Academic Career Award in Complementary and Alternative Medicine

补充和替代医学学术生涯奖

基本信息

批准号：
7990057
负责人：
Paula Marie Gardiner
金额：
$ 12.93万
依托单位：
BOSTON MEDICAL CENTER
依托单位国家：
美国
项目类别：
财政年份：
2010
资助国家：
美国
起止时间：
2010-09-01 至 2015-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7990057
关键词：
Academic Career Award Access to Information Accident and Emergency department Address Adherence Adult Adverse event Advocate Affect Award Benefits and Risks Biometry Boston Caring Characteristics Clinical Trials Design Communication Complementary and alternative medicine Control Groups Cranberries Data Data Analyses Development Documentation Dose Education Educational Curriculum Educational Intervention Educational process of instructing Engineering Enrollment Epidemiologic Methods Epidemiology Fish Oils Funding Future Goals Grant Healthcare Herb Hospital Design Hospital Records Hospitalization Hospitals Hypericum perforatum Information Systems Inpatients Instructional Technology Intervention Joints Knowledge Low income Measures Medical Medical Errors Medical Records Medicine Mentors Methods Minority Modeling National Center for Complementary and Alternative Medicine National Health Interview Survey National Heart, Lung, and Blood Institute Nurses Online Systems Outcome Patient Discharge Patients Pharmaceutical Preparations Physicians Pilot Projects Pre-Post Tests Probiotics Randomized Randomized Clinical Trials Reporting Research Research Personnel Research Project Grants Risk Safety Sampling Schools Solid Strategic Planning System Testing Time Training Underserved Population Universities Vaccinium macrocarpon Visit Vitamins Woman Work base capsule career career development computerized design dietary supplements evidence base health care delivery health information technology health literacy high risk hospital utilization human subject protection innovation knowledge base literacy patient oriented patient safety post intervention prevent programs public health relevance skills virtual

项目摘要

DESCRIPTION (provided by applicant): NCCAM's 2005 Strategic Plan includes the exploration of organized health care delivery models which integrate complementary and alternative medicines (CAM) with conventional care. The 2007 National Health Interview Survey reports that approximately one in five adults use Herbs and non-vitamin Dietary Supplements (HDS). However, little is known about the number of inpatients in urban underserved hospitals who continue to use HDS while receiving treatment with allopathic medicines. Similarly, little is known about factors associated with potential HDS adverse events in hospital settings. Health information technology holds promise as an innovative and effective way to deliver HDS information to underserved patients and their physicians. This K07 application proposes essential first steps toward (1) developing a solid knowledge base about HDS use in underserved hospital patients, and (2) designing and piloting innovative methods to effectively deliver evidenced-based HDS information to underserved inpatients and their physicians, in particular through health information technology. The research objectives of this application are: (1) to contribute to the knowledge base about HDS use among minority inpatients; (2) to design culturally sensitive literacy-informed patient-centered information technology systems to teach about HDS; and (3) to develop a patient safety curriculum that will help clinicians document HDS use and communicate effectively with their patients about HDS. To achieve these objectives, this K07 application has three specific aims: (1) Investigate the association between HDS use, health literacy, medication use, and hospital utilization in a sample of 750 hospitalized patients; (2) Conduct a randomized clinical trial in sixty women who will receive a hospitalized discharge plan on cranberry delivered by a virtual patient advocate (a computerized, animated, empathic character), and a control group who receives the same information via a cranberry patient information sheet; and (3) Design, program, and evaluate a web-based HDS patient safety curriculum for clinicians, then utilize pre and post measures and chart reviews to assess its impact on clinician-patient HDS communication. Completion of this research will be supported by: (1) a core of highly skilled mentors and consultants; and (2) completion of a Graduate Certificate in Instructional Technology at the Boston University School of Education. The candidate's career goals are to become (1) an independent HDS research investigator and educator for underserved populations, and (2) a national leader in the use of health information technology for HDS patient and clinician education. To prepare herself to accomplish these career goals, as well as the research objectives outlined above, the candidate proposes (1) to undertake mentored training in patient safety, health care disparities, health literacy, and epidemiologic methods, and (2) to pursue course-working clinical trial design, statistical analysis, human subject protections, and online curriculum development. This award will effectively prepare the candidate to become a successful independently-funded HDS investigator, focused on the needs of underserved patients, and an expert in applying health information technology to the study and teaching of CAM. PUBLIC HEALTH RELEVANCE: Despite widespread herb use, little is known about inpatient use of herbs and non-vitamin dietary supplements in urban underserved hospitals. In this K07 Academic Career Development application, the candidate proposes essential first steps toward (1) developing a solid knowledge base about herb use in underserved hospital patients, and (2) designing and piloting innovative methods to effectively deliver evidenced-based herbal information to underserved inpatients and their physicians using health information technology.

