Evaluation of a training program using the SBAR communication tool for caregivers managing acute respiratory distress in lung cancer patients: A pilot randomized controlled trial protocol

IF 3.6 2区 医学 Q1 HEALTH CARE SCIENCES & SERVICES
Danielle Reynaud , Guillaume Decormeille , Antoine Tisseaux , René Bun
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引用次数: 0

Abstract

Background

Family-based caregivers are increasingly important in the management of non-hospitalized lung cancer patients. However, lack of training can negatively impact care including diagnostic errors that can lead to delays in providing appropriate medical treatment. Acute respiratory failure (ARF) is common symptom of lung cancer and requires urgent intervention as well as adequate communication with healthcare professionals (HCPs) to enable appropriate decision-making and improve patient outcomes. Standardized tools such as the Situation, Background, Assessment, Recommendation (SBAR) tool and its French adaptation SAED, standing for Situation, Antécédent, Évaluation et Demande, are designed to facilitate communication among (HCPs).

Additionally, digital interventions, such as serious games, are increasingly used to train HCPs though its use for caregivers has not been studied. This pilot study aims to assess an innovative serious game training using the SAED tool combined with standard instructions on self-efficacy for family-based caregivers of lung cancer patients when facing a simulated situation of ARF. The study also aims to examine caregivers' emotional state, quality of life, satisfaction and knowledge about the SBAR tool.

Methods

A monocentric, randomized, controlled, open-label, superiority, parallel-arm trial will be conducted for 18 months with 3 mid-study assessments (NCT05839353). Family caregivers of lung cancer patients will be recruited at the University Hospital Center of Saint Pierre, Reunion Island, France. Participants will be randomized (1:1) into two groups: the experimental group receiving training using the SBAR/SAED tool and standard instructions for managing respiratory distress/dyspnea, and the control group, receiving standard instructions only. The primary outcome will be to determine perceived self-efficacy as measured by the Generalized Self-Efficacy Scale.

Discussion

This study will present a preliminary assessment of training family caregivers in using the SBAR/SAED tool in simulated episodes of ARF in lung cancer patients. Our findings may provide valuable insights into effective training methods for caregivers in critical home care situations and could be widely used for lung cancer management.

评估针对肺癌患者急性呼吸窘迫护理人员的 SBAR 沟通工具培训项目:随机对照试验方案
背景以家庭为基础的护理人员在非住院肺癌患者的管理中越来越重要。然而,缺乏培训可能会对护理工作产生负面影响,包括诊断错误,从而导致延误适当的治疗。急性呼吸衰竭(ARF)是肺癌的常见症状,需要紧急干预以及与医护人员(HCPs)的充分沟通,以便做出适当的决策并改善患者的预后。情况、背景、评估、建议(SBAR)工具及其法文改编版 SAED(Situation, Antécédent, Évaluation et Demande)等标准化工具旨在促进医护人员之间的沟通。此外,严肃游戏等数字干预措施也越来越多地用于培训医护人员,但其在护理人员中的应用尚未得到研究。本试点研究旨在评估一种创新的严肃游戏培训,该培训使用 SAED 工具,并结合了肺癌患者家庭护理人员在面对 ARF 模拟情况时的自我效能标准指导。该研究还旨在考察护理人员的情绪状态、生活质量、满意度以及对 SBAR 工具的了解程度。方法将开展一项为期 18 个月的单中心、随机对照、开放标签、优势、平行臂试验,并进行 3 次研究中期评估(NCT05839353)。肺癌患者的家庭护理人员将在法国留尼汪岛圣皮埃尔大学医院中心招募。参与者将被随机(1:1)分为两组:实验组接受使用 SBAR/SAED 工具的培训和处理呼吸窘迫/呼吸困难的标准指导;对照组仅接受标准指导。本研究将对模拟肺癌患者发生 ARF 时培训家庭护理人员使用 SBAR/SAED 工具的情况进行初步评估。我们的研究结果可为关键家庭护理情况下护理人员的有效培训方法提供有价值的见解,并可广泛应用于肺癌管理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
6.50
自引率
9.30%
发文量
94
审稿时长
6 weeks
期刊介绍: Official Journal of the European Society for Research on Internet Interventions (ESRII) and the International Society for Research on Internet Interventions (ISRII). The aim of Internet Interventions is to publish scientific, peer-reviewed, high-impact research on Internet interventions and related areas. Internet Interventions welcomes papers on the following subjects: • Intervention studies targeting the promotion of mental health and featuring the Internet and/or technologies using the Internet as an underlying technology, e.g. computers, smartphone devices, tablets, sensors • Implementation and dissemination of Internet interventions • Integration of Internet interventions into existing systems of care • Descriptions of development and deployment infrastructures • Internet intervention methodology and theory papers • Internet-based epidemiology • Descriptions of new Internet-based technologies and experiments with clinical applications • Economics of internet interventions (cost-effectiveness) • Health care policy and Internet interventions • The role of culture in Internet intervention • Internet psychometrics • Ethical issues pertaining to Internet interventions and measurements • Human-computer interaction and usability research with clinical implications • Systematic reviews and meta-analysis on Internet interventions
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