Patient-Provider Communication on Partner Violence

关于伴侣暴力的医患沟通

• 批准号: 6822827
• 负责人: JUDY C CHANG
• 金额: $ 12.59万
• 依托单位: MAGEE-WOMEN'S RES INST AND FOUNDATION
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-05-01 至 2010-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6822827
• 关键词: attitude; audiotape; behavioral /social science research tag; clinical research; communication behavior; counseling; domestic violence; female; health care personnel performance; health care service evaluation; health services research tag; human subject; human therapy evaluation; motivation; outcomes research; patient care personnel attitude; patient care personnel relations; patient oriented research; questionnaires; spouse abuse; therapy design /development; violence prevention; women' s health; attitude; audiotape; behavioral /social science research tag; clinical research; communication behavior; counseling; domestic violence; female; health care personnel performance; health care service evaluation; health services research tag; human subject; human therapy evaluation; motivation; outcomes research; patient care personnel attitude; patient care personnel relations; patient oriented research; questionnaires; spouse abuse; therapy design /development; violence prevention; women' s health

DESCRIPTION (provided by the applicant): The overarching goal of this proposal is to provide the candidate with the means, mentorship and structure to transition to an independent investigator focused on examining and improving communication between female patients and their health care providers. She is Assistant Professor in Ob-Gyn with fellowship training in health services research. Many conditions treated by obstetricians-gynecologists deal with sensitive social and behavioral issues that necessitate patient disclosure and the provision of information and advice. The candidate's interest in patient-provider communication represents a shift in research focus and a natural extension of her previous work on health care screening and interventions for intimate partner violence (IPV). Using IPV as an example of a challenging topic faced by women's health care providers, she intends to understand what components of patient-provider communication in IPV are associated with increased patient disclosure, comfort and motivation to seek help. She intends to design a communication intervention to improve provider IPV discussions and health and safety outcomes for affected women. Aims of the research project are: 1) to describe the content and style of patient-provider communication regarding intimate partner violence during the initial obstetric visit; 2) to describe association between communication and IPV disclosure; 3) to describe the patients' perspectives on the discussion including how it affected their intentions to attempt to change their situations to increase their safety; and 4) to develop a provider communication intervention on how to ask and counsel about IPV. The candidate's career development plan incorporates coursework, tutorials with methodological and topic experts, conferences, and mentored research to meet her educational objectives: 1) to acquire knowledge and skills to assess patient-provider communication; 2) to learn how to develop and implement interventions to improve patient-provider communication; and 3) to enhance understanding in measuring outcomes of communication intervention.

描述（由申请人提供）：该提案的总体目标是为候选人提供手段，指导和结构，以过渡到专注于检查和改善女性患者与其卫生保健提供者之间的沟通的独立调查员。她是OB-GYN的助理教授，并接受了卫生服务研究的研究金培训。产科医生 - 妇科医生治疗的许多条件处理需要患者披露以及提供信息和建议的敏感社会和行为问题。候选人对患者提供沟通的兴趣代表了研究重点的转变，以及她以前在医疗保健筛查和对亲密伴侣暴力干预措施（IPV）的干预措施上的自然延伸。她以妇女医疗保健提供者面临的一个具有挑战性的话题为例，她打算了解IPV中患者提供者沟通的组成部分与患者披露，舒适和寻求帮助的动机增加有关。她打算设计一项沟通干预措施，以改善受影响妇女的提供商IPV讨论以及健康与安全结果。研究项目的目的是：1）描述在最初的产科访问期间有关亲密伴侣暴力的患者提供沟通的内容和样式； 2）描述沟通与IPV披露之间的关联； 3）描述患者对讨论的看法，包括它如何影响他们试图改变他们的情况以提高安全性的意图； 4）开发有关如何询问和咨询IPV的提供商的沟通干预措施。候选人的职业发展计划将课程工作，教程与方法论和主题专家，会议以及指导的研究结合在一起，以实现她的教育目标：1）获得知识和技能，以评估患者提供者的沟通； 2）学习如何制定和实施干预措施以改善患者提供者的沟通； 3）增强对衡量交流干预结果的理解。