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首页> 外文期刊>Pilot and Feasibility Studies >Testing the feasibility of a knowledge translation intervention designed to improve chiropractic care for adults with neck pain disorders: study protocol for a pilot cluster-randomized controlled trial
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Testing the feasibility of a knowledge translation intervention designed to improve chiropractic care for adults with neck pain disorders: study protocol for a pilot cluster-randomized controlled trial

机译：测试旨在改善患有颈部疼痛障碍的成年人的脊椎护理的知识翻译干预措施的可行性：一项针对试验性集群随机对照试验的研究方案

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Neck pain in adults is common and a leading cause of physical disability. Recently, a guideline was developed for the management of non-specific neck pain (NSNP) with an aim to improve the quality of the delivery of chiropractic care. One key guideline recommendation is to undertake multimodal care for patients with NSNP. The aim of this pilot study is to determine the feasibility of implementing a multifaceted knowledge translation intervention by promoting the use of multimodal care by chiropractors managing patients with NSNP.Methods/designThe design is a cluster-randomized controlled pilot and feasibility trial. Chiropractors in private practice in Canada will be approached to participate in the study. Thirty consenting chiropractors will be randomized to receive either a theory-based educational intervention in the experimental group or simply a printed copy of the guideline in the control group. Each chiropractor will recruit five neck pain patients (a total of 150 patients) into the study. Development of the multifaceted intervention was informed by the results of a related qualitative study based on the Theoretical Domains Framework and consists of a series of three webinars, two online case scenarios, a self-management video on Brief Action Planning, and a printed copy of the practice guideline. Primary feasibility outcomes for both chiropractors and patients include rates of (1) recruitment, (2) retention, and (3) adherence to the intervention. A checklist of proxy measures embedded within patient encounter forms will be used to assess chiropractors’ compliance with guideline recommendations (e.g. exercise and self-care prescriptions) at study onset and at 3?months. Secondary outcomes include scores of behavioural constructs (level of knowledge and self-efficacy) for recommended multimodal care. Clinical outcomes include pain intensity and neck pain-specific disability. Analyses from this study will focus on generating point estimates and corresponding 95?% confidence intervals for parameters of a priori interest (recruitment, retention, adherence, pain intensity, Neck Disability Index).DiscussionResults of this study will inform the design of a larger cluster-randomized controlled trial aimed at evaluating the effectiveness of the theory-based tailored intervention and increasing the use of multimodal care by chiropractors managing patients with NSNP.Trial registrationhttps://clinicaltrials.gov/, NCT02483091.
机译：成人的颈部疼痛是常见的，并且是身体残疾的主要原因。最近，针对非特异性颈部疼痛（NSNP）的治疗制定了指南，旨在提高脊椎按摩治疗的质量。一项重要的指南建议是对NSNP患者进行多模式护理。这项初步研究的目的是通过管理NSNP患者的脊医通过使用多模式护理来确定实施多层面知识翻译干预措施的可行性。方法/设计本设计是一项集群随机对照的试验和可行性试验。将联系加拿大私人执业的脊医。 30名同意的脊医将被随机分配到实验组中接受基于理论的教育干预，或在对照组中仅接受指南的印刷版。每个脊医将招募五名颈部疼痛患者（总共150名患者）进入研究。基于理论领域框架的相关定性研究的结果为多方面干预措施的发展提供了信息，该研究包括一系列的三个网络研讨会，两个在线案例场景，一个关于“简要行动计划”的自我管理视频以及一个印刷版。实践准则。脊医和患者的主要可行性结果包括（1）招募，（2）保留和（3）坚持干预的比率。在研究开始时和3个月时，将使用嵌入患者遭遇表格中的替代措施清单来评估脊医的指南建议（例如运动和自我护理处方）的依从性。次要结果包括推荐的多模式护理的行为建构得分（知识水平和自我效能）。临床结果包括疼痛强度和颈部疼痛特异性残疾。这项研究的分析将集中在先验兴趣的参数（招聘，保留，依从性，疼痛强度，颈部残疾指数）的生成点估计和相应的95％置信区间上。讨论的结果本研究将为较大聚类的设计提供参考随机对照试验旨在评估基于理论的量身定制干预措施的有效性，并通过管理NSNP患者的脊椎治疗师增加对多模式护理的使用。试验注册https://clinicaltrials.gov/，NCT02483091。

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