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首页> 外文期刊>Journal of athletic training >Benefits of and Barriers to Using Patient-Rated Outcome Measures in Athletic Training
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Benefits of and Barriers to Using Patient-Rated Outcome Measures in Athletic Training

机译：在运动训练中使用患者指定结果指标的好处和障碍

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Context: Patient-rated outcome measures (PROMs) are important for driving treatment decisions and determining treatment effectiveness. However, athletic trainers (ATs) rarely use them; understanding why may facilitate strategies for collection of these outcomes. Objective: To identify the benefits of and barriers to using PROMs in athletic training. Design: Cross-sectional study. Setting: Web-based survey. Patients or Other Participants: A total of 1469 randomly sampled ATs (age = 36.8 ± 9.8 years; 48% female) working in the college/university, 2-year institution, secondary school, clinic, hospital, or industrial/occupational setting. Intervention(s): An e-mail was sent to ATs inviting them to complete a survey regarding the use, benefits, and barriers of PROMs. Athletic trainers who indicated they used PROMs (AT-PRs) completed 65 questions about the benefits of and barriers to their use. Athletic trainers who indicated no use of PROMs (AT-NONs) completed 21 questions about barriers of use. Main Outcome Measure(s): Dependent variables were the endorsements for the benefits of and barriers to the use of PROMs. Results: A total of 458 ATs initiated the survey and 421 (AT-PR = 26%, AT-NON = 74%) completed it (response rate = 28.7%). The most frequently endorsed benefits by AT-PRs were enhancing communication with patients (90%) and other health care professionals (80%), directing patient care (87%), and increasing examination efficiency (80%). The most frequently endorsed barriers by AT-PRs were that PROMs are time consuming (44%), difficult (36%), and confusing (31%) for patients and time consuming for clinicians to score and interpret (29%). The most frequently endorsed problems by AT-NONs were that PROMs are time consuming for clinicians to score and interpret (31%), time consuming (46%) and irrelevant to patients (28%), and lacking a support structure for clinicians (29%). Conclusions: These results suggest that, although benefits to using PROMs exist, there are also barriers. Barriers are similar for AT-PRs and AT-NONs. Strategies to decrease barriers and facilitate the use of PROMs warrant investigation.
机译：背景：患者评估的结局指标（PROM）对于推动治疗决策和确定治疗效果非常重要。但是，运动教练（AT）很少使用它们。了解为什么可以促进收集这些结果的策略。目的：确定在运动训练中使用PROM的好处和障碍。设计：横断面研究。设置：基于Web的调查。患者或其他参与者：在大学/大学，两年制机构，中学，诊所，医院或工业/职业环境中工作的总共1469个随机采样的AT（年龄= 36.8±9.8岁;女性占48％）。干预措施：已向AT发送电子邮件，邀请其完成有关PROM的使用，益处和障碍的调查。表示他们使用了PROM（AT-PR）的运动训练师完成了有关其使用的好处和障碍的65个问题。表示不使用PROM（AT-NON）的运动训练员完成了21个有关使用障碍的问题。主要结果指标：因变量是对使用PROM的好处和障碍的认可。结果：总共458个AT发起了调查，并且有421个（AT-PR = 26％，AT-NON = 74％）完成了调查（响应率为28.7％）。 AT-PR最常见的好处是加强与患者（90％）和其他医疗保健专业人员（80％）的沟通，指导患者护理（87％）和提高检查效率（80％）。 AT-PR最常见的障碍是，PROM耗时（44 ％），困难（36 ％）和令人困惑的患者（31 ％）以及临床医生评分和口译（29 ％ ）。 AT-NONs最常认可的问题是，PROM对于临床医生而言，评分和解释耗时（31％），耗时（46％），与患者无关（28％），并且缺乏对患者的支持结构临床医生（29％）。结论：这些结果表明，尽管存在使用PROM的好处，但也存在障碍。 AT-PR和AT-NON的壁垒相似。减少障碍并促进使用PROM的策略值得调查。

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