Telemedicine Consultations to Improve Care Quality of Pediatric Hospital-to-Hospital Transfers

远程医疗咨询可提高儿科医院间转院的护理质量

• 批准号: 10605985
• 负责人: Jennifer Rosenthal
• 金额: $ 15.16万
• 依托单位: UNIVERSITY OF CALIFORNIA AT DAVIS
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-06-01 至 2024-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10605985
• 关键词: Academy; Achievement; Award; Birth; Breast Feeding; Clinical Trials; Communities; Consultations; Data; Educational workshop; Environment; Evaluation; Family; Foundations; Goals; Hispanic; Hospitalization; Hospitals; Intervention; Leadership; Mentors; Mentorship; Methods; Outcome; Outcomes Research; Parents; Patients; Pediatric Hospitals; Qualitative Methods; Quality of Care; Reach Effectiveness Adoption Implementation and Maintenance; Research; Research Activity; Research Personnel; Science; Statistical Data Interpretation; System; Telemedicine; Testing; Training; Underrepresented Populations; Woman; Writing; austin; career development; diversity and inclusion; experience; feasibility trial; health information technology; improved; pilot trial; skill acquisition; skills; success; telehealth

PROJECT SUMMARY / ABSTRACT The project objective is to enhance the implementation of telemedicine consultations for pediatric hospital transfers. This award provides the necessary support to strengthen the parent K23 (K23HD101550, PI: Rosenthal) pilot trial by: (Aim 1) Applying quality improvement (QI) methods to promote the successful achievement of the three pilot trial feasibility objectives and (Aim 2) applying the intervention evaluation framework RE-AIM (Reach, Effectiveness, Adoption, Implementation, Maintenance) to conduct a mixed methods evaluation of the pilot trial’s telemedicine intervention. Our team has expertise in telemedicine interventions, clinical trials, QI, mixed methods, evaluation frameworks, and advanced statistical analyses. This supplement provides hands-on experiences for mentored training of two women early investigators. The trainee is Dr. Hoyt-Austin, a Hispanic researcher with a long-term goal to be an independent investigator in systems-level interventions to improve breastfeeding outcomes after birth hospitalization discharge. The primary mentor and candidate for this supplement is Dr. Rosenthal, a K23 awardee developing research leadership skills as part of her K23 mentored training plan. We propose a mentoring family, whereby the “grand” mentors are Drs. Young and Brown. Dr. Young is Dr. Rosenthal’s K23 mentor with expertise in research leadership and patient- and family-centered outcomes research using health information technology. She will mentor Dr. Rosenthal is mentoring Dr. Hoyt-Austin’s research activities. Dr. Brown has expertise in mentorship that increases inclusion and diversity in the research community. She will oversee Dr. Rosenthal’s inclusive and culturally humble mentoring skill development. We propose a training plan for Dr. Hoyt-Austin to develop skills in (1) QI methods, (2) qualitative methods, and (3) implementation and evaluation of telehealth interventions. These skills will give her the foundation to write her K23 proposal to test a telehealth intervention to improve breastfeeding outcomes. We also propose a training plan for Dr. Rosenthal to develop skills in (1) inclusive team science environments and (2) racially and culturally humble mentoring relationships. Dr. Rosenthal has demonstrated strong mentorship to trainees from groups underrepresented in the biomedical sciences. However, she has never been mentored in her mentorship. Enhancing mentoring skills, with an emphasis on mentoring trainees from underrepresented groups, is an integral aspect of research leadership and Dr. Rosenthal’s success as an investigator who supports the career development of a diverse research workforce by promoting cultures of equity and inclusion. Completion of this proposal will provide valuable data that will be used in Dr. Rosenthal’s R01 application. It will enhance the career development of two women early investigators, one who is Hispanic. It will also result in a UC Davis Mentoring Academy for Research Excellence workshop to disseminate the mentor family concept to achieve widespread and sustained impact on promiting outstanding mentorship to diverse trainees.

项目摘要 /摘要 该项目的目标是增强小儿医院远程医疗咨询的实施 转移。该奖项提供了必要的支持，以加强家长K23（K23HD101550，PI： Rosenthal）试验试验：（目标1）应用质量改进（QI）方法来促进成功 实现三个试点试验可行性目标和（目标2）应用干预评估 框架Re-aim（覆盖，有效性，采用，实施，维护）进行混合 试验试验远程医疗干预的方法评估。我们的团队在远程医疗方面有专业知识 干预措施，临床试验，QI，混合方法，评估框架和高级统计分析。 该补充剂为两名女性早期研究人员的指导培训提供了动手经验。这 学员是霍伊特·奥斯汀（Hoyt-Austin）博士，他是一位长期目标的西班牙裔研究人员 系统级干预措施以改善出生住院后的母乳喂养结果。这 该补充剂的主要导师和候选人是Rosenthal博士，K23获奖者正在开发研究 领导技能作为K23指导培训计划的一部分。我们提出了一个指导家庭， “大师”的导师是博士。年轻和棕色。 Young博士是Rosenthal博士的K23导师，具有专业知识 研究领导力以及使用健康信息技术以患者和家庭为中心的结果研究。 她将指导Rosenthal博士指导Hoyt-Austin博士的研究活动。布朗博士有专业知识 增加研究界的包容性和多样性的遗产。她将监督罗森塔尔博士的 包容性和文化谦虚的心理技能发展。 我们为Hoyt-Austin博士提出了一个培训计划，以发展（1）QI方法，（2）定性方法， （3）远程医疗干预措施的实施和评估。这些技能将为她带来基础 撰写她的K23建议，以测试远程医疗干预措施以改善母乳喂养的结果。我们也建议 Rosenthal博士的培训计划，以发展（1）包含性团队科学环境和（2）的技能 在种族和文化上谦卑的指导关系。罗森塔尔博士表现出强大的指导 来自生物医学科学中人数不足的团体的受训者。但是，她从未被考虑过 在她的心态。提高心态技能，重点是人为不足的心态学员 小组是研究领导和罗森塔尔博士作为调查员的成功的组成部分 通过促进公平和包容性文化来支持潜水员研究劳动力的职业发展。 该提案的完成将提供Rosenthal博士R01应用程序中使用的有价值数据。它 将增强两名女性早期调查人员的职业发展，其中一名是西班牙裔。也会结果 在加州大学戴维斯分校指导学院的研究卓越研讨会上，以传播精神家庭 实现对潜水员学员有希望的杰出心态的宽度和持续影响的概念。