Tailored messages to increase eye examination behavior

定制消息以增加眼科检查行为

• 批准号: 6949901
• 负责人: NANCY J ELLISH
• 金额: $ 37.13万
• 依托单位: UNIVERSITY OF MARYLAND BALTIMORE
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-09-30 至 2008-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6949901
• 关键词: African American; behavioral /social science research tag; clinical research; clinical trials; diabetes education; diabetes mellitus; disease /disorder proneness /risk; early diagnosis; focus groups; geriatrics; glaucoma; glaucoma test; health behavior; health care service utilization; health disparity; health education; health services research tag; human old age (65+); information dissemination; interview; patient care management; patient oriented research; questionnaires; telemedicine; vision tests

DESCRIPTION (provided by applicant): Glaucoma is the major cause of irreversible blindness among African-Americans, with a higher prevalence among African-Americans compared to whites. Current guidelines recommend that African-Americans over the age of 40 have a dilated fundus examination (DFE) every two years, and diabetics, who are at an increased risk of glaucoma, should have annual DFEs. However, research indicates that people are not getting DFEs according to recommended guidelines. Current computer technology has made it possible to generate tailored messages, which are individualized messages based on each person's unique characteristics. Although tailored health messages have been shown to influence various health-related behaviors, this health communication strategy has not been applied to eye examination behavior. In fact, there has been little research examining interventions to increase eye examination behavior. Given that glaucoma is asymptomatic, has serious consequences if untreated, and has treatments available to prevent or stop the progression of disease, developing interventions to increase the proportion of people who get DFEs at the recommended schedule can have a major impact on people's vision-related and general health-related quality of life. Therefore, the purpose of this project is to design, implement, and evaluate the efficacy of tailored print health messages compared to targeted print messages to increase eye examination behavior in an urban, older African-American population. Constructs from the Health Belief Model, Stages of Change Model, and newer Precaution Adoption Process Model, will guide the project. During the formative phase, focus groups will be conducted, and an assessment questionnaire and tailored print messages will be developed. For the intervention phase, African-Americans 65 years of age and older will be recruited from various community settings and randomized to receive either tailored health messages or targeted messages. Participants will complete a self-administered assessment questionnaire, be mailed tailored or targeted print health messages, and receive follow-up telephone calls at three and six months post-intervention to collect information about eye examination behavior. The evaluation phase will include process and outcome evaluation. This proposal addresses the need for research to assess tailored print communications to increase eye examination behavior in a minority population at increased risk for glaucoma.

描述（由申请人提供）：青光眼是非裔美国人不可逆转的失明的主要原因，与白人相比，非裔美国人的患病率更高。当前的指南建议，40岁以上的非裔美国人每两年进行一次扩张的眼底检查（DFE），而糖尿病患者的糖尿病患者应有年度DFE的糖尿病患者。但是，研究表明，根据建议的准则，人们没有获得DFE。当前的计算机技术使生成量身定制的消息成为可能，这些消息是基于每个人的独特特征的个性化消息。尽管已显示量身定制的健康信息会影响各种与健康相关的行为，但这种健康交流策略尚未应用于眼检查行为。实际上，很少有研究检查干预措施以增加眼睛检查行为。鉴于青光眼是无症状的，如果不进行治疗，会产生严重的后果，并且可以预防或阻止疾病的进展，因此制定了干预措施，以增加在建议时间表中获得DFE的人的比例，从而对与人们的视力相关和一般健康相关的生活质量产生重大影响。因此，该项目的目的是与有针对性的印刷信息相比，设计，实施和评估量身定制的印刷健康信息的功效，以增加城市，年长的非裔美国人人口的眼睛检查行为。从健康信念模型，变化模型的阶段以及较新的预防措施采用过程模型中的结构将指导该项目。在形成阶段，将进行焦点小组，并将开发评估问卷和量身定制的印刷消息。在干预阶段，将从各种社区环境中招募65岁及以上的非裔美国人，并随机接收量身定制的健康消息或有针对性的消息。参与者将完成一份自我管理的评估问卷，邮寄量身定制或有针对性的印刷健康消息，并在干预后三个月和六个月接收后续电话，以收集有关眼检查行为的信息。评估阶段将包括过程和结果评估。该提案解决了研究的需求，以评估量身定制的印刷通信，以增加少数族裔人群的眼睛检查行为，而青光眼风险增加了。