Academic Career Development Award in CAM Research and Education

CAM 研究与教育学术职业发展奖

• 批准号: 8526385
• 负责人: Benjamin Kligler
• 金额: $ 13.5万
• 依托单位: ALBERT EINSTEIN COLLEGE OF MEDICINE
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-08-01 至 2015-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8526385
• 关键词: Address; Adult; Affect; Asthma; Characteristics; Chronic Disease; Clinical; Clinical Research; Clinical Trials; Cognitive; Competence; Data; Diabetes Mellitus; Disease Progression; Education; Educational Curriculum; Educational process of instructing; Effectiveness; Enrollment; Evaluation; Focus Groups; Goals; Group Structure; Healed; Health; Integrative Medicine; Internet; Intervention; Interview; K-Series Research Career Programs; Life Style; Measurement; Measures; Medical Education; Mission; National Center for Complementary and Alternative Medicine; Outcome; Outcomes Research; Patient Care; Patients; Pattern; Personal Satisfaction; Physicians; Primary Health Care; Probability; Qualitative Evaluations; Qualitative Methods; Research; Research Design; Residencies; Resources; Safety; Science; Strategic Planning; Training; Work; base; coping; experience; healing; improved; prevent; programs; public health relevance; resilience; response; skills; success; tool; trait

DESCRIPTION (provided by applicant): The mission of NCCAM Is to promote research "dedicated to exploring complementary and alternative healing practices in the context of rigorous science." The most recent Strategic Plan specifically adds the goals to "explore the ability of CAM therapies to enhance resilience, positive affect, and coping in order to improve health and well-being, prevent or slow disease progression." The Plan "states as a guiding principle that 'When there is evidence that a specific CAM practice works, it is a high priority to study why it works.'"-- NCCAM Strategic Plan 2005-2009. Over the past fifteen years, the field of CAM/integrative medicine has developed tremendous new resources both in clinical research and in medical education. However many challenges remain. Regarding clinical outcomes research, we still lack a real understanding of why CAM therapies seem to work well in some patients and not in others-and we lack an ability to predict accurately in whom they will be effective. In medical education, we now have many established teaching programs, but virtually no data on how these programs actually impact the competency of the physicians they are training. The two specific projects proposed in this application will begin to address these questions. The first project-"Qualitative Evaluation of Patients' Responses to Integrative Medicine Interventions"-will be a qualitative study nested within two ongoing clinical trials of integrative medicine interventions: one in patients with asthma, and the other in patients with diabetes. This project will use focus groups and structured interviews to allow us to go beyond the limits of traditional quantitative studies and apply qualitative analysis to understand why certain patients respond to CAM/integrative medicine where others do not. The second project --"Evaluation of an Internet-based Curriculum in Integrative Medicine for Primary Care Residents"- will involve developing and implementing the competency-based evaluation strategy for a new internet-based residency curriculum. This project will attempt to correlate on-line measures of cognitive competence with actual changes in practice patterns of the residents involved, providing a new strategy to determine the impact of internet-based interventions beyond the cognitive skills domain where they are typically measured.

描述（由申请人提供）： NCCAM 的使命是促进“致力于在严谨的科学背景下探索补充和替代治疗实践”的研究。最新的战略计划特别增加了“探索 CAM 疗法增强复原力、积极影响和应对能力的能力，以改善健康和福祉、预防或减缓疾病进展”的目标。该计划“规定了一项指导原则，即‘当有证据表明特定的 CAM 实践有效时，应高度重视研究其为何有效。’”——2005-2009 年 NCCAM 战略计划。在过去的十五年里，CAM/整合医学领域在临床研究和医学教育方面开发了巨大的新资源。然而，仍然存在许多挑战。关于临床结果研究，我们仍然缺乏真正了解为什么 CAM 疗法似乎对某些患者有效，而对其他患者无效，而且我们缺乏准确预测这些疗法对谁有效的能力。在医学教育中，我们现在有许多既定的教学计划，但实际上没有数据表明这些计划实际上如何影响他们正在培训的医生的能力。本申请中提出的两个具体项目将开始解决这些问题。第一个项目——“患者对综合医学干预措施的反应的定性评估”——将是一项定性研究，嵌套在两项正在进行的综合医学干预临床试验中：一项针对哮喘患者，另一项针对糖尿病患者。该项目将利用焦点小组和结构化访谈，使我们能够超越传统定量研究的限制，并应用定性分析来了解为什么某些患者对 CAM/综合医学有反应，而其他患者则没有。第二个项目——“初级保健住院医师综合医学互联网课程评估”——将涉及为新的基于互联网的住院医师课程制定和实施基于能力的评估策略。该项目将尝试将认知能力的在线测量与相关居民实践模式的实际变化联系起来，提供一种新的策略来确定基于互联网的干预措施在通常测量的认知技能领域之外的影响。