WELLNESS NETWORK FOR PATIENTS WITH CHF

慢性心力衰竭患者的健康网络

• 批准号: 6779450
• 负责人: MACHIKO Rachel TOMITA
• 金额: $ 7.07万
• 依托单位: STATE UNIVERSITY OF NEW YORK AT BUFFALO
• 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 2006-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6779450
• 关键词: Internet; alcoholic beverage consumption; assistive device /technology; behavioral /social science research tag; behavioral medicine; blood pressure; clinical research; computer assisted patient care; congestive heart failure; exercise; functional ability; geriatrics; health behavior; health care cost /financing; health care model; health education; human old age (65+); human subject; patient monitoring device; patient oriented research; quality of life; self care; smoking; social support network; water drinking behavior

9. Basic Research in Behavioral Medicine. Acquisition and maintenance of healthy behaviors among patients with congestive heart failure (CHF) are vital from the viewpoints of mortality, quality of life and health care costs. The purpose of this pilot study is to conduct a one-year controlled experimental study to investigate the effectiveness of a computer-based wellness network in promoting health behavior changes among 15 CHF patients. This study is guided by three behavioral models and is based on findings of longitudinal and experimental studies by the investigators. The functions of the wellness network are 1) daily monitoring of vital signs by health care providers, 2) provision of emotional support among participants with CHF to prevent depression, and 3) regular communication with university educators for education and reinforcement of target health behaviors, such as cessation of smoking, minimizing alcohol intake, good diet, and exercise. Major hypotheses are: 1. Knowledge regarding CHF and health related behaviors is higher among those who are in l a wellness network group than other participants who are not in the network. 2. Participants in a wellness network engage in more active healthy behaviors than those who are not in the network. They are healthier, functionally more able, and perceive higher quality of life than participants not in a network. 3. Participants in a wellness network have lower mortality rates than those with usual care. 4. Health care costs among participants in a wellness network are less than that of participants with usual care. 5. There will be neither racial nor socioeconomic differences among participants in the wellness network in outcome measures of the above hypotheses. Fifteen participants in the network will be compared with 15 patients in a rapid response program at home and 15 patients who are receiving usual care. The anticipated outcomes are heightened health status, less depression, fewer episodes of CHF, longer survival, more positive outlook on aging, and lower health care expenditure among participants in the network compared with those who are not in a network. The intermediate goals are to establish this approach beyond one year and among older adults with other types of illnesses. The long term objectives are to transfer and incorporate in the process within managed care systems at the community level (urban and rural). For that, cost efficiency and a simple and effective intervention method should be established based on theories of health behavior change.

9.行为医学基础研究。从死亡率、生活质量和医疗费用的角度来看，充血性心力衰竭（CHF）患者获得和维持健康行为至关重要。这项试点研究的目的是进行为期一年的对照实验研究，以调查基于计算机的健康网络在促进 15 名 CHF 患者健康行为改变方面的有效性。这项研究以三种行为模型为指导，并基于研究人员的纵向和实验研究的结果。健康网络的功能是 1) 由医疗保健提供者每日监测生命体征，2) 为患有 CHF 的参与者提供情感支持，以预防 抑郁症；3）与大学教育工作者定期沟通，以教育和强化目标健康行为，例如戒烟、尽量减少饮酒、良好的饮食和锻炼。主要假设是： 1. 健康网络组中的参与者对 CHF 和健康相关行为的了解高于网络外的其他参与者。 2. 健康网络的参与者比网络外的参与者有更积极的健康行为。与不在网络中的参与者相比，他们更健康，功能更强大，并且感知到更高的生活质量。 3. 参与者 健康网络的死亡率低于常规护理的死亡率。 4. 健康网络参与者的医疗保健费用低于接受常规护理的参与者。 5. 在上述假设的结果测量中，健康网络参与者之间不存在种族或社会经济差异。该网络的 15 名参与者将与 15 名在家中快速反应计划的患者和 15 名正在接受常规护理的患者进行比较。与未加入网络的参与者相比，预期的结果是网络参与者的健康状况提高、抑郁减少、CHF 发作减少、生存时间更长、对老龄化更加积极的看法以及医疗保健支出更低。中期目标是在一年后并在老年人中建立这种方法 与其他类型的疾病。长期目标是将这一流程转移并纳入社区层面（城市和农村）的管理式医疗系统。为此，应基于健康行为改变理论建立成本效益和简单有效的干预方法。