S.E.N.D.: Developing a web-based, interactive guide to enhance patient-clinician electronic communication by focusing on specificity, expressing concerns, need, and directness

S.E.N.D.：开发基于网络的交互式指南，通过关注特异性、表达顾虑、需求和直接性来增强患者与临床医生的电子通信

• 批准号: 10683245
• 负责人: Carma L. Bylund
• 金额: $ 7.63万
• 依托单位: UNIVERSITY OF FLORIDA
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-08-03 至 2024-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10683245
• 关键词: Address; Affect; Area; Articulation; Behavior; COVID-19 pandemic; Cancer Center; Cancer Patient; Caring; Communication; Competence; Comprehensive Cancer Center; Confusion; Continuity of Patient Care; Disease; Education; Effectiveness; Electronic Health Record; Electronic Mail; Electronics; Elements; Emergency Situation; Ensure; Environment; Evaluation; Florida; Fright; Future; Goals; Health; Healthcare; Individual; Instruction; Intervention; Intervention Studies; Interview; Knowledge; Language; Learning; Malignant Neoplasms; Measures; Methods; Modeling; Naturopathic Doctor; Oncology; Online Systems; Outcome; Participant; Patients; Perception; Periodicals; Pharmaceutical Preparations; Pilot Projects; Process; Protocols documentation; Random Allocation; Reaction; Recommendation; Relapse; Reporting; Research; Secure; Specific qualifier value; Specificity; Structure; Surveys; Techniques; Technology; Text; Training; Training Programs; Universities; Writing; acceptability and feasibility; acronyms; active method; cancer care; cancer therapy; design; digital; electronic health record system; evidence base; experience; feasibility testing; health care quality; health communication; improved; information organization; innovation; insight; interactive tool; medical specialties; patient oriented; patient-clinician communication; provider communication; psychological distress; psychosocial; satisfaction; skills; skills training; stress reduction; usability; web app

Project Summary The use of secure messaging (SM) is increasingly being relied upon for cancer communication. SM can improve care and provide an outlet for patient-clinician communication. However, patients are uncertain about how to use SM effectively to communicate with clinicians, and clinicians have cited difficulties understanding the goals of patients’ messages. The long-term goal is to perform a wide-scale implementation to integrate the evidence- based, online, interactive tool with the electronic health record (EHR) system to facilitate quality health care communication between patients and clinicians. The objective of this proposal is to test the feasibility and acceptability of the application to enhance patients’ message writing skills by conducting interviews with cancer patients, followed by surveying patients after they have used the application, and finally, rating messages pre/post-application for clarity, directness, organization, and structure. The rationale of this proposal is that just like in face-to-face communication training, developing materials that focus on specific communication challenges can enhance how patients communicate with clinicians, leading to higher efficiency, satisfaction, knowledge, and self-efficacious behavior. Ensured by the strong track record of the team comprising Alpert (PI), an expert in cancer patients’ health communication using technology, Bylund’s (Co-I) extensive experience developing communication skills training programs, Markham’s (Co-I) specialty in cancer care, Wang’s (Co-I) methods and analysis expertise, Murphy’s (Co-I) experience interacting with patients using SM, and supported by the UF Health Cancer Center, our three aims are realistic to be completed within the specified timeframe and hold the potential to greatly enhance the quality of communication. Our study is innovative because we will provide a theoretically grounded, interactive intervention to help patients learn specific communication skills related to SM, and evaluate its effectiveness by including clinicians as message raters. Our study would also provide valuable insights into how clinicians perceive quality SM communication, enabling future interventions focusing on clinicians’ techniques to responding to messages. The proposed research is significant because although SM is widely used, no guidance about how to use it effectively is currently provided. The anticipated positive impact of this project is that it will provide evidence to confirm that education for SM is necessary and effective. A multi-level intervention will be planned to integrate the application into the EHR to be suited for a wide variety of disease areas.

项目概要 安全消息传递 (SM) 的使用越来越被依赖于癌症通信，SM 可以改善癌症通信。 护理并为患者与临床医生沟通提供渠道，但是患者不确定如何使用。 SM要与受宠者进行有效沟通，并列举受宠者理解目标的困难 长期目标是进行广泛的实施以整合证据。 基于电子健康记录 (EHR) 系统的在线交互式工具，以促进优质医疗保健 该提案的目的是测试患者和追随者之间的沟通。 通过对癌症进行访谈来提高患者消息写作技能的应用程序的可接受性 患者，然后在使用该应用程序后对患者进行调查，最后对消息进行评级 申请前/申请后的清晰性、直接性、组织性和结构性 该提案的基本原理就是这样。 就像在面对面的沟通培训中一样，开发专注于特定沟通的材料 挑战可以增强患者与叛逆者的沟通方式，从而提高效率、满意度、 由 Alpert (PI) 组成的团队的良好记录确保了知识和自我高效的行为， Bylund (Co-I) 是利用技术进行癌症患者健康沟通的专家，拥有丰富的经验 开发沟通技巧培训计划，Markham (Co-I) 的癌症护理专业，Wang (Co-I) 方法和分析专业知识，与 Murphy (Co-I) 与使用 SM 的患者的经验进行互动，并支持 根据佛罗里达大学健康癌症中心的要求，我们的三个目标是现实的，可以在指定的时间内完成，并且 我们的研究具有创新性，因为我们将极大地提高沟通质量。 提供有理论依据的交互式干预，帮助患者学习特定的沟通技巧 与 SM 相关，并通过将球衣作为消息评估者来评估其有效性。 提供有关防御者如何看待高质量 SM 通信的宝贵见解，从而实现未来的干预 这项研究的重点是关注人群响应消息的技巧。 尽管 SM 被广泛使用，但目前还没有提供有关如何有效使用它的指导。 该项目的积极影响在于，它将提供证据来证实 SM 教育是必要的，并且 将计划采取多层次干预措施，将该应用程序整合到 EHR 中，以适应实际情况。 疾病领域广泛。