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：
8526570
负责人：
Katherine Marie Reeder
金额：
$ 14.32万
依托单位：
BARNES-JEWISH HOSPITAL
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 2015-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8526570
关键词：
Acute myocardial infarction Address Adult Award Bayesian Analysis Bayesian Method Behavior Cardiovascular Diseases Caring Clinical Research Clinical Trials Community Healthcare Comorbidity Data Data Collection Decision Making Development Diagnosis Disease Management Educational Activities Event Evidence based intervention Family Goals Health Health Care Costs Health Personnel Heart failure Hospitalization Hospitals Individual Instruction Intervention Interview Knowledge Lead Life Living Arrangement Manuscripts Mentors Methods Morbidity - disease rate National Heart, Lung, and Blood Institute Nursing Research Outcome Patients Pattern Peer Review Perception Phase Publications Quality of Care Quality of life Questionnaires Readiness Reporting Research Research Activity Research Personnel Research Proposals Risk Factors Self Care Self Management Severity of illness Social Interaction Societies Statistical Methods Symptoms base care seeking care systems career clinical care cost design experience follow-up functional status hospital readmission improved innovation mortality novel programs reconstruction research study response skills success

项目摘要

PROJECT SUMMARY (See instructions): This K99/R00 award will provide mentored research 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 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; and 4) development a research proposal to examine empirically the effect of an evidence-based intervention informed by findings from this K99/R00 study. 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. During the ROO phase. Dr. Reeder will apply this knowledge, conducting an independent secondary analysis, using her K99 questionnaire data merged with longitudinal data from her mentor's NHLBI HF clinical trial. Building on her dissertation that evaluated the influences of social interactions on pre-hospital delay in acute myocardial infarction, Dr. Reeder wiil 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.

项目摘要（请参阅说明）：该K99/R00奖将为里德博士提供指导的研究经验，以获得独立研究者的成功。里德（Reeder）博士的研究计划旨在改善心血管疾病（全国第一杀手）患者的自我管理和临床护理结果。 K99/R00指导的研究活动将支持1）实施临床研究，以探讨患有心力衰竭的成年患者（HF）如何识别，解释和报告症状； 2）验证内容并构建了理论和基于临床的访谈问卷，以使用新颖的贝叶斯分析进行HF症状识别，解释和报告； 3）关于HF自我管理的知识的进步； 4）开发一项研究建议，以凭经验检查基于证据的干预措施的效果，该研究通过这项K99/R00研究的发现所告知。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。在Roo阶段。博士里德（Reeder）将使用她的K99问卷数据与导师的NHLBI HF HF临床试验中的纵向数据合并，将应用这些知识进行独立的二级分析。基于她的论文，我评估了社会互动对急性心肌梗死前院前延迟的影响，Reeder Wiil博士使用探索性描述性设计来研究症状识别，解释和报道，并通过使用创新的Day Reconstruction方法来收集数据收集和新颖的Bayesian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。