Communicating to Improve the Quality of Informal Care

沟通以提高非正式护理的质量

• 批准号: 6883606
• 负责人: SHARON L TENNSTEDT
• 金额: $ 10万
• 依托单位: NEW ENGLAND RESEARCH INSTITUTES, INC.
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-06-01 至 2006-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6883606
• 关键词: Internet; behavioral /social science research tag; caregivers; clinical research; communication behavior; computer assisted instruction; computer human interaction; continuing education; curriculum; educational resource design /development; focus groups; health care personnel education; health care quality; human old age (65+); human subject; nurses; patient care personnel relations; primary care physician; questionnaires

DESCRIPTION (provided by applicant): Primary care providers are seeing increasing numbers of older adults, many of whom have chronic conditions that involve multiple medications and complex treatment regimens. The majority of this care is provided by family members (informal caregivers) who often accompany the older patient to the provider visit. Communication with a care triad (e.g., older patient, informal caregiver, and provider) presents challenges to all involved. Most providers have no formalized instruction to develop skills in triadic communication, yet clear and effective communication is critical to ensuring accurate and adequate adherence to a treatment regimen. This project will develop and evaluate a Web-based, continuing education (CME/CE accredited) program for primary care providers to develop/enhance skills for effective communication with care triads. The program targets physicians and nurses, although it will be extremely relevant to any health care professional involved in the care of older adults. The Specific Aims of Phase I are to: 1) develop a content outline for the full program; 2) develop the design and format of the Web-based program; 3) develop a script and storyboard for one program module; 4) develop this module (prototype) on the Web; 5) conduct a feasibility evaluation of the prototype; and 6) develop a plan and schedule for production of the full-length program and CME/CE accreditation in Phase II. This project directly extends the investigative team's research on physician communication with older patients (AG15248; AG23366). Primary care providers have responsibility for clear and effective communication with patients. In the case of these caregiving dyads, they also have an opportunity to support informal caregivers in a way that can enhance treatment adherence and improve health care outcomes. This project involves the close collaboration of NERI, the Boston University School of Medicine, and the Harvard School of Public Health. The Web-based program will be marketed as a CME/CE product for primary care physicians and nurses through NERI's e-commerce website and also through the Boston University School of Medicine Office of Continuing Medical Education. The main outcome in the Phase I feasibility test (N=80) will be change in knowledge from baseline to endpoint. In addition, detailed questions about accessibility, usability, and satisfaction with content will be asked. Phase I feasibility will be demonstrated if 1) there is a gain in knowledge for a majority of participants (physicians, nurses), and 2) at least 75% of the sample report satisfaction (satisfied or very satisfied) with the content, access, and usability of the prototype.

描述（由申请人提供）：初级保健提供者正在看到越来越多的老年人，其中许多人的慢性病涉及多种药物和复杂的治疗方案。这些护理的大部分是由经常陪同老年患者访问的家庭成员（非正式护理人员）提供的。与护理三合会（例如，老年患者，非正式护理人员和提供商）的沟通给所有人带来了挑战。大多数提供者没有正式的指导来发展三元传播方面的技能，但是清晰有效的沟通对于确保对治疗方案的准确和足够的遵守至关重要。该项目将开发和评估基于网络的继续教育（CME/CE认可）计划，以开发/增强与护理三合会有效沟通的技能/增强技能。该计划针对医生和护士，尽管它将与参与老年人护理的任何医疗保健专业人员非常相关。第一阶段的具体目的是：1）为完整程序开发内容大纲； 2）开发基于Web的程序的设计和格式； 3）为一个程序模块开发一个脚本和情节提要； 4）在网络上开发此模块（原型）； 5）对原型进行可行性评估； 6）制定计划和时间表，以生产II阶段的全长计划和CME/CE认证。 该项目直接扩展了调查小组与老年患者的医师沟通研究（AG15248； AG23366）。初级保健提供者负责与患者进行清晰有效的沟通。对于这些护理二元组，它们也有机会支持非正式护理人员，以增强治疗依从性并改善医疗保健结果。该项目涉及NERI，波士顿大学医学院和哈佛公共卫生学院的密切合作。基于Web的计划将通过NERI的电子商务网站以及波士顿大学医学院继续医学教育办公室作为CME/CE产品销售。 I期可行性测试（n = 80）中的主要结果将是从基线到终点的知识变化。此外，将询问有关可访问性，可用性和对内容满意度的详细问题。如果1）大多数参与者（医师，护士）的知识有所提高，并且2）至少有75％的样本报告满意度（满意或非常满意）对原型的内容，访问和可用性至少有75％的知识。