Secure web-based intake and tracking tools for CAM research and clinical practice

用于 CAM 研究和临床实践的安全网络摄入和跟踪工具

• 批准号: 7912807
• 负责人: James Brian Eberlein
• 金额: $ 24.98万
• 依托单位: RELIEFINSITE.COM, LLC
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-08-01 至 2011-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7912807
• 关键词: Acupuncture Points; Acupuncture procedure; Acute; Address; Adherence; Adverse effects; Adverse event; Algorithms; Appointment; Arts; Characteristics; Chinese People; Chinese Traditional Medicine; Clinic; Clinical; Clinical Research; Clinical effectiveness; Communication; Complementary and alternative medicine; Computerized Medical Record; Computers; Continuity of Patient Care; Cost-Benefit Analysis; Data; Data Collection; Data Set; Databases; Diagnosis; Documentation; Dose; Frequencies; Future; Gender; Goals; Grant; Gynecology; Health; Health Insurance Portability and Accountability Act; Health Personnel; Individual; Information Systems; Insurance Coverage; Intake; Internal Medicine; International; Internet; Intervention; Interview; Japanese Population; Legal patent; Licensure; Life Style; Location; Measurement; Measures; Medical; Medicine; Meridians; Modality; Observational Study; Online Systems; Outcome; Outcome Measure; Outcome Study; Outcomes Research; Pain; Pain Measurement; Participant; Patient Outcomes Assessments; Patient-Centered Care; Patients; Personal Satisfaction; Pharmaceutical Preparations; Phase; Physicians; Play; Provider; Psyche structure; Questionnaires; Randomized Controlled Trials; Recommendation; Reporting; Research; Research Design; Research Proposals; Role; Secure; Self Care; Self-Administered; Series; Services; Small Business Innovation Research Grant; Specific qualifier value; Structure; Surveys; Symptoms; System; Tablets; Technology; Testing; Therapeutic; Time; Translational Research; Treatment Protocols; United States National Institutes of Health; Variant; Visit; Withholding Treatment; Work; base; body map; chronic pain; clinical care; clinical decision-making; clinical practice; compliance behavior; cost; demographics; design; empowerment; follow-up; functional status; global health; impression; improved; innovation; instrument; open source; preference; prototype; public health relevance; response; safety study; standardize measure; technology development; tool; treatment effect; treatment planning; usability; user-friendly

DESCRIPTION (provided by applicant): This Phase I Small Business Innovation Research proposal is in response to RFA-AT- 09-004 Translational Tools for Clinical Studies of CAM Interventions. The proposed technology development and testing project integrates three important capabilities into one dynamic data collection and reporting system. The three components of this new system are (1) the ReliefInsite platform, a sophisticated and user-friendly secure HIPAA compliant web service, built on open-source technology, currently used for on-going patient assessment and longitudinal reporting for which new applications will be developed; (2) TEAMSI, a cutting edge documentation instrument for acupuncture charting to collect additional acupuncture-specific clinical information from patients and easily chart acupuncture treatments; and (3) incorporation of validated patient-reported outcome measures from the NIH Patient Reported Outcome Measurement Information System (PROMIS) and the RTI International CAM-PRO measures of patient-provider interaction, as well as demographics and provider information needed for research. The proposed system will provide a dynamic data collection tool that will facilitate both 1) the assessment of efficacy in randomized control trials of by operationalizing treatment protocols and 2) the study of clinical effectiveness in outcome studies by capturing what is going on in the "real world" of clinical care. Key features of the new system include: incorporation of both patient and provider documentation in a single system; a means to assess patient adherence to treatments, medications, and self-care; the opportunity to evaluate dose responses to the intervention and track adverse events; and a means to provide standardized treatment algorithms and manualization approaches necessary to support more rigorous study designs. The application will incorporate information and measures useful across conditions and treatment approaches, while creating an acupuncture-specific application to advance acupuncture research and serve as a prototype for future CAM modality-specific designs. PUBLIC HEALTH RELEVANCE: Given widespread use of complementary and alternative medicine (CAM) such as acupuncture, there is a need for translational research tools to support studies of safety, efficacy and clinical effectiveness of treatment for various conditions. The proposed project will develop a state of the art, user-friendly data collection system to seamlessly integrate data collected from patients and clinicians in clinical and research settings.

描述（由申请人提供）：I阶段的小型企业创新研究建议响应RFA-AT-09-004转化工具，用于CAM干预的临床研究。提出的技术开发和测试项目将三个重要功能集成到一个动态数据收集和报告系统中。该新系统的三个组件是（1）救生馆平台，这是一种基于开源技术建立的精致且用户友好的HIPAA Web服务，目前用于正在进行的患者评估和纵向报告中，将开发新应用程序； （2）Teamsi，一种用于针灸图表的尖端文档工具，可从患者那里收集其他针灸特异性的临床信息，并轻松地绘制针灸治疗； （3）NIH患者报告的经过验证的患者报告的结果测量结果报告了结果测量信息系统（PROMIS）和RTI国际CAM-PRO衡量患者提供者的相互作用，以及研究所需的人口统计学和提供者信息。拟议的系统将提供动态数据收集工具，该工具将既有助于通过操作治疗方案进行随机对照试验评估疗效的评估，以及2）通过捕获临床护理“现实世界中正在发生的事情”，研究结果研究中临床有效性的研究。新系统的关键特征包括：将患者和提供者文档同时纳入单个系统；一种评估患者遵守治疗，药物和自我保健的手段；评估对干预措施和跟踪不良事件的剂量反应的机会；以及提供标准化治疗算法和手动化方法的一种方法，以支持更严格的研究设计。该应用程序将纳入各种条件和治疗方法的信息和措施，同时创建针灸特定的应用以推进针灸研究并充当未来CAM模式特定设计的原型。 公共卫生相关性：考虑到针灸等互补和替代医学（CAM）的广泛使用，需要翻译研究工具来支持对各种疾病的安全性，功效和临床有效性的研究。拟议的项目将开发一种最先进的，用户友好的数据收集系统，以无缝整合临床和研究环境中患者和临床医生收集的数据。