Internet Disclosure Treatment for Multisymptom Illness

多症状疾病的互联网披露治疗

• 批准号: 6950250
• 负责人: HELENA K CHANDLER
• 金额: $ 4.99万
• 依托单位: UNIV OF MED/DENT OF NJ-NJ MEDICAL SCHOOL
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-09-15 至 2007-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6950250
• 关键词: Internet; attribution; behavior therapy; behavioral /social science research tag; chronic disease /disorder; clinical research; functional ability; health care service availability; health care service evaluation; health care service utilization; health services research tag; human subject; human therapy evaluation; interactive multimedia; male; medically underserved population; outpatient care; patient care management; postdoctoral investigator; psychological stressor; quality of life; questionnaires; satisfaction; sign /symptom; veterans

DESCRIPTION (provided by the applicant): The primary aim of the proposed study is to evaluate whether a written emotional disclosure (ED) intervention delivered via the Internet reduces healthcare utilization in veterans with chronic multi-symptom illness (CMI). Prior research has demonstrated the efficacy of in-person disclosure for reducing medical utilization in healthy populations and individuals with known medical illness. The current sample will consist of veterans evaluated at the War-Related Illness and Injury Center (WRIISC) who meet criteria for CMI. They reside throughout the U.S. and often lack access to effective interventions. Consistent with "Healthy People 2010" which identifies access to health care as a leading health indicator, providing Internet ED has the potential to decrease structural barriers that prevent patients from receiving specialized treatment. Participants with multi-symptom illness will be recruited from the WRIISC and randomized to receive either usual WRIISC care or On-line ED+WRIISC care. The primary study outcome variable is number of outpatient visits. Physical functioning, symptom reporting, psychological distress, and satisfaction with services will also be assessed at enrollment and at 6 and 12 months post-intervention. Potential mediation by symptom attribution will be explored. The effect of treatment on utilization will be determined by analysis of co-variance, controlling for pre-intervention scores, medical co-morbidity and demographic characteristics. If effective, the Internet ED will provide a brief, low-cost, and accessible intervention for individuals with CMI.

描述（由申请人提供）：拟议研究的主要目的是评估通过互联网提供的书面情感披露（ED）干预是否会减少患有慢性多症状疾病（CMI）的退伍军人的医疗保健利用率。先前的研究已经证明，当面披露可以有效减少健康人群和患有已知疾病的个人的医疗利用率。目前的样本将由在战争相关疾病和伤害中心 (WRIISC) 评估且符合 CMI 标准的退伍军人组成。他们居住在美国各地，往往缺乏有效的干预措施。与“2010年健康人民”将获得医疗保健视为一项主要健康指标相一致，提供互联网急诊有可能减少阻止患者接受专门治疗的结构性障碍。患有多种症状疾病的参与者将从 WIISC 中招募，并随机接受常规 WIISC 护理或在线 ED+WIISC 护理。主要研究结果变量是门诊就诊次数。还将在入组时以及干预后 6 个月和 12 个月时评估身体机能、症状报告、心理困扰和服务满意度。将探讨症状归因的潜在中介作用。处理对利用率的影响将通过分析来确定 协方差，控制干预前评分、医疗共病和人口特征。如果有效，互联网急诊将为 CMI 患者提供简短、低成本且易于使用的干预措施。