Fidelity

保真度
  • 文章类型: Journal Article
    基于溶液的工艺由于其低成本的优点而在电子器件和传感器的制造中受到了相当大的关注,无真空,设备简单。然而,当前基于解决方案的工艺要么缺乏图案化能力,要么在线边缘粗糙度方面具有低分辨率(几十微米)和低图案保真度(LER,几微米)。这里,我们提出了一种表面能定向组装(SEDA)工艺,以制造分辨率(800nm)和LER(16nm)提高高达2个数量级的金属氧化物图案。实验结果表明,只有在相对湿度低于30%的情况下,才能实现高图案保真度。这种现象的原因在于溶液液滴上可忽略的水冷凝。采用SEDA流程,采用氧化铟作为沟道层制作了全溶液处理的金属氧化物薄膜晶体管(TFT),铟锡氧化物作为源/漏电极和栅电极,和氧化铝作为栅极电介质。基于TFT的逻辑门电路,包括NOT,NOR,NAND,并且也是制造的,证明SEDA工艺在制造大面积功能电子产品中的适用性。
    Solution-based processes have received considerable attention in the fabrication of electronics and sensors owing to their merits of being low-cost, vacuum-free, and simple in equipment. However, the current solution-based processes either lack patterning capability or have low resolution (tens of micrometers) and low pattern fidelity in terms of line edge roughness (LER, several micrometers). Here, we present a surface energy-directed assembly (SEDA) process to fabricate metal oxide patterns with up to 2 orders of magnitude improvement in resolution (800 nm) and LER (16 nm). Experiment results show that high pattern fidelity can be achieved only at low relative humidities of below 30%. The reason for this phenomenon lies in negligible water condensation on the solution droplet. Employing the SEDA process, all-solution-processed metal oxide thin film transistors (TFTs) are fabricated by using indium oxide as channel layers, indium tin oxide as source/drain electrodes and gate electrodes, and aluminum oxide as gate dielectrics. TFT-based logic gate circuits, including NOT, NOR, NAND, and AND are fabricated as well, demonstrating the applicability of the SEDA process in fabricating large area functional electronics.
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  • 文章类型: Journal Article
    在过去的二十年里,模拟报告任务已成为测量跨研究领域的视觉表示的保真度的标准方法,包括感知,注意,和记忆。尽管它广泛使用,没有对可能导致反应变异性的不同任务参数进行系统的研究。为了解决这个差距,我们进行了两个实验,操作了典型的色调记忆模拟报告测试的组成部分。我们发现,人为响应错误受到任务存储和维护要求变化的独立影响,即使在没有内存延迟的情况下,集合大小也具有很强的效果。相比之下,响应变异性不受色轮物理大小的影响,暗示电机噪声对任务性能的贡献微不足道,或其色度半径,突出标准颜色空间的非均匀性。将模拟报告与匹配的强制选择任务进行比较,我们发现调整标准的变化对模拟报告变异性的贡献有限,只有在低代表性噪声的情况下才变得有意义。我们的发现验证了模拟报告任务是大多数目的的代表性保真度的可靠度量,同时还量化了非代表性的噪声源,这将限制其在特殊环境中的可靠性。
    Over the last two decades, the analogue report task has become a standard method for measuring the fidelity of visual representations across research domains including perception, attention, and memory. Despite its widespread use, there has been no methodical investigation of the different task parameters that might contribute to response variability. To address this gap, we conducted two experiments manipulating components of a typical analogue report test of memory for colour hue. We found that human response errors were independently affected by changes in storage and maintenance requirements of the task, demonstrated by a strong effect of set size even in the absence of a memory delay. In contrast, response variability remained unaffected by physical size of the colour wheel, implying negligible contribution of motor noise to task performance, or by its chroma radius, highlighting non-uniformity of the standard colour space. Comparing analogue report to a matched forced-choice task, we found variation in adjustment criterion made a limited contribution to analogue report variability, becoming meaningful only with low representational noise. Our findings validate the analogue report task as a robust measure of representational fidelity for most purposes, while also quantifying non-representational sources of noise that would limit its reliability in specialized settings.
