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呼吸哮喘干预试验中的共同决策:研究提案
Author(s) -
George Maureen,
Pantalon Michael V.,
Sommers Marilyn Lynn S.,
Glanz Karen,
Jia Haomiao,
Chung Annie,
Norful Allison A.,
Poghosyan Lusine,
Coleman Danielle,
Bruzzese JeanMarie
Publication year - 2019
Publication title -
journal of advanced nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.948
H-Index - 155
eISSN - 1365-2648
pISSN - 0309-2402
DOI - 10.1111/jan.13916
Subject(s) - medicine , randomized controlled trial , asthma , context (archaeology) , motivational interviewing , psychological intervention , intervention (counseling) , clinical trial , protocol (science) , quality of life (healthcare) , physical therapy , family medicine , nursing , alternative medicine , surgery , paleontology , biology , pathology
Aim To evaluate the preliminary effectiveness of the BRief Evaluation of Asthma TH e rapy intervention, a 7‐min primary care provider‐delivered shared decision‐making protocol that uses motivational interviewing to address erroneous asthma disease and medication beliefs. Design A multi‐centre masked two‐arm group‐randomized clinical trial. Methods This 2‐year pilot study is funded (September 2016) by the National Institute of Nursing Research. Eight providers will be randomized to one of two arms: the active intervention ( N = 4) or a dose‐matched attention control ( N = 4). Providers will deliver the intervention to which they were randomized to 10 Black adult patients with uncontrolled asthma ( N = 80). Patients will be followed three months postintervention to test the preliminary intervention effects on asthma control (primary outcome) and on medication adherence, lung function, and asthma‐related quality of life (secondary outcomes). Discussion This study will evaluate the preliminary impact of a novel shared decision‐making intervention delivered in a real world setting to address erroneous disease and medication beliefs as a means of improving asthma control in Black adults. Results will inform a future, large‐scale randomized trial with sufficient power to test the intervention's effectiveness. Impact Shared decision‐making is an evidence‐based intervention with proven effectiveness when implemented in the context of labour‐ and time‐intensive research protocols. Medication adherence is linked with the marked disparities evident in poor and minority adults with asthma. Addressing this requires a novel multifactorial approach as we have proposed. To ensure sustainability, shared decision‐making interventions must be adapted to and integrated into real‐world settings. Trial registration: Registered at clincialtrials.gov as NCT03036267 and NCT03300752.