Consumer Internet Education about Mental Health Quality

消费者心理健康素质互联网教育

• 批准号: 6992716
• 负责人: DONALD Michael STEINWACHS
• 金额: $ 49.05万
• 依托单位: JOHNS HOPKINS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-12-01 至 2007-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6992716
• 关键词: Internet; audiotape; behavioral /social science research tag; clinical research; clinical trials; computer human interaction; computer program /software; computer system design /evaluation; data collection methodology /evaluation; data quality /integrity; education evaluation /planning; health care model; health care personnel performance; health care quality; health care service evaluation; health services research tag; human subject; human therapy evaluation; mental disorder chemotherapy; mental health counseling; mental health education; model design /development; patient care personnel relations; psychotherapy; questionnaires; schizophrenia

DESCRIPTION (provided by applicant): Evidence has shown that less than 50% of persons with schizophrenia are receiving care consistent with the scientific evidence. There are potentially many factors contributing to this low level of performance, associated with the interaction of patients, providers, and the mental health system. Previous efforts to improve quality have focused on the physician and to a lesser extent the system. The goal of this research is to empower and activate the patient to understand key elements of what constitutes high quality care for schizophrenia and to discuss with his or her clinician differences between current treatment and evidence-based quality of care standards, based on the Schizophrenia PORT study. Building on the web-based CompareYourCare framework developed and tested by the Foundation for Accountability (FACCT), we will develop, test and evaluate an interactive schizophrenia web-based system that allows the consumer or family member to compare current treatment to evidence-based standards. The research has three aims: (1) Build interactive quality of care educational modules for schizophrenia, adapting the CompareYourCare TM (FACCT) framework and the work of the Mental Health Outcomes Roundtable, and test these modules for acceptability and understandability; (2) Assess the relevance and educational value of these modules for consumers and families in the community versus in the clinic based on patient and family reports; and (3) Examine the impact of these modules on consumers and families, their providers, and the quality of care received, testing clinic and community-based implementation strategies. The web-based educational system will be tested in a clinic environment, with patients completing it prior to a scheduled visit with their therapist, and in a community environment. The expectation is that increasing the knowledge of consumers and families regarding quality of care standards will increase the likelihood of discussion of quality with a therapist and the congruence between treatment and evidence-based quality standards. Also, education is expected to increase self-reported adherence to evidence-based treatments. These hypothesized changes would be expected to improve patient outcomes, including symptom control, functional status, and quality of life.

描述（由申请人提供）：证据表明，精神分裂症患者中只有不到50％的人接受了与科学证据一致的护理。与患者，提供者和心理卫生系统的相互作用相关的这种低水平的性能有可能导致这种低水平的因素。以前提高质量的努力已集中在医师和系统较小程度上。这项研究的目的是赋予患者能力并激活患者，以了解基于精神分裂症港口研究的当前治疗和基于证据的护理标准质量标准的临床医生在当前治疗和基于证据的护理标准质量之间的差异的关键要素。在基于Web的比较YouRcare框架的基础上，我们将开发，测试和评估基于互动的精神分裂症网络系统，使消费者或家庭成员可以将当前治疗与基于证据的标准进行比较。该研究的目的三个目的：（1）建立精神分裂症的护理教育模块的交互式质量，适应了比较Yourcare TM（FACCT）框架和精神健康成果的工作，并测试这些模块的可接受性和可理解性； （2）根据患者和家庭报告，评估这些模块对社区中的消费者和家庭的相关性和教育价值； （3）检查这些模块对消费者和家庭，其提供者的影响以及收到的护理质量，测试诊所和基于社区的实施策略。基于网络的教育系统将在临床环境中进行测试，患者在与治疗师和社区环境进行预定访问之前完成了该系统。人们期望的是，增加消费者和家庭关于护理标准质量的知识将增加与治疗师讨论质量的可能性，以及治疗和基于证据的质量标准之间的一致性。此外，预计教育将增加自我报告的遵守循证治疗。这些假设的变化有望改善患者的预后，包括症状控制，功能状况和生活质量。