Comprehensive Health Informatics Engagement Framework for Pulmonary Rehab

肺康复综合健康信息学参与框架

基本信息

批准号：
10026347
负责人：
JOSEPH E FINKELSTEIN
金额：
$ 81.12万
依托单位：
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
依托单位国家：
美国
项目类别：
财政年份：
2018
资助国家：
美国
起止时间：
2018-09-20 至 2023-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10026347
关键词：
Acute Address Adherence Ambulatory Care American Awareness Cardiac rehabilitation Caring Cessation of life Chest Chronic Chronic Obstructive Airway Disease Clinical Communities Computerized Medical Record Computers Counseling Decision Aid Disadvantaged Dyspnea Education Enrollment Goals Guidelines Health Health Personnel Healthcare Home environment Hylobates Genus Informatics Intervention Knowledge Link Lung Maintenance Mediating Modeling Modernization Morbidity - disease rate Motivation Notification Patient Monitoring System Patient Outcomes Assessments Patient Participation Patient-Centered Care Patient-Focused Outcomes Patients Perception Physical activity Policies Preparation Provider Public Health Informatics Quality of life Randomized Randomized Controlled Trials Rehabilitation therapy Reporting Self Care Self Efficacy Series Societies Symptoms Testing United States Update base clinical care clinical center clinical decision support clinically relevant disorder subtype empowerment exercise capacity experience health information technology health literacy high risk hospital readmission illness perceptions improved individualized medicine innovation mortality novel strategies patient engagement patient subsets peer primary outcome programs pulmonary rehabilitation randomized controlled study randomized trial secondary outcome standard of care telecare telerehabilitation treatment planning uptake urgent care web page

项目摘要

Previous studies clearly established clinical benefits of pulmonary rehabilitation in patients with chronic obstructive pulmonary disease (COPD) however uptake and completion rate of pulmonary rehabilitation (PR) programs by these patients is limited by multiple barriers. We developed a t Comprehensive Health Informatics Engagement Framework for Pulmonary Rehabilitation (CHIEF-PR) which facilities patient referral and promoted adherence with pulmonary rehabilitation program using innovative multi-pronged approach. It includes computer-mediated patient counseling to increase patient motivation in joining PR program followed by ongoing home-based support of PR by a telerehabilitation system that monitors patients' progress and allows remote oversight by clinical PR team. The goal of this project to systematically evaluate impact of Comprehensive Health Informatics Engagement Framework for Pulmonary Rehabilitation (CHIEF-PR) in a randomized controlled trial. Our main hypothesis is that CHIEF-PR will result in significantly higher rates of completion of a comprehensive pulmonary rehabilitation program. We will enroll 120 COPD patients within 4 weeks of acute exacerbation of COPD into randomized controlled trial and follow them for 12 months. Patients will be randomly assigned to intervention (CHIEF-PR) and control (best available standard of care) groups. Primary outcome will be completion rate of comprehensive 3-month PR program. Secondary outcomes will include relevant clinical and patient-reported parameters.

先前的研究清楚地确定了肺部康复的临床益处阻塞性肺疾病（COPD）然而，肺部康复（PR）的吸收和完成率这些患者的程序受到多个障碍的限制。我们开发了全面的健康信息学肺部康复的参与框架（Chiep-pr），哪些设施患者转诊和使用创新的多种方法来促进遵守肺部康复计划。它包括计算机介导的患者咨询以增加患者加入PR计划的动力通过持续以家庭为基础的家庭支持PR，该系统可以监视患者的进度，并允许临床公关团队的远程监督。该项目的目标是系统地评估肺部康复的全面健康信息学参与框架随机对照试验。我们的主要假设是，首席PR将导致率明显更高完成全面的肺康复计划。我们将在4名内注册120名COPD患者 COPD急性加剧的数周将其纳入随机对照试验中，并跟随它们12个月。患者将随机分配给干预（主要PR）和控制（最佳的护理标准）组。主要结果将是综合3个月公关计划的完成率。次要结果将包括相关的临床和患者报告的参数。