解决南澳大利亚住院儿童照顾者未满足的社会需求的健康导航员干预措施:混合方法试点研究方案。

IF 1.6 Q3 MEDICINE, RESEARCH & EXPERIMENTAL
Kate Emily Neadley, Maeve Downes, Lily Chan, Brianna Poirier, John Lynch, Mark Boyd, Cheryl Shoubridge
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引用次数: 0

摘要

背景:识别患者未满足的社会需求并向政府和社区资源提供转诊的干预措施在整个医疗保健环境中迅速增长。在澳大利亚,研究是有限的。本协议文件介绍了一项试点研究的方法,该研究评估了将健康导航员(HN)干预措施纳入南澳大利亚州为社会弱势群体服务的儿科住院环境的可行性和可接受性。方法:我们将进行一项混合方法的可行性和可接受性研究,旨在应对Lyell McEwin医院儿童病房的儿童护理人员确定的未满足的社会需求。我们将在三个月的招募期内招募最多60名参与者,并在四个月的跟进期内由两名hn协助。我们的主要可行性结果是1)干预招募率,2)干预保留率和3)干预完成率。我们为所有结果选择了≥80%的可行性成功阈值。可行性和可接受性也将通过临床医生、参与者和社区服务提供者的焦点小组进行评估,以探索在病房环境中整合HN干预的障碍和推动因素。次要结果包括未满足的社会需求的筛查率、HN干预前后参与者未满足的社会需求的变化以及参与者对HN服务的满意度。讨论:本研究将有助于理解HN干预措施如何建立整体“面向社区”的医院,将弱势群体与适当的资源联系起来,以增强参与者的整体健康和福祉。我们的可行性和可接受性数据将为未来试验的设计提供信息,因为我们改进了HN干预措施,以更好地适应南澳大利亚社会弱势群体的需求。协议版本:版本1,日期23/01/2024。试验注册:该试验已在澳大利亚新西兰临床试验注册中心前瞻性注册(注册ID: ACTRN12624000494538)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Health Navigator intervention to address the unmet social needs of caregivers of hospitalised children in South Australia: protocol for a mixed-methods pilot study.

Background: Interventions that identify patients' unmet social needs and provide referrals to government and community resources are growing rapidly across healthcare settings. In Australia, research is limited. This protocol paper presents the methodology for a pilot study assessing the feasibility and acceptability of integrating a Health Navigator (HN) intervention into an inpatient paediatric setting that serves a socially disadvantaged population in South Australia.

Methods: We will conduct a mixed-methods feasibility and acceptability study of a HN intervention designed to respond to the unmet social needs identified by caregivers of children admitted to the Children's Ward of the Lyell McEwin Hospital. We will recruit a maximum of 60 participants over a three-month recruitment period, to be assisted by two HNs over a four-month follow-up period. Our primary feasibility outcomes are rates of 1) intervention recruitment, 2) intervention retention and 3) intervention completion. We have selected a ≥ 80% threshold for feasibility success across all outcomes. Feasibility and acceptability will also be assessed using focus groups with clinicians, participants and community service providers, to explore barriers and enablers to integrating the HN intervention in the ward setting. Secondary outcomes include screening rates for unmet social needs, changes in participants' unmet social needs pre/post-HN intervention and participant satisfaction with the HN service.

Discussion: This study will contribute to the understanding of how HN interventions establish holistic 'community-facing' hospitals, connecting vulnerable populations to appropriate resources for the enhancement of participants' overall health and wellbeing. Our feasibility and acceptability data will inform the design of future trials, as we refine the HN intervention to better suit the needs of socially disadvantaged populations in South Australia.

Protocol version: Version 1, date 23/01/2024.

Trial registration: This trial was prospectively registered in the Australian New Zealand Clinical Trial Registry (registration ID: ACTRN12624000494538).

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来源期刊
Pilot and Feasibility Studies
Pilot and Feasibility Studies Medicine-Medicine (miscellaneous)
CiteScore
2.70
自引率
5.90%
发文量
241
审稿时长
9 weeks
期刊介绍: Pilot and Feasibility Studies encompasses all aspects of the design, conduct and reporting of pilot and feasibility studies in biomedicine. The journal publishes research articles that are intended to directly influence future clinical trials or large scale observational studies, as well as protocols, commentaries and methodology articles. The journal also ensures that the results of all well-conducted, peer-reviewed, pilot and feasibility studies are published, regardless of outcome or significance of findings. Pilot and feasibility studies are increasingly conducted prior to a full randomized controlled trial. However, these studies often lack clear objectives, many remain unpublished, and there is confusion over the meanings of the words “pilot” and “feasibility”. Pilot and Feasibility Studies provides a forum for discussion around this key aspect of the scientific process, and seeks to ensure that these studies are published, so as to complete the publication thread for clinical research.
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