Collaboration Oriented Approach to Controlling High blood pressure (COACH)

以协作为导向的高血压控制方法 (COACH)

• 批准号: 10653058
• 负责人: DAVID A. DORR
• 金额: $ 98.97万
• 依托单位: OREGON HEALTH & SCIENCE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-07-01 至 2025-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10653058
• 关键词: Collaboration; Oriented; Approach; Controlling; blood

PROJECT SUMMARY Background. High blood pressure is common in adults, and – despite the fact it can be controlled – 40% of those with high blood pressure do not have it controlled and remain at high risk for heart attack, strokes, and kidney failure. Controlling high blood pressure can be achieved through medications and changes in behavior and lifestyle, including losing weight, changing diets, increasing activity, reducing alcohol intake, and stopping tobacco use. These require self-management and monitoring of blood pressure; new tools such as web applications can help provide this support, but need standardized approaches to reflect recommendations for blood pressure control and to better engage those with high blood pressure. Our innovation will combine social cognitive theory and behavioral economics with a standards based CDS tool to improve blood pressure control. Goal. The goal of the proposal is to implement sharable, interoperable, and scalable patient-facing clinical decision support for high blood pressure. Our objectives are to refine and implement a patient-facing, adaptable Collaboration Oriented Approach to Controlling High blood pressure (COACH CDS system in 3 diverse settings, using implementation science and patient engagement to maximize effectiveness. Then, we will perform a mixed methods study including a randomized controlled trial using implementation science and social cognitive theory to test effectiveness of the application at lowering blood pressure; and finally to develop robust, sharable, interoperable mechanisms to aid in further dissemination and implementations of patient- facing CDS. Our methods will be to implement existing, interoperable CDS into 3 different sites and then perform a randomized controlled trial with qualitative and quantitative components to understand effectiveness and implementation issues. We will collaborate with a broad number of groups – including patients – to further disseminate our work.

项目概要 背景 高血压在成年人中很常见，尽管事实上高血压是可以控制的，但 40% 的人患有高血压。 高血压患者如果没有得到控制，心脏病、中风和心脏病的风险仍然很高 肾衰竭可以通过药物治疗和行为改变来控制。 和生活方式，包括减肥、改变饮食、增加活动、减少饮酒和戒酒 吸烟。这些需要自我管理和监测血压； 应用程序可以帮助提供这种支持，但需要标准化的方法来反映以下方面的建议： 我们的创新将把血压控制和更好地吸引高血压患者结合起来。 社会认知理论和行为经济学以及基于标准的 CDS 工具来改善血液 压力控制。 该提案的目标是实现可共享、可互操作和可扩展的面向患者的临床。 我们的目标是完善和实施面向患者的高血压决策支持。 适应性强的以协作为导向的高血压控制方法（COACH CDS 系统在 3 多样化的环境，利用科学和患者的实施参与来最大限度地提高有效性。 将进行一项混合方法研究，包括使用科学实施的随机对照试验和 社会认知理论来测试应用程序在降低血压方面的有效性；并最终发展 强大的、可共享的、可互操作的机制，以帮助进一步传播和实施患者 面对 CDS，我们的方法是将现有的、可互操作的 CDS 实施到 3 个不同的站点，然后 进行具有定性和定量成分的随机对照试验，以了解有效性 我们将与包括患者在内的广泛群体合作，进一步推进 传播我们的工作。

项目成果

Patient-Facing Clinical Decision Support for High Blood Pressure Control: Patient Survey.

面向患者的高血压控制临床决策支持：患者调查。

• 发表时间: 2023-01-23
• 作者: Dorr, David;D'Autremont, Chris;Richardson, Joshua E;Bobo, Michelle;Terndrup, Christopher;Dunne, M J;Cheng, Anthony;Rope, Robert
• 通讯作者: Rope, Robert