MEASURING INTERPERSONAL PROCESSES IN DIVERSE PATIENTS

测量不同患者的人际关系过程

• 批准号: 6538177
• 负责人: Anita L. Stewart
• 金额: $ 27.4万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
• 依托单位国家: 美国
• 财政年份: 2000
• 资助国家: 美国
• 起止时间: 2000-07-01 至 2004-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6538177
• 关键词: behavioral /social science research tag; clinical research; data collection methodology /evaluation; health care quality; health services research tag; human subject; medically underserved population; outcomes research; patient care personnel relations; psychometrics; racial /ethnic difference

DESCRIPTION: (from the abstract). There is substantial evidence of poorer health for persons with lower socioeconomic status or from minority groups than for their counterparts. Little attention has been paid to the role of the quality of medical care, although technical care is known to be poorer for some racial/ethnic groups. One emerging hypothesis for these health and technical care disparities is differences in interpersonal processes of care that occur between patients and clinicians. In preliminary work, this team developed and empirically tested a multidimensional conceptual framework of interpersonal processes that incorporated views of ethnically and socioeconomically diverse groups. The framework was generally confirmed by a survey instrument measuring each of the concepts, but more work is needed to assure comparability of measures. This project aims to finalize the framework and self-report survey of interpersonal processes to be conceptually and psychometrically adequate for African American, Latino, and white patients. The main propose of the instrument is to enable examination of interpersonal processes as a mechanism by which to explain health and technical care disparities. Subjects are patients aged 18 and older from a large multispecialty group practice setting in Northern California serving racially, ethnically, and socioeconomically diverse patients. The specific aims of this cross-sectional study are to: 1. refine the interpersonal processes framework and instrument based on new qualitative studies (focus groups, cognitive testing) and data from the 1st generation study in the 3 racial/ethnic groups, and 2. field test the refined instrument in patients from 3 groups (N=1,200, 400 per group) and evaluate the psychometric properties and validity of the hypothesized measures using structural equation modeling to assure that the final measures have similar measurement properties and validity across the 3 groups. The resulting instrument can be used to examine how interpersonal processes are related to technical processes and clinical outcomes. Interventions arising from such studies could contribute to quality improvements in caring for diverse groups.

描述：（摘要）。 有大量证据表明较差 对具有较低社会经济地位或少数群体较低的人的健康状况 而不是他们的对手。 很少关注 医疗护理的质量，尽管众所周知技术护理较差 一些种族/族裔。 这些健康的一个新兴假设 技术护理差异是人际护理过程中的差异 这发生在患者和临床医生之间。 在初步工作中，这个团队 开发并经验测试了一个多维概念框架 人际交往，以种族的观点和 社会经济多样化的群体。 该框架通常通过 测量每个概念的调查工具，但需要更多的工作才能 确保措施的可比性。 该项目旨在最终确定框架 以及对人际关系过程的自我报告调查，并将 对非裔美国人，拉丁美洲裔和白人患者的心理图表足以满足。 该仪器的主要建议是实现人际关系 过程是解释健康和技术护理的机制 差异。 受试者是大型年龄较大的18岁及以上的患者 北加州的多专业团体练习场所在种族上服务， 种族和社会经济多样化的患者。 这项横断面研究的具体目的是： 1。完善人际交往框架和仪器基础 关于新的定性研究（焦点小组，认知测试）和 来自三个种族/族裔的第一代研究的数据， 和 2。现场测试3组患者的精制仪器 （n = 1,200，400每组）并评估心理测量特性 使用结构性的措施的有效性 方程建模以确保最终措施具有相似的 三组的测量特性和有效性。 最终的仪器可用于检查人际关系过程 与技术过程和临床结果有关。 干预措施 通过此类研究产生的可能有助于关怀的质量改善 适用于不同的群体。