，本研究将追求三个具体目标：1）开发适合喀麦隆的 LFR 使用两阶段混合方法进行计划； 2) 评估 LFR 计划实施的可行性 喀麦隆的背景； 3) 评估喀麦隆 LFR 计划实施的有效性 语境。验证 LFR 作为增加获得院前护理机会的可行手段将消除一个重大问题 及时提供创伤护理的障碍，并为减少创伤的不利影响提供了关键目标 对这一人群的伤害。了解 LFR 实施与生理参数之间的关联 其结果将允许基于数据的 LFR 培训进行迭代改进。开发可重复的 LFR 的环境适应方法可以迅速扩展，以便在喀麦隆全国更广泛地实施 并在其他中低收入国家背景和部门中得到验证。