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  • 文章类型: Journal Article
    对针对严重心理健康以外的人群的个人安置和支持(IPS)干预措施的职业结果的国际证据进行概述。
    自2000年以来以英语发表的报告职业成果的评论概述(工作进入,工作维持,收益,工作时间,进入工作的时间)针对严重心理健康以外的人群进行IPS干预的反事实。概述综述最大化了个别研究的数据,并包括了最近的其他初步研究。进行DerSimoian-Laird随机效应荟萃分析。
    从5篇综述中确定了13项符合条件的研究,还确定了5项最近的单独研究。IPS研究涵盖了一系列专注于心理健康的群体。对于工作进入的主要职业结果,所有IPS研究均显示与对照组相比具有较高的工作进入率,总加权优势比为1.78[1.42,2.22]。通过研究规模确定了实质性的异质性,从大型和中型研究中估计的总体加权比值比为1.32[1.2,1.46]似乎更合理地估计了在严重心理健康以外的人群中扩大IPS干预措施的可能影响。中等职业成果,包括工作维持,总收入,IPS服务的平均每周工作小时数和进入工作时间通常优于对照组.
    与照常的就业服务相比,IPS服务在支持不同人口群体持续就业方面始终更有效。证据受到术语不明确的限制,小样本量,不完全干预保真度,干预污染和不一致的测量。
    UNASSIGNED: To provide an overview review of international evidence of vocational outcomes in Individual Placement and Support (IPS) interventions for populations other than severe mental health.
    UNASSIGNED: An overview of reviews published in English since 2000 reporting vocational outcomes (job entry, work sustainment, earnings, work hours, time to job entry) against counterfactuals of IPS interventions for population groups other than severe mental health. The overview review maximises data from individual studies and includes additional recent primary studies. DerSimonian-Laird random effects meta-analysis was performed.
    UNASSIGNED: Thirteen eligible studies were identified from five reviews and five more recent individual studies were also identified. IPS studies covered a range of groups with a concentration towards mental health. For the primary vocational outcome of job entry all IPS studies showed superior job entry rates compared to control groups with an overall weighted odds ratio of 1.78 [1.42,2.22]. Substantial heterogeneity was identified by study size and the overall weighted odds ratio of 1.32 [1.2,1.46] estimated from the large and medium sized studies seems a more plausible estimate of the likely effects of scaled-up IPS interventions in groups beyond severe mental health. Secondary vocational outcomes including job sustainment, total earnings, average weekly hours worked and time to job entry were typically superior in IPS services than control groups.
    UNASSIGNED: IPS services are consistently more effective in supporting diverse population groups into sustained employment compared to business-as-usual employment services. The evidence is limited by unclear terminology, small sample sizes, incomplete intervention fidelity, intervention contamination and inconsistent measurement.
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  • 文章类型: Journal Article
    确定DNA聚合酶保真度的直接方法是可靠的,测序前的样品操作相对较少。相比之下,测量RNA聚合酶和逆转录酶保真度的方法由于引入歧义和误差的额外制备步骤而变得复杂。这里,我们描述了一种测序方法,称为Roll-Seq,用于使用PacificBiosciences单分子实时测序同时确定RNA聚合酶和逆转录酶(RT)的个体保真度。通过使用具有高滚环活性的逆转录酶,Roll-Seq从环状RNA模板产生长的串联cDNA。为了辨别突变的起源,记录并确定错误发生在cDNA链的单个串联体(逆转录酶错误)或所有串联体(RNA聚合酶错误)中。我们使用Roll-Seq来测量T7RNA聚合酶的保真度,第二组内含子编码的RT(Induro),和两个LINERT(筋膜buskiR2-RT和人LINE-1)。Induro和R2-RT的取代率对于cDNA和第二链合成是相同的,而LINE-1在进行第二链合成时具有2.5倍的低保真度。在第二链合成期间,所有RT的缺失和插入速率增加。此外,我们发现结构化的RNA模板会影响RNA聚合酶和RT的保真度。Roll-Seq的准确性和精密度使该方法可用作RNA聚合酶和逆转录酶的结构和机理表征的补充分析,或用作RNAP和RT保真度的筛选方法。
