An Automated, Tailored Information Application for Medication Health Literacy

自动化、定制的药物健康素养信息应用程序

基本信息

批准号：
7692699
负责人：
RAYMOND L OWNBY
金额：
$ 19.27万
依托单位：
NOVA SOUTHEASTERN UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2009
资助国家：
美国
起止时间：
2009-09-16 至 2011-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7692699
关键词：
Address Adherence Adverse effects Affect Anti-Retroviral Agents Awareness Behavior Behavioral Caring Clinic Computers Data Development Disease Education Educational Intervention Educational process of instructing Effectiveness Effectiveness of Interventions Elements Ensure Follow-Up Studies Funding HIV HIV Infections Health Health Promotion Health Status Individual Information Technology Instruction Internet Intervention Knowledge Maintenance Medical Modeling Monitor Motivation Multimedia Outcome Outcome Study Participant Patient Education Patient Self-Report Patients Persons Pharmaceutical Preparations Phase Pilot Projects Principal Investigator Problem Solving Public Health Recruitment Activity Research Resources Risk Specific qualifier value Study Section Technology Testing Treatment Protocols Wolves base behavior change computerized coping cost cost effective disorder prevention effective intervention ethnic minority population experience harman health application health disparity health literacy improved innovation literacy medication compliance member novel pill programs public health relevance skills success touchscreen treatment response usability user-friendly

项目摘要

DESCRIPTION (provided by applicant): Health literacy is a critically important problem in improving the health outcomes in patients with HIV infection. Patient behaviors essential to the successful treatment of HIV infection, such as high levels of medication adherence, may depend on patients' understanding how to take medication, how to solve medication-related problems, and how to cope with medication side effects. Addressing the problem of low health literacy in individuals affected by HIV infection may thus be an important way of improving their health status. It is unclear, however, exactly how to improve health literacy in persons with HIV infection and the extent to which improving it might affect important variables such as medication adherence and health outcomes. A related problem in developing interventions to improve health literacy in any patient group is how to provide the intervention in a cost effective manner. Medical care for individuals with low levels of health literacy is often provided in clinics in limited-resource settings or in the offices of busy private practitioners who have little opportunity to provide or support for additional interventions. A promising strategy for providing health literacy interventions in busy or limited-resource setting is to provide them through automated computer-based applications. Information technology-based interventions to promote health literacy have the potential for being readily available on desktop computers or over the Internet. E-health applications may be an important strategy for addressing health disparities (Office of Disease Prevention and Health Promotion, 2006). Once created, costs for their continued maintenance and deployment can be low. They could thus be a cost-effective strategy for addressing health literacy issues in persons with HIV infection (Brown, Vanable, & Eriksen, 2008), but have not been widely developed or validated. As one group (Wolf et al., 2007a) has suggested, "New advances in multimedia technology could be used to better disseminate patient education . . ." (p. 259). The purpose of the study proposed in this application is to create a computer-based and automated application that will provide individually-tailored health literacy education to persons with HIV infection. After development this application will be tested with 100 persons currently on antiretroviral treatment who will be recruited from a local clinic. They will participate in three sessions at four week intervals during the study. The effectiveness of the intervention will be assessed by examining participants' medication and disease-related knowledge and awareness of problem solving skills before and after the training intervention and four weeks later. Self-report and electronically-monitored adherence in the four weeks before and after the intervention will also be assessed. The outcome of this study will be an automated tailored information application to improve health literacy in those coping with HIV infection. PHS 398/2590 (Rev. 11/07) Page Continuation Format Page PUBLIC HEALTH RELEVANCE: Health literacy is a critically important public health problem related to treatment success in HIV+ persons. The application proposed in this application will address this problem by creating a computer-based health literacy teaching application that can readily be deployed on the Internet. PHS 398/2590 (Rev. 11/07) Page Continuation Format Page

描述（由申请人提供）：健康素养是改善艾滋病毒感染患者的健康结果至关重要的问题。成功治疗艾滋病毒感染至关重要的患者行为，例如高水平的药物依从性，可能取决于患者理解如何服用药物，如何解决与药物有关的问题以及如何应对药物副作用。因此，解决受艾滋病毒感染影响的个体健康素养低的问题可能是改善其健康状况的重要方法。但是，目前尚不清楚如何改善艾滋病毒感染患者的健康素养以及改善它的程度可能会影响重要变量，例如药物依从性和健康结果。开发干预措施以提高任何患者群体的相关问题是如何以具有成本效益的方式提供干预措施。在限量资源环境或忙碌的私人从业人员办公室中，通常在诊所中提供较低健康素养的人的医疗服务，而这些忙碌的私人从业人员几乎没有机会提供或支持其他干预措施。在繁忙或限量资源环境中提供健康素养干预措施的有希望的策略是通过基于计算机的自动化应用程序为其提供。基于信息技术的促进健康素养的干预措施有可能在台式计算机或互联网上容易获得。电子健康应用可能是解决健康差异的重要策略（疾病预防和健康促进办公室，2006年）。创建后，其继续维护和部署的成本可能很低。因此，它们可能是针对艾滋病毒感染患者的健康素养问题的成本效益策略（Brown，Vanable和Eriksen，2008年），但尚未得到广泛发展或验证。正如一个组（Wolf等，2007a）所建议的那样，“多媒体技术的新进步可用于更好地传播患者教育……” （第259页）。本应用程序中提出的研究的目的是创建一个基于计算机的自动化应用程序，该应用程序将为艾滋病毒感染者提供单独的健康素养教育。开发后，将对目前正在接受抗逆转录病毒治疗的100人进行测试，他们将从当地的诊所招募。他们将在研究期间以四个星期的间隔参加三个课程。干预措施的有效性将通过检查参与者的药物和疾病相关的知识以及对培训干预前后的解决问题技能的认识以及四个星期后的意识。在干预前后的四个星期内，也将评估自我报告和电子监控的依从性。这项研究的结果将是一种自动量身定制的信息应用程序，以提高应对HIV感染者的健康素养。 PHS 398/2590（REV. 11/07）页面延续格式公共卫生相关性：健康素养是与HIV+患者治疗成功有关的至关重要的公共卫生问题。本应用程序中提出的应用程序将通过创建一个可以轻松在Internet上部署的基于计算机的健康素养教学应用程序来解决此问题。 PHS 398/2590（Rev. 11/07）页面延续格式页面