Information visualizations to facilitate clinician-patient communication in HIV care (Info Viz: HIV)

信息可视化促进艾滋病毒护理中临床医生与患者的沟通（信息可视化：艾滋病毒）

• 批准号: 10475136
• 负责人: Samantha Stonbraker
• 金额: $ 22.7万
• 依托单位: UNIVERSITY OF COLORADO DENVER
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-09-01 至 2024-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10475136
• 关键词: Acculturation; Affect; Area; Attention; Automation; Award; Behavior; CD4 Lymphocyte Count; Caring; Chronic; Chronic Disease; Clinic; Clinic Visits; Clinical; Communication; Communication Methods; Complex; Data; Developing Countries; Diagnosis; Dominican Republic; Ensure; Evaluation; Exercise; Exposure to; Face; Feasibility Studies; Funding; Future; Goals; Guidelines; HIV; HIV Infections; Health; Health Personnel; Health Promotion; Health Status; Health behavior; Image; Individual; Informatics; Intervention; Knowledge; Language; Latino; Latino Population; Lead; Linear Models; Measurement; Measures; Mentors; Mentorship; Methodology; Methods; Minority Groups; Modality; National Institute of Nursing Research; New York City; Nurses; Outcome; Pathway interactions; Patient-Focused Outcomes; Patients; Persons; Pharmaceutical Preparations; Phase; Population; Prevention; Production; Quality of life; Randomized Controlled Trials; Reduce health disparities; Research; Research Personnel; Research Project Summaries; Resource-limited setting; School Nursing; Scientist; Self Management; Site; Socioeconomic Status; Statistical Data Interpretation; Testing; Time; Training; Training Activity; Treatment outcome; United States; United States National Institutes of Health; Universities; Variant; Viral Load result; Visit; Visual; Visualization; Work; behavioral outcome; burden of illness; career; clinical encounter; design; efficacy evaluation; efficacy testing; evidence base; experience; feasibility trial; health care service utilization; health disparity; health literacy; health management; improved; improved outcome; informatics training; interdisciplinary collaboration; literacy; low socioeconomic status; multi-site trial; novel; nutrition; patient-clinician communication; pilot test; pre-doctoral; programs; response; satisfaction; side effect; skills; standard care; success; theories; usability

PROJECT SUMMARY The research in this K99/R00 Pathway to Independence Award is aligned with the National Institute of Nursing Research’s scientific focus area of improving self-management strategies for individuals with chronic conditions. Additionally, this award will provide the protected time, advanced training, and research experience that the candidate needs to further develop her program of research aimed at promoting health and reducing health disparities among Latinos with low health literacy. This study builds on previous NIH-funded pre- and postdoctoral research (T32 NR013454, T32 NR007969) and aims to evaluate infographics which are evidence-based, culturally appropriate, and methodically designed images to facilitate clinician-patient HIV-related communication. HIV is a complex chronic illness for which effective self-management requires persons living with HIV (PLWH) to acquire, understand, and utilize large amounts of health information. By using rigorously designed and evaluated infographics during clinical encounters, clinicians may provide the information PLWH need for effective self-management in a more meaningful way. During the first year of the K99, the candidate will assess the extent to which the infographics she developed through her postdoctoral work are a feasible and useful method to facilitate information exchange and improve outcomes among PLWH with low health literacy. To ensure cultural relevance, this feasibility trial of infographic use during clinical visits in a limited resource setting will take place at Clínica de Familia in La Romana in the Dominican Republic (DR). Beyond ensuring cultural appropriateness, this study builds on previous work conducted at the Clinic and a well-established relationship with the organization will ensure long-term project success. The second year of the K99 will take place at Columbia University School of Nursing in New York City, and will include advanced training in statistical analysis, design and implementation of randomized controlled trials (RCTs), theory and measurement of acculturation and cultural influences on health, communication methods with individuals who have low health literacy, and automation of infographics through coursework, seminars, and interdisciplinary collaboration. During the R00 phase, a multi-site RCT will be used to assess the efficacy of using infographics during normal clinic visits to improve short, medium, and long- term treatment outcomes among PLWH in the United States (US) and in the DR. How infographic use influences clinician-patient communication and treatment outcomes in both settings will also be compared. Through rigorous refinement and evaluation of a novel method to enhance HIV-related communication between health care providers and Latino PLWH with low health literacy in the US and abroad, findings will contribute to the evidence- base regarding methodically generated, culturally appropriate infographic design and communication methodologies that can lead to better health outcomes among Latino patients globally. Additionally, by ensuring the time and support needed to solidify her program of research, this award will advance the candidate towards becoming an independently funded nurse scientist seeking to promote health and reduce health disparities through evidenced-based informatics interventions.