    Direct methods for determining the fidelity of DNA polymerases are robust, with relatively little sample manipulation before sequencing. In contrast, methods for measuring RNA polymerase and reverse transcriptase fidelities are complicated by additional preparation steps that introduce ambiguity and error. Here, we describe a sequencing method, termed Roll-Seq, for simultaneously determining the individual fidelities of RNA polymerases and reverse transcriptases (RT) using Pacific Biosciences Single Molecule Real-Time sequencing. By employing reverse transcriptases with high rolling-circle activity, Roll-Seq generates long concatemeric cDNA from a circular RNA template. To discern the origin of a mutation, errors are recorded and determined to occur within a single concatemer (reverse transcriptase error) or all concatemers (RNA polymerase error) over the cDNA strand. We used Roll-Seq to measure the fidelities of T7 RNA polymerases, a Group II intron-encoded RT (Induro), and two LINE RTs (Fasciolopsis buski R2-RT and human LINE-1). Substitution rates for Induro and R2-RT are the same for cDNA and second strand synthesis while LINE-1 has 2.5-fold lower fidelity when performing second strand synthesis. Deletion and insertion rates increase for all RTs during second strand synthesis. In addition, we find that a structured RNA template impacts fidelity for both RNA polymerase and RT. The accuracy and precision of Roll-Seq enable this method to be applied as a complementary analysis to structural and mechanistic characterization of RNA polymerases and reverse transcriptases or as a screening method for RNAP and RT fidelity.
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  • 文章类型: Journal Article
    背景:与通常发育中的同龄人相比,智力障碍儿童的身体活动较少,久坐不动。迄今为止,尚无研究测试对智力障碍儿童进行基于学校的步行干预的可行性。
    方法:一项成组随机对照试验(cRCT),通过嵌入式过程评估,用于测试基于学校的步行干预的可行性。八所学校(n=161名9-13岁的学生)被随机分为干预组或“照常锻炼”组。措施包括身体活动,身体健康和情绪健康。收集基线和3个月的随访数据。
    结果:教师和学生可以接受\'WalkBuds\'干预,步行课程的吸收率为84%。
    结论:经历了许多挑战,与COVID-19大流行有关,和难以收集加速度计数据。屏障,讨论了通过混合方法过程评估确定的促进者和所需的更改。
    BACKGROUND: Children with intellectual disability are less physically active and more sedentary than typically developing peers. To date no studies have tested the feasibility of a school-based walking intervention for children with Intellectual Disability.
    METHODS: A clustered randomised controlled trial (cRCT), with an embedded process evaluation, was used to test the feasibility of a school-based walking intervention. Eight schools (n = 161 pupils aged 9-13 years) were randomised into either an intervention arm or an \'exercise as usual\' arm. Measures included physical activity, physical fitness and emotional wellbeing. Baseline and 3-month follow-up data were collected.
    RESULTS: The \'Walk Buds\' intervention was found to be acceptable to teaching staff and pupils, with an uptake rate of the walking sessions offered of 84%.
    CONCLUSIONS: A number of challenges were experienced, relating to the COVID-19 pandemic, and difficulties collecting accelerometer data. Barriers, facilitators and required changes identified through the mixed methods process evaluation are discussed.
