Culturally Sensitive Electronic Nursing Interventions

文化敏感的电子护理干预

• 批准号: 6801868
• 负责人: Shirley M Moore
• 金额: $ 7.65万
• 依托单位: CASE WESTERN RESERVE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-09-30 至 2006-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6801868
• 关键词: African American; automated health care system; behavioral /social science research tag; cardiovascular disorder; clinical research; computer data analysis; computer program /software; culture; exercise; experience; health behavior; health care model; human subject; interview; lifestyle; model design /development; nursing intervention; outcomes research; perception; public opinion

DESCRIPTION (provided by applicant): There is considerable agreement on the importance of developing and delivering health promotion interventions that are culturally sensitive. Additionally, there is a growing body of literature to support that targeted interventions are effective for increasing lifestyle exercise. However, to build a targeted intervention, it is necessary to understand the cultural and situation attributes specific to a target population. Little is known about urban African Americans' preferences for features of an electronic intervention to increase exercise. We plan to adapt an electronic intervention, E-CHANGE, to an urban African American population. Thus, the aims of this pilot study are to (1) examine the perceptions and experiences of African American patients in incorporating and maintaining exercise in their lifestyles following cardiac events, (2) gain their views and experiences on the use of electronic health information systems, and (3) obtain reactions to and suggestions for the E-CHANGE intervention. Two rounds of interviews with four focus groups of 10 individuals each (n=40) will be conducted to obtain data on the cultural adaptations needed for the E-CHANGE intervention. In the first round, important information about subjects' experiences of incorporating exercise into their lives following a cardiac event will be sought as well their opinions of the E-CHANGE prototype. Results from the first round of focus groups will be used to make adaptations in the design of the E-CHANGE intervention. In a second round, these same individuals will return and be asked to respond to a revised version of the E-CHANGE intervention. Data will be analyzed using Atlas.ti software and data interpretation will be conducted by a study team that consists of nurses, an anthropologist and a systems engineer. This study is innovative in that it attempts to obtain data about both surface and deep level cultural issues of African Americans regarding maintaining exercise following cardiac events and their use of electronic health interventions. It includes the recipients (target audience) of an electronic healthcare delivery system as co-designers of the system. Information learned in this study will be used to develop communication practices that are appropriate and affirming of other cultures, values and identities.

描述（由申请人提供）：关于开发和提供对文化敏感的健康促进干预措施的重要性有相当大的共识。此外，越来越多的文献支持有针对性的干预措施有效地增加生活方式运动。但是，要建立有针对性的干预措施，有必要了解针对目标人群的文化和情况。对于城市非裔美国人对电子干预以增加运动的特征的偏好知之甚少。我们计划将电子干预E-Crange调整到非裔美国人人口中。因此，这项试验研究的目的是（1）检查非洲裔美国患者在心脏事件后将运动纳入其生活方式中的看法和经历，（2）对使用电子健康信息系统的使用和经验，以及（3）对电子改变干预的反应并提出反应。 将进行两轮访谈，每个焦点小组分别有10个个人（n = 40），以获取有关电子改变干预所需的文化适应的数据。在第一轮中，将寻求有关受试者在心脏事件之后将运动纳入生活中的经历的重要信息，以及他们对电子变更原型的看法。第一轮焦点小组的结果将用于对电子变更干预的设计进行适应。在第二轮中，这些人将返回，并被要求回应电子变化干预的修订版。将使用ATLAS.TI软件分析数据，数据解释将由由护士，人类学家和系统工程师组成的研究团队进行。 这项研究具有创新性，因为它试图获取有关非裔美国人在心脏事件后保持运动及其使用电子健康干预措施的表面和深层文化问题的数据。它包括电子医疗保健交付系统的接收者（目标受众）作为系统的共同设计。本研究中学到的信息将用于开发适当并确认其他文化，价值观和身份的沟通实践。