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Development and implementation of a nurse-led allergy clinic model in primary care: feasibility trial protocol.
npj Primary Care Respiratory Medicine ( IF 3.1 ) Pub Date : 2019-12-06 , DOI: 10.1038/s41533-019-0155-5 Margaret Kelman 1 , Victoria Hammersley 1 , Marilyn Kendall 1 , Mome Mukherjee 1 , Lynn Morrice 1 , Susan Harley 1 , Jürgen Schwarze 1, 2 , Aziz Sheikh 1
npj Primary Care Respiratory Medicine ( IF 3.1 ) Pub Date : 2019-12-06 , DOI: 10.1038/s41533-019-0155-5 Margaret Kelman 1 , Victoria Hammersley 1 , Marilyn Kendall 1 , Mome Mukherjee 1 , Lynn Morrice 1 , Susan Harley 1 , Jürgen Schwarze 1, 2 , Aziz Sheikh 1
Affiliation
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In the United Kingdom, there are acknowledged short comings in allergy care provision for patients seen in primary care. There is a lack of allergy training for healthcare professionals and this leads to inappropriate referrals to the limited number of allergy specialists. The primary aims of this study are to assess the feasibility of delivering and evaluating a new nurse-led allergy service in primary care, measured by recruitment, retention and quality of life. This is a single arm feasibility trial in which up to 250 participants referred to the nurse-led allergy clinic will receive the intervention and complete 6-12 weeks follow-up before being referred back to their usual care. Primary outcomes for this study will be establishment of clinics, recruitment and retention rates, and estimates of change in disease-specific quality of life measures. Secondary outcomes will be acceptability of the new service to participants/carers and healthcare professionals. A sample of participants and professional stakeholders will take part in more in-depth semi-structured qualitative interviews. Data from this feasibility trial will be used to inform plans for a pilot randomised controlled trial of nurse-led allergy clinics.
中文翻译：
初级保健中由护士主导的过敏诊所模型的开发和实施：可行性试验方案。
在英国，对于在初级保健中见过的患者，在过敏治疗方面存在公认的不足。缺乏针对医疗保健专业人员的过敏培训，这导致了不适当的转诊给有限数量的过敏专家。这项研究的主要目的是评估在招募，保留和生活质量方面衡量在初级保健中提供和评估由护士主导的新过敏服务的可行性。这是一项单臂可行性试验，其中多达250名转介到护士主导的过敏诊所的参与者将接受干预并完成6-12周的随访，然后再转回其通常的护理。这项研究的主要结果将是建立诊所，招募和保留率，以及针对特定疾病的生活质量衡量指标的变化估计。次要结果将是参与者/护理人员和医疗保健专业人员可以接受新服务。参与者和专业利益相关者的样本将参加更深入的半结构化定性访谈。该可行性试验的数据将用于指导由护士主导的过敏诊所的试验性随机对照试验计划。
更新日期：2019-12-06
中文翻译：
初级保健中由护士主导的过敏诊所模型的开发和实施：可行性试验方案。
在英国，对于在初级保健中见过的患者，在过敏治疗方面存在公认的不足。缺乏针对医疗保健专业人员的过敏培训，这导致了不适当的转诊给有限数量的过敏专家。这项研究的主要目的是评估在招募，保留和生活质量方面衡量在初级保健中提供和评估由护士主导的新过敏服务的可行性。这是一项单臂可行性试验，其中多达250名转介到护士主导的过敏诊所的参与者将接受干预并完成6-12周的随访，然后再转回其通常的护理。这项研究的主要结果将是建立诊所，招募和保留率，以及针对特定疾病的生活质量衡量指标的变化估计。次要结果将是参与者/护理人员和医疗保健专业人员可以接受新服务。参与者和专业利益相关者的样本将参加更深入的半结构化定性访谈。该可行性试验的数据将用于指导由护士主导的过敏诊所的试验性随机对照试验计划。
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