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  • 文章类型: Journal Article
    背景:在瑞士西北部,最近的立法通过建立信息和咨询中心(IAC)来解决社区居住老年人的需求。IAC是社区中的一项新服务,旨在评估需求并向居住在社区的老年人及其家人提供有关年龄相关问题的信息。先前的研究报告说,难以接触社区居住的老年人进行基于社区的计划。我们的目标是:1)系统地确定在社区护理提供者中推广IAC的实施策略,老年人和非正式护理人员;2)监测IAC管理部门实施这些策略的情况;3)描述这些策略对社区居住老年人的影响。这项研究是作为TRANS-SENIOR项目的一部分进行的。
    方法:作为INSPIRE可行性评估的一部分,我们在2022年3月至9月间进行了一项测试前测试后研究.样本包括8,840名年龄在65岁以上的老年人,他们首次访问/呼叫或被转诊到IAC。使用实施图选择实施策略,并为每组社区护理提供者和老年人/护理人员捆绑组织。我们的评估包括:评估IAC管理层对实施策略和捆绑包交付的保真度及其覆盖范围;将老年人转诊到IAC的来源;以及这些策略对IAC覆盖范围对居住在护理区域的65以上人口的影响。使用FRAME-IS记录了对策略的适应。计算并报告描述性统计数据。
    结果:为每个社区护理提供者和老年人及其护理人员选择并组织了7种实施策略。在为养老院选择的实施策略中,保真度得分最低,而得分最高的策略对应于针对老年人和护理人员的策略。“信息访问”是覆盖率最低的策略(养老院为2.5%,医院和专科诊所为10.5%)。主要转诊来源为自我转诊及照顾者转诊,其次是养老院。在65岁以上的人群中,IAC的覆盖率为5.4%。
    结论:我们展示了使用实施映射来选择实施策略以覆盖社区居住的老年人。覆盖率很低,这表明对策略交付的保真度更高,可能需要反思实施战略的因果途径。
    BACKGROUND: In Northwestern Switzerland, recent legislation tackles the needs of community-dwelling older adults by creating Information and Advice Centers (IACs). IACs are a new service in the community that aims to assess the needs and provide information on age-related issues to community-dwelling older adults and their families. Previous studies reported difficulties in reaching community-dwelling older adults for community-based programs. We aimed to: 1) systematically identify implementation strategies to promote the IAC among community care providers, older adults and informal caregivers; 2) monitor the delivery of these strategies by the IAC management; and 3) describe the impact of those strategies on reach of community-dwelling older adults. This study was conducted as part of the TRANS-SENIOR project.
    METHODS: As part of the INSPIRE feasibility assessment, we conducted a pre-test post-test study between March and September 2022. The sample included 8,840 older adults aged 65 + visiting/calling or being referred to the IAC for the first time. Implementation strategies were selected using implementation mapping and organized in bundles for each group of community care providers and older adults/caregivers. Our evaluation included: estimation of fidelity to the delivery of implementation strategies and bundles by the IAC management and their coverage; referral source of older adults to the IAC; and impact of the strategies on reach of the IAC on the 65 + population living in the care region. Adaptations to the strategies were documented using the FRAME-IS. Descriptive statistics were calculated and reported.
    RESULTS: Seven implementation strategies were selected and organized in bundles for each community care provider and older adults and their caregivers. The lowest fidelity score was found in implementation strategies selected for nursing homes whereas the highest score corresponded to strategies targeting older adults and caregivers. \"Informational visits\" was the strategy with the lowest coverage (2.5% for nursing homes and 10.5% for hospitals and specialized clinics). The main referral sources were self-referrals and referrals by caregivers, followed by nursing homes. The IAC reach among the 65 + population was 5.4%.
    CONCLUSIONS: We demonstrated the use of implementation mapping to select implementation strategies to reach community-dwelling older adults. The reach was low suggesting that higher fidelity to the delivery of the strategies, and reflection on the causal pathway of the implementation strategies might be needed.