描述（由申请人提供）：NCCAM 2005 年战略计划包括探索将补充和替代药物 (CAM) 与传统护理相结合的有组织的医疗保健提供模式。 2007 年全国健康访谈调查报告称，大约五分之一的成年人使用草药和非维生素膳食补充剂 (HDS)。然而，对于在医疗服务不足的城市医院中，在接受对抗疗法药物治疗的同时继续使用 HDS 的住院患者人数知之甚少。同样，我们对医院环境中与 HDS 潜在不良事件相关的因素知之甚少。健康信息技术有望成为向服务不足的患者及其医生提供 HDS 信息的创新且有效的方式。该 K07 应用提出了重要的第一步，旨在 (1) 开发有关 HDS 在服务不足的医院患者中使用的坚实知识库，以及 (2) 设计和试点创新方法，以有效地向服务不足的住院患者及其医生（特别是他们的医生）提供基于证据的 HDS 信息通过卫生信息技术。该应用程序的研究目标是：(1) 为少数民族住院患者使用 HDS 的知识库做出贡献； (2) 设计文化敏感、扫盲、以患者为中心的信息技术系统来教授 HDS； (3) 制定患者安全课程，帮助临床医生记录 HDS 的使用情况并与患者就 HDS 进行有效沟通。为了实现这些目标，该 K07 应用程序具有三个具体目标： (1) 以 750 名住院患者为样本，调查 HDS 使用、健康素养、药物使用和医院利用率之间的关联； (2) 对 60 名女性进行一项随机临床试验，这些女性将接受由虚拟患者倡导者（计算机化、动画、富有同情心的角色）提供的蔓越莓住院出院计划，对照组通过蔓越莓患者信息接收相同信息床单; (3) 为临床医生设计、编程和评估基于网络的 HDS 患者安全课程，然后利用前后措施和图表审查来评估其对临床医生与患者 HDS 沟通的影响。本研究的完成将得到以下支持：（1）高技能导师和顾问的核心； (2) 在波士顿大学教育学院完成教学技术研究生证书。候选人的职业目标是成为 (1) 独立的 HDS 研究调查员和服务不足人群的教育者，以及 (2) 在使用健康信息技术进行 HDS 患者和临床医生教育方面的国家领导者。为了做好准备以实现这些职业目标以及上述研究目标，候选人建议 (1) 接受患者安全、医疗保健差异、健康素养和流行病学方法方面的指导培训，以及 (2) 继续学习课程-有效的临床试验设计、统计分析、人体受试者保护和在线课程开发。该奖项将有效地帮助候选人成为一名成功的独立资助的 HDS 研究者，专注于服务不足的患者的需求，以及将健康信息技术应用于 CAM 研究和教学的专家。公共卫生相关性：尽管草药使用广泛，但在服务不足的城市医院中，住院患者使用草药和非维生素膳食补充剂的情况却知之甚少。在此 K07 学术职业发展申请中，候选人提出了重要的第一步：(1) 为服务不足的医院患者建立有关草药使用的坚实知识库，以及 (2) 设计和试点创新方法，以有效地向服务不足的医院患者提供基于证据的草药信息住院患者及其医生使用健康信息技术。