Image based cardiovascular risk communication in high risk patients with diabetes

基于图像的糖尿病高危患者心血管风险沟通

基本信息

批准号：
8213510
负责人：
Shaista Malik
金额：
$ 14.01万
依托单位：
UNIVERSITY OF CALIFORNIA-IRVINE
依托单位国家：
美国
项目类别：
财政年份：
2011
资助国家：
美国
起止时间：
2011-01-18 至 2015-12-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8213510
关键词：
Age Angiography Arteriogram Audiotape Awareness Behavior Behavior Therapy Behavioral Blood Pressure Calcium California Cardiac Cardiology Cardiovascular Diseases Characteristics Clinic Visits Clinical Trials Clinical Trials Design Communication Coronary Arteriosclerosis Coronary artery Data Diabetes Mellitus Diet Disease Education Ethnic Origin Focus Groups Frequencies Funding Future Gender Glycosylated hemoglobin A Goals Grant Health Health Services Health behavior Heart Diseases Image Intervention Knowledge LDL Cholesterol Lipoproteins Lead Linguistics Literature Master&apos s Degree Measures Mentors Mentorship Metabolic syndrome Methods Motivation Myocardial Infarction National Institute of Diabetes and Digestive and Kidney Diseases Outcome Participant Patient-Centered Care Patients Physical activity Physicians Pilot Projects Preventive Primary Care Physician Questionnaires Randomized Controlled Trials Research Research Personnel Risk Risk Assessment Risk Behaviors Risk Estimate Risk Factors Risk Reduction Stroke Testing Training Training Programs Universities Variant Visual X-Ray Computed Tomography arm base behavior change cardiovascular disorder risk cardiovascular imaging cardiovascular risk factor career detector follow-up high risk improved information gathering interest literacy medication compliance novel patient oriented prevent primary care setting public health relevance tool

项目摘要

DESCRIPTION (provided by applicant): The candidate is a cardiologist and junior health services researcher at University of California, Irvine. Her long-term goal is to develop an independent career as a researcher in preventive cardiology with a focus on applying new tools to prevent cardiovascular disease in those with diabetes and metabolic syndrome. The proposed five year training program includes didactic coursework, a Master's degree, and strong mentorship to provide training in patient-centered research, clinical trial design and novel uses of existing image data. The proposal has an overall aim of the candidate integrating her expertise in cardiovascular imaging with her interest in risk communication within the context of the patient doctor relationship. She will be mentored by Dr. Sherrie Kaplan an expert in patient-centered care and co-mentored by Dr. Sheldon Greenfield, an expert in the field of quality assessment and by Dr. Matthew Budoff who is an expert on cardiac CT imaging. Our proposed study goal is to understand how cardiovascular risk is communicated and how personalized risk information can motivate preventative behavior. We aim to: 1.) Determine how and with what frequency cardiovascular risk is communicated by primary care physicians to their patients with diabetes; 2.) Develop and test a measure to capture physician-patient communication about cardiovascular risk; and 3.) Assess the effect of communicating cardiovascular risk with pre-existing cardiac CT angiogram images of coronary arteries and Framingham Risk Score (FRS) versus FRS only on patient understanding of risk, change in risk behavior, and risk factor reduction. Knowledge from the research portion of this training grant will form the basis of an RO1 application to test the hypothesis that images of subclinical disease can be effective in risk communication, particularly in patients with literacy, linguistic or cultural barriers. PUBLIC HEALTH RELEVANCE: Changing behavior to improve one's health is difficult. In this study, we are studying a new way to motivate patients with diabetes by using images to help them understand their disease. This may result in health behavior that could lessen the chances of heart disease in the future.

描述（由申请人提供）：候选人是加州大学欧文分校的心脏病专家和初级健康服务研究员。她的长期目标是发展成为预防心脏病学研究人员的独立职业，重点是应用新工具预防糖尿病和代谢综合征患者的心血管疾病。拟议的五年培训计划包括教学课程、硕士学位和强有力的指导，以提供以患者为中心的研究、临床试验设计和现有图像数据的新颖用途方面的培训。该提案的总体目标是候选人将她在心血管成像方面的专业知识与她在医患关系背景下对风险沟通的兴趣结合起来。她将接受以患者为中心的护理专家 Sherrie Kaplan 博士的指导，并由质量评估领域专家 Sheldon Greenfield 博士和心脏 CT 成像专家 Matthew Budoff 博士共同指导。我们提出的研究目标是了解心血管风险如何传达以及个性化风险信息如何激发预防行为。我们的目标是： 1.) 确定初级保健医生向糖尿病患者传达心血管风险的方式和频率； 2.) 开发并测试一项措施来获取医患关于心血管风险的沟通； 3.) 评估使用预先存在的冠状动脉心脏 CT 血管造影图像和弗雷明汉风险评分 (FRS) 与 FRS 相比，沟通心血管风险对患者对风险的理解、风险行为的改变和风险因素减少的影响。本次培训资助研究部分的知识将构成 RO1 应用的基础，以检验亚临床疾病图像在风险沟通中有效的假设，特别是对于有读写能力、语言或文化障碍的患者。公共卫生相关性：改变行为来改善个人健康是很困难的。在这项研究中，我们正在研究一种新的方法来激励糖尿病患者，通过使用图像来帮助他们了解自己的疾病。这可能会导致健康行为，从而减少未来患心脏病的机会。