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  • 文章类型: Journal Article
    背景:基于证据的实践(EBP)的实施代表了一种战略变革,需要在整个组织中协调领导和支持。实施领导力和组织变革(LOCI)是一项多方面的实施战略,旨在通过领导力和气候评估与反馈的迭代循环来改善组织内部的实施领导力和气候。领导力培训和指导,和高层领导的战略规划。这项研究测试了LOCI对变革和实施领导的影响,实施气候,实施公民行为,和EBP到达。
    方法:多队列,集群随机试验在加利福尼亚州和亚利桑那州的9个行为健康组织的60个诊所中测试了LOCI的效果,美国。该研究将组织内的诊所随机分配到连续三个队列中的LOCI或领导力培训网络研讨会控制条件。对直接服务提供商的重复基于网络的调查(nLOCI=201,nControl=179)评估了领导力,实施气候,随着时间的推移,实施公民身份。多级自回归模型是主要的统计分析,这样提供者(1级)嵌套在诊所(2级)内。这项研究预测了4-之间的条件差异,8-,和12个月的随访评估。提供者在保真度监测过程中的参与度评估了动机性访谈的范围(即,为保真度编码记录/提交的会话数)。独立样本t检验探讨了动机访谈范围的条件差异。
    结果:结果显示实施领导在4个月时的情况差异,实施气候,和实施公民行为,因此与对照条件相比,LOCI条件的改善更大。与对照条件相比,在LOCI条件下MI的达到显著更大,使得LOCI提供者更有可能参与保真度监测过程(卡方(1,n=370)=5.59,p=.018)。
    结论:LOCI是基于战略领导和气候的组织理论开发的,旨在影响组织变革过程,这些过程传达了预期的创新实施,支持,并被认为是组织的价值。与对照条件相比,LOCI实施策略产生了更积极的假设结果。组织变革战略对于在复杂的环境中实施健康创新具有效用,多层次的环境,为了更好地维持促进型领导者行为,战略实施环境,和改善实施成果。
    背景:本研究已在Clinicaltrials.govgov注册(NCT03042832,2017年2月2日;回顾性注册)。
    BACKGROUND: Evidence-based practice (EBP) implementation represents a strategic change that requires alignment of leadership and support throughout organizations. Leadership and Organizational Change for Implementation (LOCI) is a multifaceted implementation strategy that aims to improve implementation leadership and climate within organizations through iterative cycles of leadership and climate assessment and feedback, leadership training and coaching, and strategic planning with upper-level leaders. This study tested the effects of LOCI on transformational and implementation leadership, implementation climate, implementation citizenship behavior, and EBP reach.
    METHODS: A multiple cohort, cluster randomized trial tests the effect of LOCI in 60 clinics across nine behavioral health organizations in California and Arizona, USA. The study randomized clinics within organizations to either LOCI or a leadership training webinar control condition in three consecutive cohorts. Repeated web-based surveys of direct service providers (nLOCI = 201, nControl = 179) assessed leadership, implementation climate, and implementation citizenship over time. Multilevel autoregressive modeling was the primary statistical analysis such that providers (level-1) were nested within clinics (level-2). The study predicted between-condition differences at 4-, 8-, and 12-month follow-up assessments. Provider engagement in a fidelity monitoring process assessed reach of motivational interviewing (i.e., number of sessions recorded/submitted for fidelity coding). An independent sample t-test explored between condition differences in motivational interviewing reach.
    RESULTS: Results indicated between condition differences at 4 months for implementation leadership, implementation climate, and implementation citizenship behavior such that greater improvements were evidenced in the LOCI condition compared to the control condition. Reach of MI was significantly greater in the LOCI vs control condition such that LOCI providers were significantly more likely to engage in the fidelity monitoring process (chi-square (1, n = 370) = 5.59, p = .018).
    CONCLUSIONS: LOCI was developed based on organizational theories of strategic leadership and climate to affect organizational change processes that communicate that innovation implementation is expected, supported, and recognized as a value of the organization. The LOCI implementation strategy resulted in more positive hypothesized outcomes compared to the control condition. Organizational change strategies have utility for implementing health innovations in complex, multilevel contexts and for greater sustainment of facilitative leader behaviors, strategic implementation climate, and improved implementation outcomes.
    BACKGROUND: This study is registered with Clinicaltrials.gov gov (NCT03042832, 2 February 2017; retrospectively registered).
