Promoting Self-Care After Lung Transplantation

促进肺移植后的自我护理

• 批准号: 7115382
• 负责人: ANNETTE J DE VITO DABBS
• 金额: $ 8.86万
• 依托单位: UNIVERSITY OF PITTSBURGH AT PITTSBURGH
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-08-23 至 2008-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7115382
• 关键词: behavior modification; behavioral /social science research tag; clinical research; computer program /software; computer system design /evaluation; disease /disorder prevention /control; ergonomics; health care service utilization; human morbidity; human mortality; human subject; interactive multimedia; longitudinal human study; lung transplantation; nursing research; patient oriented research; personal computers; postoperative complications; self care; behavior modification; behavioral /social science research tag; clinical research; computer program /software; computer system design /evaluation; disease /disorder prevention /control; ergonomics; health care service utilization; human morbidity; human mortality; human subject; interactive multimedia; longitudinal human study; lung transplantation; nursing research; patient oriented research; personal computers; postoperative complications; self care

DESCRIPTION (provided by applicant): Lung transplant recipients have more complications, higher mortality, and greater average healthcare charges than recipients of other organs. Strategies to maximize active recipient involvement in improving health outcomes have received little attention. This plan proposes a novel intervention using a hand held, interactive health technology to promote self-care agency and self-care behaviors in lung-transplant recipients, thus maximizing the contribution of recipients themselves in preventing and detecting post-transplant complications. The purposes of this project are to: 1) develop a prototype of the self-care intervention and evaluate its functionality (ergonomics, human-computer interaction factors, and usability), and 2) pilot test the self-care intervention in a one-group, longitudinal, open-trial in order to assess utilization/satisfaction with the intervention, self-care agency, self-care behaviors, and examine the relationships among them. The project will provide pilot data for a randomized controlled trial to evaluate the effectiveness of the self-care intervention in promoting recipients' self-care agency and self-care behaviors, thereby reducing post-transplantation morbidity, mortality, and health-resource utilization. The ultimate aim of my research program is to develop and test behavioral interventions to promote recipient involvement in reducing morbidity and mortality following lung transplantation in order to maximize the quality of long-term survival and reduce health care utilization. I have assembled a mentoring team and developed an intense training plan to gain expertise in: 1) the application of conceptual models to guide the development of behavioral and psychosocial interventions, 2) the design and conduct of clinical trials in transplant cohorts, and 3) using and evaluating interactive technologies for promotion of health. These skills will assist me to achieve my career goal of becoming an independent nurse scientist.

描述（由申请人提供）：与其他器官的接受者相比，肺移植接受者的并发症更大，死亡率更高和平均医疗费用更高。最大程度地提高活跃接受者参与改善健康结果的策略很少受到关注。该计划提出了使用手持互动卫生技术的新干预措施，以促进肺移植接受者中的自我保健机构和自我保健行为，从而最大程度地提高接受者自己在防止和检测移植后并发症方面的贡献。该项目的目的是：1）开发自我保健干预的原型，并评估其功能（人体工程学，人类计算机的相互作用因素和可用性），以及2）试验测试一组，纵向，开放式审核的自我保健干预措施，以评估对干预措施的利用/满意，以在自我培训，自我培训，自我培训，自我培养行为中，并满足他们的关系。该项目将为一项随机对照试验提供试验数据，以评估自我保健干预措施在促进接受者的自我保健机构和自我保健行为方面的有效性，从而降低移植后的发病率，死亡率和健康水位资源利用。我的研究计划的最终目的是开发和测试行为干预措施，以促进受体参与肺部移植后降低发病率和死亡率，以最大程度地提高长期生存的质量并降低医疗保健利用率。我已经组建了一个指导团队，并制定了一项激烈的培训计划，以获得以下方面的专业知识：1）概念模型的应用来指导行为和社会心理干预措施的发展，2）在移植队列中的临床试验设计和行为，以及3）使用和评估交互式技术来促进健康。这些技能将有助于我实现成为一名独立护士科学家的职业目标。