Patient-Provider Communication: CAM Beliefs, Attidudes and Practices

医患沟通：CAM 信念、态度和实践

基本信息

批准号：
8258202
负责人：
MAUREEN GEORGE
金额：
$ 13.19万
依托单位：
UNIVERSITY OF PENNSYLVANIA
依托单位国家：
美国
项目类别：
财政年份：
2008
资助国家：
美国
起止时间：
2008-05-01 至 2013-04-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8258202
关键词：
Address Adult African American Area Asians Asthma Attitude Belief Caring Caucasians Caucasoid Race Clinical Communication Complementary and alternative medicine Decision Making Development Plans Device or Instrument Development Disclosure Disease Disease Management Disease model Distress Doctor of Philosophy Environment Failure Fostering Foundations Goals Grant Health Health Personnel Health behavior Investigation Low income Medicine Mentors Minority Modeling National Center for Complementary and Alternative Medicine Outcome Patients Play Population Provider Public Health Recording of previous events Research Research Design Research Personnel Role Scholarship Self Management Surveys Symptoms Team Nursing Testing Therapeutic Training Trust United States Work base career development communication aid conventional therapy design experience health disparity health inequalities improved instrument instrumentation medically underserved population preference programs shared decision making social tool trait

项目摘要

DESCRIPTION (provided by applicant): Maureen George PhD, RN previously received F31 and F32 training grants from NCCAM to conduct qualitative work characterizing CAM use by African American adults with asthma. In review of her prior K23 submission, reviewers noted that the strengths of the proposal including "the strong candidate, excellent environment, and its investigation of minorities that may have high impact" In this resubmission, Dr. George adds mentors in CAM, instrumentation and statistical analysis to form a truly outstanding interdisciplinary mentoring team (Nursing, Medicine and Public Health). Her Sponsor's Statement reflects a detailed and thoughtful career development plan that Includes coursework as well as formal and informal mentoring in CAM-focused research design, implementation and analysis, instrument development, and communication. Hopkins provides the Candidate a fertile environment for mentoring, scholarship and research that will foster the Candidate's short-term goal of developing expertise in these areas and will facilitate the Candidate's long-term goal of becoming an independent CAM investigator. Given the unique challenges fading African American patients, an important first step in addressing health disparities may likely be strategies that foster mutual patient-provider understanding. Therefore, in this project we propose three inter-related projects. In Specific Aim 1 we propose to survey providers who deliver care to medically underserved populations regarding their personal CAM beliefs, attitudes and practices. In Specific Aim 2 we plan to develop, test and refine a CAM communication aid (instrument) to characterize patients' culturally-derived CAM beliefs, attitudes and practices. Lastly, we plan to test the clinical utility of the communication aid to 1) promote patient-provider discussions of CAM (communication), 2) foster mutual decision-making regarding treatment options (partnership), and 3) encourage disclosure of shared orientations to disease self-management (concordance). In so doing, we would provide the foundation for relationship-centered care and assist providers to acquire greater cultural competency. This may be especially important in minority populations who, compared to Caucasians and Asians, have high CAM use yet are less likely to inform their providers about CAM use, are less likely to experience adequate relationship-centered care and are more likely to experience profound health inequalities.

描述（由申请人提供）：莫琳·乔治（Maureen George Phd），RN先前从NCCAM获得了F31和F32培训补助金，以进行定性工作，以表征非裔美国人成年人患有哮喘的CAM使用。在审查其先前的K23提交时，审稿人指出，该提案的优势包括“强大的候选人，出色的环境以及对可能具有很大影响的少数群体的调查”，乔治博士在CAM，仪器和统计分析中增加了导师，以形成一个真正出色的互助跨学科的指导团队（护理，医学和公共健康）。她的赞助商的声明反映了一项详细且周到的职业发展计划，其中包括课程以及以CAM为中心的研究设计，实施和分析，仪器开发和沟通中的正式和非正式指导。霍普金斯为候选人提供了一个肥沃的指导，奖学金和研究的环境，该环境将促进候选人在这些领域发展专业知识的短期目标，并将促进候选人成为独立CAM调查员的长期目标。鉴于非洲裔美国患者褪色的独特挑战，解决健康差异的重要第一步可能是促进共同患者的理解的策略。因此，在这个项目中，我们提出了三个相互关联的项目。在特定的目标1中，我们建议调查提供者，这些提供者对医学欠缺的人群进行有关其个人CAM信念，态度和实践的关注。在特定目标2中，我们计划开发，测试和完善CAM通信援助（工具），以表征患者的cam信念，态度和实践。最后，我们计划测试通信辅助的临床实用性对1）促进对CAM的患者提供者的讨论（交流），2）促进有关治疗方案的共同决策（合伙企业），以及3）鼓励披露与疾病自我管理的共同方向（一致性）。这样一来，我们将为以关系为中心的护理提供基础，并协助提供者获得更大的文化能力。这在少数民族中尤其重要，这些人群与高加索人和亚洲人相比具有很高的CAM使用，但不太可能告知其提供者CAM的使用，因此不太可能经历以关系为中心的足够的以关系为中心的护理，并且更有可能遭受严重的健康不平等。

项目成果

期刊论文数量（6）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Inhaled corticosteroid beliefs, complementary and alternative medicine, and uncontrolled asthma in urban minority adults.

DOI：
10.1016/j.jaci.2014.07.044
发表时间：
2014-12
期刊：
JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY
影响因子：
14.2
作者：
George, Maureen;Topaz, Maxim;Rand, Cynthia;Sommers, Marilyn (Lynn) Sawyer;Glanz, Karen;Pantalon, Michael V.;Mao, Jun J.;Shea, Judy A.
通讯作者：
Shea, Judy A.

Health beliefs, treatment preferences and complementary and alternative medicine for asthma, smoking and lung cancer self-management in diverse Black communities.

不同黑人社区中哮喘、吸烟和肺癌自我管理的健康信念、治疗偏好以及补充和替代医学。