Information visualizations to facilitate clinician-patient communication in HIV care (Info Viz: HIV)

信息可视化促进艾滋病毒护理中临床医生与患者的沟通（信息可视化：艾滋病毒）

• 批准号: 10251362
• 负责人: Samantha Stonbraker
• 金额: $ 24.13万
• 依托单位: UNIVERSITY OF COLORADO DENVER
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-09-01 至 2023-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10251362
• 关键词: Acculturation; Affect; Area; Attention; Automation; Award; Behavior; CD4 Lymphocyte Count; Caring; Chronic; Chronic Disease; Clinic; Clinic Visits; Clinical; Communication; Communication Methods; Complex; Data; Developing Countries; Diagnosis; Dominican Republic; Ensure; Evaluation; Exercise; Exposure to; Face; Feasibility Studies; Funding; Future; Goals; Guidelines; HIV; HIV Infections; Health; Health Personnel; Health Promotion; Health Status; Health behavior; Image; Individual; Informatics; Intervention; Knowledge; Language; Latino; Lead; Linear Models; Measurement; Measures; Mentors; Mentorship; Methodology; Methods; Minority Groups; Modality; National Institute of Nursing Research; New York City; Nurses; Outcome; Pathway interactions; Patient-Focused Outcomes; Patients; Persons; Pharmaceutical Preparations; Phase; Population; Prevention; Production; Quality of life; Randomized Controlled Trials; Research; Research Personnel; Research Project Summaries; Resources; School Nursing; Scientist; Self Management; Site; Socioeconomic Status; Statistical Data Interpretation; Testing; Time; Training; Training Activity; Treatment outcome; United States; United States National Institutes of Health; Universities; Variant; Viral Load result; Visit; Visual; Visualization; Work; behavioral outcome; burden of illness; career; clinical encounter; design; efficacy evaluation; efficacy testing; evidence base; experience; feasibility trial; health care service utilization; health disparity; health literacy; health management; improved; improved outcome; informatics training; interdisciplinary collaboration; literacy; low socioeconomic status; multi-site trial; novel; nutrition; patient-clinician communication; pre-doctoral; programs; response; satisfaction; side effect; skills; standard care; success; theories; usability

PROJECT SUMMARY The research in this K99/R00 Pathway to Independence Award is aligned with the National Institute of Nursing Research’s scientific focus area of improving self-management strategies for individuals with chronic conditions. Additionally, this award will provide the protected time, advanced training, and research experience that the candidate needs to further develop her program of research aimed at promoting health and reducing health disparities among Latinos with low health literacy. This study builds on previous NIH-funded pre- and postdoctoral research (T32 NR013454, T32 NR007969) and aims to evaluate infographics which are evidence-based, culturally appropriate, and methodically designed images to facilitate clinician-patient HIV-related communication. HIV is a complex chronic illness for which effective self-management requires persons living with HIV (PLWH) to acquire, understand, and utilize large amounts of health information. By using rigorously designed and evaluated infographics during clinical encounters, clinicians may provide the information PLWH need for effective self-management in a more meaningful way. During the first year of the K99, the candidate will assess the extent to which the infographics she developed through her postdoctoral work are a feasible and useful method to facilitate information exchange and improve outcomes among PLWH with low health literacy. To ensure cultural relevance, this feasibility trial of infographic use during clinical visits in a limited resource setting will take place at Clínica de Familia in La Romana in the Dominican Republic (DR). Beyond ensuring cultural appropriateness, this study builds on previous work conducted at the Clinic and a well-established relationship with the organization will ensure long-term project success. The second year of the K99 will take place at Columbia University School of Nursing in New York City, and will include advanced training in statistical analysis, design and implementation of randomized controlled trials (RCTs), theory and measurement of acculturation and cultural influences on health, communication methods with individuals who have low health literacy, and automation of infographics through coursework, seminars, and interdisciplinary collaboration. During the R00 phase, a multi-site RCT will be used to assess the efficacy of using infographics during normal clinic visits to improve short, medium, and long- term treatment outcomes among PLWH in the United States (US) and in the DR. How infographic use influences clinician-patient communication and treatment outcomes in both settings will also be compared. Through rigorous refinement and evaluation of a novel method to enhance HIV-related communication between health care providers and Latino PLWH with low health literacy in the US and abroad, findings will contribute to the evidence- base regarding methodically generated, culturally appropriate infographic design and communication methodologies that can lead to better health outcomes among Latino patients globally. Additionally, by ensuring the time and support needed to solidify her program of research, this award will advance the candidate towards becoming an independently funded nurse scientist seeking to promote health and reduce health disparities through evidenced-based informatics interventions.

项目摘要 这项K99/R00独立奖的研究与Natitute of Natite of护理 研究的科学重点是改善患有慢性疾病的人的自我管理策略。 此外，该奖项将提供受保护的时间，高级培训和研究经验候选人 需要进一步制定她的研究计划，旨在促进健康，减少健康和减少拉丁美洲人的健康差异 较低的健康素养。 NR007969）旨在评估信息图表的信息图表，这些信息图表基于证据，在文化上适当 设计图像以促进临床医生与HIV相关的沟通。 有效的自我管理要求患有艾滋病毒（PLWH）的人获取，理解和利用大型Amourge Amourge Amourge。 健康信息。 提供有关以更有意义的方式提供有效自我管理的信息。 在K99的第一年，候选人将执行她通过 她的博士后工作是一种可行的，可以促进信息交流并改善结果的方法 具有低健康素养的PLWH。 在有限的资源环境中，将在多米尼加共和国的La Romana的ClínicaDeFamily（DR）举行 确保文化拨款，这项研究基于诊所进行的先前工作，并建立了良好的 与组织的关系确保长期成功。 纽约市哥伦比亚大学护理学院 随机对照试验（RCT）的设计和实施，适应和文化的理论和衡量 对健康素养较低的个人的健康，沟通方法的影响以及自动化 通过课程，研讨会和跨学科合作的信息图表。 将用于评估正常诊所期间使用信息图的使用，以提高短而长 - 美国（美国）和DR中的PLWH中的成果。 还将比较两种情况下的临床医生沟通和治疗CORTOM。 通过严格的完善和评估 在美国和国外，护理提供者和Latino PLWH具有低健康素养，调查结果将有助于证据 - 基于有条不紊地生成，文化适当的信息图设计和通信方法论 通过确保所需的时间和支持，可以在拉丁裔患者中带来更好的健康状况。 为了巩固她的研究计划，该裁决将候选人独立资助 寻求促进健康并降低健康的护士科学家。