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  • 文章类型: Journal Article
    30多年来,猪繁殖与呼吸综合征病毒(PRRSV)对全球猪肉行业产生了重大影响。其高突变率和频繁的重组极大地加剧了其流行和威胁。探讨中国高致病性PRRSVJXwn06和NADC30样菌株CHsx1401的保真度特征,PAMs中的自重组和突变,MARC-145细胞,并对猪进行了评估。体外,与JXwn06相比,CHsx1401显示出更高的重组结频率和更大的结类型多样性。在体内,CHsx1401表现出较少的结类型,但仍保持较高的结频率。值得注意的是,JXwn06显示更多的突变积累。为了确定影响其保真度的基因组区域,构建了嵌合病毒,与JXwn06和CHsx1401之间交换的nsp9-10区域。SJn9n10菌株,它将JXwn06的nsp9-10整合到CHsx1401基因组中,与CHsx1401相比,对核苷酸类似物的敏感性降低。相反,与JXwn06相比,JSn9n10菌株对这些抑制剂的敏感性增加.交换的nsp9-10也影响连接频率和作为其供体菌株的累积突变。结果表明,这两个菌株之间存在不同类型的遗传变异的倾向,并进一步强调了nsp9-10区域是其保真度的关键决定因素。
    The porcine reproductive and respiratory syndrome virus (PRRSV) has significantly impacted the global pork industry for over three decades. Its high mutation rates and frequent recombination greatly intensifies its epidemic and threat. To explore the fidelity characterization of Chinese highly pathogenic PRRSV JXwn06 and the NADC30-like strain CHsx1401, self-recombination and mutation in PAMs, MARC-145 cells, and pigs were assessed. In vitro, CHsx1401 displayed a higher frequency of recombination junctions and a greater diversity of junction types than JXwn06. In vivo, CHsx1401 exhibited fewer junction types yet maintained a higher junction frequency. Notably, JXwn06 showed more accumulation of mutations. To pinpoint the genomic regions influencing their fidelity, chimeric viruses were constructed, with the exchanged nsp9-10 regions between JXwn06 and CHsx1401. The SJn9n10 strain, which incorporates JXwn06\'s nsp9-10 into the CHsx1401 genome, demonstrated reduced sensitivity to nucleotide analogs compared to CHsx1401. Conversely, compared with JXwn06, the JSn9n10 strain showed increased sensitivity to these inhibitors. The swapped nsp9-10 also influences the junction frequency and accumulated mutations as their donor strains. The results indicate a propensity for different types of genetic variations between these two strains and further highlight the nsp9-10 region as a critical determinant of their fidelity.
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  • 文章类型: Journal Article
    目标:NHS英格兰委托独立服务提供商提供NHS低热量饮食计划试点。先前的研究表明,在通过面对面小组或一对一行为支持提供的计划交付过程中,行为改变技术(BCT)的保真度出现了漂移。这项研究的目的是评估程序数字交付中BCT内容的交付保真度。
    方法:在线,应用程序聊天和电话支持内容使用行为改变技术分类进行编码。计算每个服务提供商(N=2)提供的BCT,并与NHS服务规范中指定的BCT和提供商计划中指定的BCT进行比较。
    结果:NHS服务规范中确定的BCT中有78%至83%是由服务提供商提供的。对于提供者A,BCT交付到提供者\'计划计划中指定的保真度为60%-65%,
    结论:NHS-LCD计划中使用的数字模型的BCT内容与NHS服务规范和提供商计划的一致性很好。它超过了以前在通过小组或一对一行为支持模式提供的面对面服务中观察到的情况。
    OBJECTIVE: NHS England commissioned independent service providers to deliver the NHS Low-Calorie Diet Programme pilot. Previous research has illustrated a drift in the fidelity of behaviour change techniques (BCTs) during the delivery of the programme provided through face-to-face group or one-to-one behavioural support. The aim of this study was to assess the delivery fidelity of the BCT content in the digital delivery of the programme.
    METHODS: Online, app chat and phone call support content was coded using The Behaviour Change Technique Taxonomy. BCTs delivered by each service provider (N = 2) were calculated and compared to the BCTs specified in the NHS service specification and those specified in the providers\' programme plans.
    RESULTS: Between 78% and 83% of the BCTs identified in the NHS service specification were delivered by the service providers. The fidelity of BCT delivery to those specified in providers\' programme plans was 60%-65% for provider A, and 82% for provider B.
    CONCLUSIONS: The BCT content of the digital model used in the NHS-LCD programme adhered well to the NHS service specification and providers\' plans. It surpassed what has been previously observed in face-to-face services provided through group or one-on-one behavioural support models.
