Mi QUIT CARE (Mile Square QUIT Community-Access-Referral-Expansion)

Mi QUIT CARE（Mile Square QUIT 社区-访问-推荐-扩展）

基本信息

批准号：
10254227
负责人：
GERI R DONENBERG
金额：
$ 123.8万
依托单位：
UNIVERSITY OF ILLINOIS AT CHICAGO
依托单位国家：
美国
项目类别：
财政年份：
2020
资助国家：
美国
起止时间：
2020-09-10 至 2023-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10254227
关键词：
Address Adult Asthma Attitude Caring Catchment Area Chronic Obstructive Airway Disease Clinic Clinical Clinical Practice Guideline Communities Counseling Economically Deprived Population Effectiveness Evidence based intervention Goals Guidelines Health Health Personnel Healthcare Healthcare Systems Illinois Intervention Knowledge Low Income Population Low income Lung Lung diseases Malignant neoplasm of lung Methods Modeling Morbidity - disease rate Outcome Patient-Centered Care Patients Pharmacotherapy Phase Population Provider Public Health Randomized Controlled Trials Risk Factors Site Smoke Smoker Smoking Smoking Cessation Intervention System Testing Tobacco Tobacco Dependence Tobacco use Translating Translations Uninsured United States Public Health Service Universities barrier to care community engagement cost effective cost effectiveness cost-effectiveness evaluation design disadvantaged population effectiveness evaluation effectiveness implementation design effectiveness implementation study ethnic minority population evidence base health care settings health disparity health inequalities high risk implementation barriers implementation strategy improved innovation mortality multidisciplinary neighborhood safety novel patient engagement patient population patient portal quitline racial and ethnic reduce tobacco use safety net screening smoking cessation smoking prevalence standard of care tobacco cessation intervention uptake

项目摘要

Abstract Demonstrating the feasibility, effectiveness, and cost-effectiveness of electronically delivered smoking cessation interventions via patient portals in Federally Qualified Health Care (FQHC) settings has the potential for wide-spread dissemination and significant public health impact. on patient populations with demonstrated high rates of smoking. The specific aims of are to: UG3: Aim 1. Examine the burden of tobacco use and its influence on pulmonary health disparities (lung cancer, COPD, and asthma) in the patient population and the economically disadvantaged and racially segregated catchment areas of Mile Square Health Centers. Aim 2: Evaluate knowledge, attitudes, barriers and facilitators to: smoking cessation, engagement with the tobacco quit line, linkage to the tobacco quit line via a patient health portal and receipt of patient navigation to facilitate access to the tobacco quit line among MSHC patients and health care providers.. Aim 3: Evaluate the use of community engagement strategies to increase uptake of the UI Health Patient Portal among low-income patients receiving care at Mile Square Health Center. Aim 4: Test the acceptability, feasibility, and capacity of Mile Square Health to deliver Mi Quit CARE, an evidence-based and multi-level intervention to increase engagement with the quit line via the UI Health Portal. UH3: Aim 1: Determine the effectiveness Mi Quit CARE compared to standard of care in increasing patient engagement with the Illinois tobacco quitline and subsequent smoking cessation outcomes. Aim 2: Evaluate the scalability of Mi Quit CARE to multiple sites within the UI Health FQHC Mile Square clinic network and by translating the intervention to Spanish. Aim 3: Examine the cost effectiveness of Mi Quit CARE on smoking cessation outcomes compared to standard of care among a high risk FQHC population.

抽象的展示电子吸烟的可行性、有效性和成本效益在联邦合格医疗保健 (FQHC) 环境中通过患者门户进行戒烟干预具有潜力广泛传播并产生重大公共卫生影响。对已证实的患者群体吸烟率高。具体目标是： UG3：目标 1. 检查烟草使用的负担及其对肺部健康差异的影响（肺癌症、慢性阻塞性肺病和哮喘）患者群体以及经济弱势群体和种族群体英里广场健康中心的隔离服务区。目标 2：评估以下方面的知识、态度、障碍和促进因素：戒烟、参与戒烟热线，通过患者健康门户链接到戒烟热线，并接收患者导航促进 MSHC 患者和医疗保健提供者使用戒烟热线。目标 3：评估社区参与策略的使用情况，以提高 UI Health 患者的接受度在 Mile Square Health Center 接受护理的低收入患者的门户网站。目标 4：测试 Mile Square Health 提供 Mi Quit CARE（Mi Quit CARE）的可接受性、可行性和能力。基于证据的多层次干预，以增加通过 UI Health Portal 戒烟热线的参与度。 UH3：目标 1：确定 Mi Quit CARE 与标准护理相比对增加患者的有效性参与伊利诺伊州戒烟热线以及随后的戒烟结果。目标 2：评估 Mi Quit CARE 在 UI Health FQHC Mile Square 诊所内多个站点的可扩展性网络并将干预内容翻译成西班牙语。目标 3：对比 Mi Quit CARE 和 Mi Quit CARE 对戒烟结果的成本效益高风险 FQHC 人群的护理标准。