项目概要 K99/R00 独立之路奖的研究与国家护理研究所一致 研究的科学重点领域是改善慢性病患者的自我管理策略。 此外，该奖项还将为候选人提供受保护的时间、高级培训和研究经验 需要进一步发展她的研究计划，旨在促进健康并减少拉丁裔之间的健康差距 这项研究建立在 NIH 资助的博士前和博士后研究的基础上（T32 NR013454，T32） NR007969），旨在评估基于证据、文化适当且有条不紊的信息图表 设计图像以促进临床医生与患者之间的艾滋病毒相关沟通艾滋病毒是一种复杂的慢性疾病。 有效的自我管理需要艾滋病毒感染者 (PLWH) 获取、理解和利用大量的 通过在临床遭遇中使用严格设计和评估的信息图表，战士可以 以更有意义的方式提供艾滋病毒感染者进行有效自我管理所需的信息。 在 K99 的第一年，候选人将评估她通过以下方式开发的信息图表的程度： 她的博士后工作是促进信息交流和改善成果的可行且有用的方法 健康素养较低的 PLWH 为确保文化相关性，在临床就诊期间使用信息图表进行了可行性试验。 在资源有限的情况下，将在多米尼加共和国 (DR) 拉罗马纳的 Clínica de Familia 诊所进行。 为了确保文化适当性，这项研究建立在诊所之前进行的工作和完善的基础上 与该组织的关系将确保项目的长期成功。第二年的 K99 将在 纽约市哥伦比亚大学护理学院，将包括统计分析方面的高级培训， 随机对照试验（RCT）的设计和实施、文化适应和文化的理论和测量 对健康的影响、与健康素养较低的人的沟通方法以及自动化 通过课程作业、研讨会和跨学科合作来制作信息图表 在 R00 阶段，进行多站点随机对照试验。 将用于评估在正常就诊期间使用信息图表来改善短期、中期和长期的效果 美国 (US) 和 DR 中 PLWH 的长期治疗结果如何影响信息图表的使用。 还将比较这两种情况下的临床医生与患者的沟通和治疗结果。 通过完善和评估严格的新方法来加强健康之间与艾滋病毒相关的沟通 美国和国外健康素养较低的护理提供者和拉丁裔艾滋病病毒感染者，调查结果将有助于证据- 基于有条不紊地生成、适合文化的信息图表设计和沟通方法， 此外，通过确保所需的时间和支持，可以为全球拉丁裔患者带来更好的健康结果。 为了巩固她的研究计划，该奖项将推动候选人成为独立资助的 护士科学家寻求通过基于证据的信息学干预措施促进健康并减少健康差异。

项目成果

Clinician Use of HIV-Related Infographics During Clinic Visits in the Dominican Republic is Associated with Lower Viral Load and Other Improvements in Health Outcomes.

• DOI: 10.1007/s10461-021-03331-8
• 发表时间: 2021-12
• 期刊: AIDS and behavior
• 影响因子: 4.4
• 作者: Stonbraker S;Liu J;Sanabria G;George M;Cunto-Amesty S;Alcántara C;Abraído-Lanza AF;Halpern M;Rowell-Cunsolo T;Bakken S;Schnall R
• 通讯作者: Schnall R

The copita question: Exploring alcohol consumption among Latina women.

• DOI: 10.1080/15332640.2021.2019161
• 发表时间: 2023
• 期刊: JOURNAL OF ETHNICITY IN SUBSTANCE ABUSE
• 影响因子: 1.3
• 作者: Stonbraker, Samantha;Mendoza-Grey, Sonia;Martins, Mariana C.;Florez, Karen R.;Abraido-Lanza, Ana F.
• 通讯作者: Abraido-Lanza, Ana F.

Establishing content for a digital educational support group for new adolescent mothers in the Dominican Republic: a user-centered design approach.

• DOI: 10.1515/ijamh-2020-0054
• 发表时间: 2020-08-27
• 期刊: International journal of adolescent medicine and health
• 作者: Stonbraker S;Haight E;Soriano L;Guijosa L;Davison E;Bushley D;Messina L;Halpern M
• 通讯作者: Halpern M

Feasibility and acceptability of using information visualizations to improve HIV-related communication in a limited-resource setting: a short report.

在资源有限的环境中使用信息可视化改善艾滋病毒相关沟通的可行性和可接受性：一份简短报告。

• DOI: 10.1080/09540121.2021.1883517
• 发表时间: 2022-04
• 期刊: AIDS care
• 影响因子: 1.7
• 作者: Stonbraker S;Flynn G;George M;Cunto-Amesty S;Alcántara C;Abraído-Lanza AF;Halpern M;Rowell-Cunsolo T;Bakken S;Schnall R
• 通讯作者: Schnall R

Digital Educational Support Groups Administered through WhatsApp Messenger Improve Health-Related Knowledge and Health Behaviors of New Adolescent Mothers in the Dominican Republic: A Multi-Method Study.

通过 WhatsApp Messenger 管理的数字教育支持小组可改善多米尼加共和国新青少年母亲的健康相关知识和健康行为：一项多方法研究。

• DOI: 10.3390/informatics7040051
• 发表时间: 2020
• 期刊: Informatics (MDPI)
• 作者: Stonbraker,Samantha;Haight,Elizabeth;Lopez,Alana;Guijosa,Linda;Davison,Eliza;Bushley,Diane;Peguero,KariAquino;Araujo,Vivian;Messina,Luz;Halpern,Mina
• 通讯作者: Halpern,Mina