Phase III Trial of Pocket PATH: A Computerized Intervention to Promote Self-Care

Pocket PATH 第三阶段试验：促进自我保健的计算机干预

• 批准号: 7810485
• 负责人: ANNETTE J DE VITO DABBS
• 金额: $ 29.75万
• 依托单位: UNIVERSITY OF PITTSBURGH AT PITTSBURGH
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-09-18 至 2012-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7810485
• 关键词: American; Behavior; Caring; Chronic Disease; Clinical; Collaborations; Communication; Computer software; Contract Services; Data; Databases; Decision Making; Devices; Early Diagnosis; Evaluation; Funding; Future; Goals; Grant; Health; Health Promotion; Health Resources; Health Technology; Human Resources; Impairment; Individual; Institute of Medicine (U.S.); Internet; Intervention; Lead; Life; Link; Lung; Lung Transplantation; Medical; Modification; Monitor; Morbidity - disease rate; National Institute of Nursing Research; Online Systems; Organ; Organ Donor; Organ Transplantation; Outcome; Participant; Patients; Persons; Phase III Clinical Trials; Prevention; Quality of life; Randomized Controlled Trials; Recovery; Relative (related person); Reporting; Research; Resources; Respiratory physiology; Self Care; Self Management; Services; Software Engineering; Solid; Specialist; Sum; Technology; Testing; Translational Research; Translations; Transplant Recipients; Transplantation; Treatment Protocols; United States National Institutes of Health; Voice; Work; clinical practice; collaborative care; comparative efficacy; computer human interaction; computerized; data sharing; design; disorder prevention; efficacy testing; end stage disease; experience; handheld equipment; improved; innovation; mortality; new technology; novel; parent grant; prevent; programs; public health relevance; research study; response; standard care; success; therapy design; trend; usability; user centered design; virtual; web based interface

DESCRIPTION (provided by applicant): This Competitive Revision to the current grant (Phase III Trial of Pocket PATH: A Computerized Intervention to Promote Self-Care (NR010711) is being submitted in response to Notice NOT-OD-09-058 supported by the American Recovery and Reinvestment Act of 2009. Lung transplant recipients experience more transplant-related complications, higher health resource utilization and mortality than recipients of other solid organs. Prevention and detection of early complications is known to reduce the likelihood of future impairments in lung function and therefore morbidity and mortality. Despite the scarce donor organs and financial resources expended to support individuals throughout the lung transplant experience, few trials have tested interventions designed to promote self-care behaviors and patient-clinician collaboration with the aim of improving transplant-related health and reducing resource utilization after lung transplant. The purpose of the current trial is to compare the efficacy of a novel intervention, Pocket PATH (Personal Assistant for Tracking Health) for promoting self-care and improving health outcomes relative to standard care after lung transplantation. Pocket PATH provides lung transplant recipients a handheld device with customized data recording, trending and decision-support programs to promote their self-care behaviors. The overall purpose of this competitive revision is to extend the scope of the currently funded PocketPATH project beyond patient behaviors to also support the clinician behaviors known to promote better health outcomes through collaboration and partnership with patients (e.g., support of patient activation, timely data review for evaluation of condition changes and proactive communication). We now propose to design and test a web-based clinician interface (Pocket PATH Link) to support remote data sharing and communication between patients using the Pocket PATH device and their clinician partners. We will then combine the current Pocket PATH features for patients with the new Pocket PATH Link features for clinicians to create a fully integrated application called Pocket PATH Synergy, so that the combination of patients and clinicians working together will lead to health outcomes that are better than the sum of each working separately. Pocket PATH Synergy melds the latest interactive health technologies with the evidence regarding the benefits of patients' being active participants in their care, and the link between patient-clinician collaboration and shared clinical decision making on better health outcomes. The proposal is innovative and well matched to the scientific priorities of NINR-supported competitive revisions including health promotion, disease prevention, self-management and integrating technology into clinical practice. As in the parent grant, while our work is targeted to the needs of lung transplant recipients, it has the potential to inform interventions to promote shared clinician management for individuals living with other chronic illnesses. This competitive revision will allow us to contribute to the aims of the ARRA in the following ways: 1. Stimulate the economy by hiring additional personnel (a usability specialist/human computer interaction specialist and programmer/data base specialist, and trainer/data collector), procuring additional equipment (handheld devices, voice and data service plans, virtual private server, and web-screen capture software), and increasing contracted services (software engineer/programmer). 2. Accelerate the tempo of scientific research by increasing the value of the current project goals and accelerating the rate of evaluation and translation of scientific research. Since completion of the revision period coincides with the final year of the R01, we will have all requisite preliminary work to propose a full-scale translational research study to evaluate the success of Pocket PATH Synergy in promoting shared management of post-transplant health and hence better health outcomes. PUBLIC HEALTH RELEVANCE: The purpose of this revision is to extend the scope of the currently funded Pocket PATH project beyond patient behaviors to also support the clinician behaviors known to promote better health outcomes through collaboration and partnership with patients (e.g., support of patient activation, timely data review for evaluation of condition changes and proactive communication). Although Pocket PATH is being designed and tested with lung transplant recipients, with little modification this intervention has the potential to have a broader impact by promoting self-care behaviors, and thus improving health outcomes, in recipients of other solid organs and in persons with other chronic illnesses. The proposed revision fits well with the goals of the ARRA (NOT -OD-09-058) and the following initiatives and priorities: 1) National Institute of Nursing Research's emphasis on generating and testing new technologies to improve self-management, 2) the NIH Roadmap initiative to build collaborative, interdisciplinary teams to promote health, and 3) the recent Institute of Medicine report to involve patients in the design of health technologies.

