Adherence Connection for Counseling, Education, and Support (ACCESS): A Proof of Concept Study

咨询、教育和支持的依从性联系 (ACCESS)：概念研究验证

基本信息

批准号：
9122495
负责人：
Ann-Margaret Dunn-Navarra
金额：
$ 13.07万
依托单位：
NEW YORK UNIVERSITY
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：
2015-08-07 至 2018-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9122495
关键词：
Accounting Address Adherence Adolescent and Young Adult Adult Age Anti-Retroviral Agents Award Behavior Therapy Behavioral Belief Career Mobility Caring Cellular Phone Clinical Cognitive Cognitive Therapy Communities Counseling Development Discipline of Nursing Disease Education Feedback Focus Groups Foundations Funding Goals HIV Health Health Personnel Healthcare Incidence Individual Infection Interdisciplinary Study International Internet Intervention Interview Knowledge Left Maintenance Mentored Patient-Oriented Research Career Development Award Mentors Mentorship Methods Minority Morbidity - disease rate National Institute of Nursing Research New York Nurses Outcome Ownership Participant Patient Self-Report Patients Pattern Population Postdoctoral Fellow Public Health Public Health Informatics Reporting Research Research Design Research Personnel Research Project Grants Resistance Route Sampling Science Scientist Self Efficacy Self Management Structure Survey Methodology Surveys Technology Testing Time Traineeship Training Travel Treatment Failure United States National Institutes of Health Universities Videoconferences Videoconferencing Viral Virus Virus Diseases Work Youth base biobehavior career development community setting design ethnic minority population experience health care service utilization health disparity improved knowledge base mHealth medication compliance meetings mortality novel pediatric human immunodeficiency virus peer personalized care prevent psychosocial public health relevance satisfaction skills social stigma technology validation treatment adherence

项目摘要

DESCRIPTION (provided by applicant): This Mentored Patient-Oriented Research Career Development Award - (K23) seeks to provide the advanced knowledge, skills, and experience for the candidate's career transition to an independent nurse scientist. Her long term goal is to become a leading nurse scientist in designing, implementing, and evaluating technology supported behavioral interventions targeted for improved disease self-management (i.e. medication adherence, retention in care) among human immunodeficiency virus (HIV)-infected, ethnic minority adolescents and young adults. With an extensive background in pediatric HIV nursing and completed NIH funded pre and post-doctoral interdisciplinary research traineeships, the candidate has begun to develop the knowledge-base and skills necessary for this goal. This award details a 3-year scope of mentored career development through which she will gain the foundation for future research endeavors. Specifically, the goals of this proposal are to: 1) conduct a novel research project under the mentorship of an interdisciplinary team of expert researchers; 2) acquire expertise in health informatics for implementation of technology supported behavioral interventions, health disparities, and advanced qualitative and mixed methods design and analysis through firsthand experience, didactic interactions with mentors, and graduate level coursework; 3) build a network of colleagues and collaborators within New York University and elsewhere through this research and participation at national and international meetings; and 4) prepare and submit a federal research grant (R-21) based upon the skills and findings from this award period. The specific research project through which she will accomplish these goals is a proof of concept study, Adherence Connection for Counseling, Education, and Support (ACCESS), and addresses the challenge of adherence to antiretroviral treatment among HIV-infected adolescents and young adults. A mixed method design is proposed and the specific aims are to: 1) Characterize the feasibility and acceptability of a peer led, mHealth cognitive behavioral intervention delivered via remote videoconferencing using smartphones; 2) Obtain initial estimates of the biobehavioral impact of ACCESS on HIV virologic outcomes and self-reported ART adherence, beliefs and knowledge about antiretroviral treatment, adherence self-efficacy, and healthcare utilization (retention in HIV care). In summary, the ACCESS adherence intervention is consistent with the National Institute of Nursing Research (NINR) call for the development of novel interventions to deliver personalized care and real-time health information for patients.

描述（由适用提供）：这项受过指导的面向患者的研究职业发展奖 - （K23）旨在为候选人的职业过渡提供高级知识，技能和经验，向独立的护士科学家提供。她的长期目标是成为领先的护士科学家在设计，实施和评估技术支持的行为干预措施中，针对人类免疫缺陷病毒（HIV）感染的，少数族裔青少年和年轻人的疾病自我管理（即药物依从性，保留护理）。该候选人凭借大量的儿科艾滋病毒护士的背景，并完成了NIH资助的跨学科研究跨学科研究训练，因此候选人已开始发展这一目标所需的知识基础和技能。该奖项详细介绍了3年的指导职业发展范围，她将为未来的研究努力奠定基础。具体而言，该提案的目标是：1）在专家研究人员的跨学科团队的心态下进行一个新颖的研究项目； 2）通过第一手经验，与精神的教学互动以及研究生水平的课程，获得了健康信息的专业知识，以实施技术支持的行为干预，健康差异以及高级定性和混合方法设计和分析； 3）通过在国家和国际会议上进行研究和参与，在纽约大学和其他地方建立了一个同事和合作者网络； 4）根据此奖项期间的技能和发现，准备并提交联邦研究补助金（R-21）。她将实现这些目标的特定研究项目是概念研究的证明，辅导，教育和支持（访问）的依从性联系，并解决了艾滋病毒感染的青少年和年轻人对抗逆转录病毒治疗的挑战。提出了一种混合的方法设计，具体目的是：1）表征通过智能手机通过远程视频会议提供的同伴LED，MHealth认知行为干预的可行性和可接受性； 2）获得对艾滋病毒病毒结局的生物行为影响的初步估计，以及关于抗逆转录病毒治疗，依从性自我效能和医疗保健利用的自我报告的艺术依从性，信念和知识（保留HIV护理）。总而言之，访问依从性干预与国家护理研究所（NINR）呼吁开发新的干预措施，为患者提供个性化的护理和实时健康信息。