Timeliness of Symptom Recognition, Interpretation, and Reporting in Heart Failure

心力衰竭症状识别、解释和报告的及时性

基本信息

批准号：
8128450
负责人：
Katherine Marie Reeder
金额：
$ 7.79万
依托单位：
UNIVERSITY OF KANSAS MEDICAL CENTER
依托单位国家：
美国
项目类别：
财政年份：
2010
资助国家：
美国
起止时间：
2010-08-15 至 2012-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8128450
关键词：
Acute Acute myocardial infarction Address Adult Affect Aging Award Bayesian Analysis Bayesian Method Biometry Cardiovascular Diseases Certification Chronic Clinical Research Complex Data Collection Databases Development Disease Doctor of Philosophy Education Educational Activities Educational process of instructing Event Evidence based intervention Faculty Family Fatigue Funding Future Goals Health Health Care Costs Health Personnel Health Professional Healthcare Heart failure Hospitalization Hospitals Interdisciplinary Study Intervention Intervention Studies Interview Kansas Knowledge Lead Left Letters Life Medical Mentors Methodology Methods Modeling Monitor Morbidity - disease rate National Heart, Lung, and Blood Institute Outcome Outcomes Research Pathway interactions Patient Discharge Patients Pattern Phase Positioning Attribute Postdoctoral Fellow Preventive Medicine Procedures Quality of Care Questionnaires Recording of previous events Reporting Research Research Activity Research Methodology Research Personnel Research Support Research Training Resources Risk Factors School Nursing Self Care Self Management Shortness of Breath Signs and Symptoms Social Interaction Specialist Statistical Methods Swelling Symptoms Testing Time Training United States United States National Institutes of Health Universities base care seeking career clinical care cost cost effective data management design effective intervention experience graduate student high risk hospital readmission improved innovation mortality novel professor programs public health priorities public health relevance reconstruction research and development research study response success

项目摘要

DESCRIPTION (provided by applicant): This K99/R00 award will provide education and mentored research study experiences for Dr. Reeder to achieve success as an independent investigator. Dr. Reeder's program of research is aimed at improving self- management and clinical care outcomes of patients with cardiovascular disease, the nation's number-one killer. K99/R00 coursework and mentored research activities will support 1) implementation of a clinical research study to explore how adult patients living with heart failure (HF) recognize, interpret, and report symptoms, 2) verification of the content and construct validity of a theoretical and clinically-based interview questionnaire on HF symptom recognition, interpretation, and reporting using novel Bayesian analyses, 3) advancement of knowledge about self-management of HF, with respect to symptom recognition, interpretation, and reporting, and 4) development and submission of a future intervention research proposal to examine empirically the effect of an evidence-based intervention that is informed by findings from this K99/R00 study on HF outcomes. Dr. Reeder has strong research support and training from a team that includes Carol Smith, PhD, RN, professor, KU-SON and Preventive Medicine, mentor, with 23 consecutive years of NIH-funded research and a long history of mentoring graduate students, medical residents, post doctoral fellows, and junior faculty who have become successful independent researchers, and co-mentor, Byron Gajewski, PhD, associate professor, KU Department of Biostatistics. During the K99 phase of the award, Dr. Reeder will also have the support of 3 significant contributors, an internationally known health care economist and outcomes researcher, a cardiologist with extensive NIH outcomes research funding, and an exemplary data base development specialist. Many of Dr. Reeder's research development activities will draw from KUMC's interdisciplinary research development programs, resources, and seminars. Proposed educational activities will provide Dr. Reeder with new knowledge integral to developing an independent program of research to improve outcomes for people living with cardiovascular diseases. Dr. Reeder will apply this knowledge through corresponding mentored research activities within a clinical research study, entitled "Timeliness of Symptom Recognition, Interpretation, and Reporting in HF," as a logical progression of her academic research dissertation and current position. Building on her doctoral dissertation that evaluated the influences of social interactions on pre-hospital delay in acute myocardial infarction (AMI), Dr. Reeder will use an exploratory descriptive design to investigate symptom recognition, interpretation, and reporting by employing both the innovative Day Reconstruction Method for data collection and novel Bayesian analysis. The ultimate goal is an independent program of research to promote effective self-management of cardiovascular diseases, enhance quality of care, and reduce costs. PUBLIC HEALTH RELEVANCE: The relevance of this research to public health priorities is that it explores patients' self-management methods used to monitor their bodily changes and symptoms and the timeliness of reporting heart failure symptoms to health care providers. Understanding patient methods can help health care providers to identify ways improve heart failure status and reduce untimely, repeated heart failure hospitalizations.

描述（由申请人提供）：该K99/R00奖将为Reeder博士提供教育和指导的研究经验，以获得独立研究者的成功。里德博士的研究计划旨在改善心血管疾病患者的自我管理和临床护理结果，这是美国一号杀手。 K99/R00课程工作和指导研究活动将支持1）实施临床研究，以探讨患有心力衰竭（HF）的成年患者如何识别，解释和报告症状，2）验证理论和基于临床的访谈问题的内容和构造有效性，对HF症状识别，解释，解释和报告的症状，对贝内斯的症状进行自我报告，以进行新的Bayes Anallions，3）认可，解释和报告以及4）开发和提交未来的干预研究建议，以凭经验检查基于证据的干预措施的影响，这是由这项K99/R00研究对HF结果的发现所告知的。里德博士（Reeder博士生物统计学。在该奖项的K99阶段，里德博士还将得到3个重要贡献者的支持，一位国际知名的卫生保健经济学家和成果研究员，具有广泛的NIH成果研究资金的心脏病专家，以及一个模范数据基础发展专家。里德博士的许多研究开发活动将借鉴KUMC的跨学科研究开发计划，资源和研讨会。拟议的教育活动将为Reeder博士提供新的知识组成部分，以制定独立的研究计划，以改善心血管疾病患者的成果。里德（Reeder）博士将通过临床研究中的相应的指导研究活动应用这些知识，该研究名为“症状识别，解释和HF中的报告的及时性”，这是对她的学术研究论文和当前职位的逻辑发展。 Reeder博士以博士论文为基础，以评估社交互动对急性心肌梗死（AMI）的院前延迟的影响，Reeder博士将使用探索性描述性设计来调查症状识别，解释和报告，并通过采用创新的Day Days subonstruction方法来收集数据收集和新颖的贝叶斯分析。最终目标是一个独立的研究计划，旨在促进心血管疾病的有效自我管理，提高护理质量并降低成本。公共卫生相关性：这项研究与公共卫生优先事项的相关性是，它探讨了患者用于监测其身体变化和症状以及向医疗保健提供者报告心力衰竭症状的及时性的自我管理方法。了解患者方法可以帮助医疗保健提供者确定方法改善心力衰竭状态并不合时宜地降低心力衰竭住院治疗。

项目成果

期刊论文数量（1）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Lay Consultations in Heart Failure Symptom Evaluation.

心力衰竭症状评估的非专业咨询。

DOI：
10.15226/2471-6529/3/2/00133
发表时间：
2017
期刊：
SOJ nursing & health care
影响因子：
0
作者：
Reeder,KatherineM;Sims,JessicaL;Ercole,PatrickM;Shetty,ShivanS;Wallendorf,Michael
通讯作者：
Wallendorf,Michael