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  • 文章类型: Journal Article
    背景:许多新冠肺炎幸存者生活在悬而未决的环境中,复发和缓解症状和没有“一个大小”的治疗可能对每个人都有效。英国国家健康与护理卓越研究所建议对LongCovid(LC)的各种症状进行支持的自我管理。我们旨在使用结构化的共同设计框架来指导复制和评估,为患有LC的人开发一种新的个性化支持干预措施。
    方法:我们使用了改进方法,基于经验的联合设计,以加速的形式利用LC人的集体经验。结合来自“桥梁自我管理”(桥梁)的证据,一种对医疗保健专业人员(HCP)进行培训以支持知识的方法,长期生活条件下的个人的信心和技能。共同设计的资源也是桥梁的核心。自称与LC生活在一起或从LC康复的成年人,来自英格兰或威尔士,18岁及以上被招募,和HCP,具有支持LC人员的经验。与会者参加了一系列小型联合设计小组会议和较大的混合会议,以商定优先事项,核心原则,并生成资源和干预内容。
    结果:患有LC的人(n=28),和HCP(n=9)支持书籍(硬拷贝和数字形式)的共同设计,以与受过训练的HCP进行1:1支持会话。共同设计阶段优先考虑关于身体症状的故事,以及随之而来的心理和社会挑战,非线性旅程和将稳定性重新概念化为进步,丰富的战略描述和链接到有信誉的建议和支持导航医疗保健服务。共同设计使八项核心干预原则得以制定,这些原则是HCP和保真度评估所使用的培训和语言的基础。
    结论:我们开发了一种新的个性化支持干预措施,核心原则将用于由训练有素的HCP提供的一对一课程,用一本新的共同设计的书作为使用叙述构建个性化策略和计划的提示,想法,以及其他人使用LC的解决方案。“LISTEN”干预措施的有效性和成本效益将在更新的“开发和评估复杂干预措施框架”的背景下,在随机对照试验中进行评估。
    倾听公众和患者参与(PPI)组包括7名患有LC的人。他们都为这项研究的设计做出了贡献,五名成员是本文描述的更大的共同设计社区的一部分。他们通过解释干预设计的阶段和结果分析为本文做出了贡献。我们PPI小组的三名成员是本文的合著者。
    BACKGROUND: Many Covid-19 survivors are living with unresolved, relapsing and remitting symptoms and no \'one size\' of treatment is likely to be effective for everyone. Supported self-management for the varied symptoms of Long Covid (LC) is recommended by the National Institute for Health and Care Excellence in the United Kingdom. We aimed to develop a new personalised support intervention for people living with LC using a structured co-design framework to guide replication and evaluation.
    METHODS: We used the improvement methodology, Experience-Based Co-Design, in an accelerated form to harness the collective experiences of people with LC. Incorporating evidence from \'Bridges Self-Management\' (Bridges) an approach in which healthcare professionals (HCPs)are trained to support knowledge, confidence and skills of individuals living with long term conditions. Co-designed resources are also central to Bridges. Adults who self-identified as living with or recovered from LC, from England or Wales, aged 18 years and over were recruited, and HCPs, with experience of supporting people with LC. Participants took part in a series of small co-design group meetings and larger mixed meetings to agree priorities, core principles and generate resources and intervention content.
    RESULTS: People with LC (n = 28), and HCPs (n = 9) supported co-design of a book (hard-copy and digital form) to be used in 1:1 support sessions with a trained HCP. Co-design stages prioritised stories about physical symptoms first, and psychological and social challenges which followed, nonlinear journeys and reconceptualising stability as progress, rich descriptions of strategies and links to reputable advice and support for navigating healthcare services. Co-design enabled formulation of eight core intervention principles which underpinned the training and language used by HCPs and fidelity assessments.
    CONCLUSIONS: We have developed a new personalised support intervention, with core principles to be used in one-to-one sessions delivered by trained HCPs, with a new co-designed book as a prompt to build personalised strategies and plans using narratives, ideas, and solutions from other people with LC. Effectiveness and cost effectiveness of the \'LISTEN\' intervention will be evaluated in a randomised controlled trial set within the context of the updated Framework for Developing and Evaluating Complex Interventions.
    UNASSIGNED: The LISTEN Public and Patient Involvement (PPI) group comprised seven people living with LC. They all contributed to the design of this study and five members were part of a larger co-design community described in this paper. They have contributed to this paper by interpreting stages of intervention design and analysis of results. Three members of our PPI group are co-authors of this paper.
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