描述（由申请人提供）：对当前赠款的这项竞争性修订（口袋路径的第三阶段试验：一种促进自我保健的计算机干预措施（NR010711）（NR010711）正在响应，以响应通知，不受美国恢复和重新投资法的通知，而不是2009年的美国恢复和再投资法。已知对早期并发症的检测会减少肺功能的未来损害的可能性，因此发病率和死亡率。试验是为了比较新颖的干预措施，袖珍路径（跟踪健康的个人助理）在促进自我护理和改善肺移植后标准护理的健康结果方面的功效。 Pocket Path为肺移植接收者提供手持设备，并提供自定义的数据记录，趋势和决策支持程序，以促进其自我保健行为。这项竞争性修订的总体目的是将当前资助的口袋项目的范围扩展到患者行为之外，以支持已知的临床医生行为通过与患者的协作和合作伙伴关系来促进更好的健康成果（例如，支持患者激活，及时的数据审查，以评估病情变化和主动沟通）。现在，我们建议设计和测试基于Web的临床医生界面（Pocket Path Link），以支持使用Pocket Path设备及其临床合作伙伴在患者之间进行远程数据共享和通信。然后，我们将将当前患者的口袋路径功能与新的Pocket Path Link特征相结合，以供临床医生创建一个称为Pocket Path Synergy的完全集成的应用程序，以便患者和临床医生共同工作的结合将导致健康成果，而健康结果比单独工作的总和更好。 Pocket Path Synergy融合了最新的互动健康技术，并有证据表明患者积极参与其护理的好处，以及患者 - 智慧合作与更好的健康结果的临床决策之间的联系。该提案具有创新性，与忍者支持的竞争性修订的科学优先事项相吻合，包括健康促进，预防疾病，自我管理和将技术整合到临床实践中。就像在父母赠款中一样，虽然我们的工作针对肺移植接受者的需求，但它有可能为干预措施提供干预措施，以促进患有其他慢性疾病的人的共同临床管理。 这种竞争性的修订将使我们能够通过以下方式为ARRA的目标做出贡献： 1。通过雇用其他人员（可用性专家/人类计算机）来刺激经济 交互专家和程序员/数据库专家，以及培训师/数据收集器），采购其他设备（手持设备，语音和数据服务计划，虚拟专用服务器和网络屏幕捕获软件），并增加合同服务（软件工程师/程序员）。 2。通过增加当前项目目标的价值并加速科学研究的速度，加速科学研究的速度。自修订期结束与R01的最后一年相吻合以来，我们将有必要的初步工作，以提出一项全面的翻译研究，以评估Pocket Path Synergy在促进移植后健康的共同管理方面的成功，从而评估更好的健康状况。 公共卫生相关性：这项修订的目的是将当前资助的口袋路径项目的范围扩展到患者行为之外，以支持已知的临床医生行为，通过与患者的协作和伙伴关系来促进更好的健康成果（例如，支持患者激活，及时数据审查病情变化和主动沟通和主动沟通）。尽管正在用肺移植受者设计和测试口袋路径，但由于几乎没有修改，这种干预措施有可能通过促进自我保健行为来产生更广泛的影响，从而改善其他固体器官的受体以及其他患有其他慢性病的人的健康结果。拟议的修订与ARRA的目标（不是-OD-09-058）以及以下计划和优先事项：1）国家护理研究所的重点强调生成和测试新技术以改善自我管理，2）NIH RoadMap倡议，以促进医疗培训，以促进医疗研究所的研究，以促进医疗研究所，以促进医疗研究所的研究和3）。