Technology-Based Health Services for American Indian and Alaska Native People

为美洲印第安人和阿拉斯加原住民提供基于技术的医疗服务

基本信息

批准号：
8859987
负责人：
SPERO MARTIN MANSON
金额：
$ 13.22万
依托单位：
UNIVERSITY OF COLORADO DENVER
依托单位国家：
美国
项目类别：
财政年份：
2015
资助国家：
美国
起止时间：
2015-06-01 至 2016-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8859987
关键词：
ARHGEF5 gene Address Adherence Alaska Alaska Native American Indian and Alaska Native Applications Grants Appointment Behavior Behavioral Caring Case Manager Cellular Phone Clinic Clinical Clinical Services Cognitive Colorado Communication Communities Complex Development Electronic Mail Electronics Emotions Ensure Evaluation Research Exercise Family Goals Health Health Services Healthcare Healthcare Systems Individual Intervention Joints Knowledge Lead Leadership Medical Mental Depression Mental Health Monitor Native-Born Nature Notification Oklahoma Online Systems Patient Education Patients Persons Post-Traumatic Stress Disorders Process Provider Psyche structure Psychotherapy Quality of Care Recommendation Recording of previous events Relative (related person)Relaxation Reporting Research Research Project Grants Resources Self-Injurious Behavior Services Social Functioning Structure Substance Abuse Detection System Technology Testing Text Thinking Training Trauma Travel Trust United States Indian Health Service Universities Work base behavioral health cognitive process community based participatory research design effective therapy evidence base experience health care quality health disparity health information technology improved informant innovation lectures patient population preference programs skills stress management tool treatment planning

项目摘要

The concept proposed is one of two research projects that would be included in a P60 trauma-focused center grant proposal lead by Spero Manson of the University of Colorado, Denver. The research concept described builds upon current research and evaluation efforts SCF has conducted with Dr. Manson in terms of depression and substance abuse screening. Using a community based participatory approach, the proposed research project will engage stakeholders in considering and developing electronic tools to support providers in assessing and treating trauma, reinforcing and augmenting in-person interventions offered to customer-owners, and augmenting care management structure. Electronic tools for providers may include brief mini-lectures offered on a web-based platform reviewing the effects of trauma on physical, mental, spiritual, and social functioning. Lectures on cognitive-behavioral approaches to addressing trauma and the Family Wellness Warriors approach to trauma may also be offered. Tools for customer-owners would be developed to support intervention they are already receiving such as electronic reminders to practice stress management and relaxation skills, exercises to practice substituting inaccurate thoughts about trauma with healthier and more accurate thoughts, and tools to track thoughts, behaviors, and emotions. Tools for customer-owners will likely be offered in a variety of forms according to preference and availability (e.g., text messaging, smart phone emails, web-based materials). Care management structures could include electronic notification to integrated care team case managers when a customer-owner has reported a concerning behavior such as self-injurious behavior. Once again, the tools would all be considered and developed with key stakeholders. Key stakeholders will include customer-owners as well as clinical and administrative leadership within the SCF Medical Services Division, SCF Behavioral Services Division, the SCF Organizational Development Division, and the Family Wellness Warriors Initiative program. Key informants will also guide efforts to pilot electronic supports and consideration for broader implementation.

所提出的概念是丹佛科罗拉多大学 Spero Manson 领导的 P60 创伤中心拨款提案中的两个研究项目之一。所描述的研究概念建立在 SCF 与 Manson 博士在抑郁症和药物滥用筛查方面进行的当前研究和评估工作的基础上。拟议的研究项目将采用基于社区的参与方法，让利益相关者考虑和开发电子工具，以支持提供者评估和治疗创伤，加强和扩大向客户所有者提供的面对面干预措施，并增强护理管理结构。提供者的电子工具可能包括在网络平台上提供的简短迷你讲座，回顾创伤对身体、心理、精神和社会功能的影响。还可以提供有关解决创伤的认知行为方法和家庭健康勇士应对创伤方法的讲座。将为客户业主开发工具来支持他们已经收到的干预措施，例如练习压力管理和放松技巧的电子提醒、练习用更健康、更准确的想法取代关于创伤的不准确想法，以及跟踪想法、行为、和情绪。根据偏好和可用性，客户所有者的工具可能会以各种形式提供（例如短信、智能手机电子邮件、基于网络的材料）。护理管理结构可以包括当客户所有者报告诸如自残行为等令人担忧的行为时，向综合护理团队案例经理发送电子通知。同样，所有工具都将与主要利益相关者一起考虑和开发。主要利益相关者将包括客户所有者以及 SCF 医疗服务部、SCF 行为服务部、SCF 组织发展部和家庭健康勇士倡议计划内的临床和行政领导层。关键信息人士还将指导电子支持试点工作并考虑更广泛的实施。