Health IT to reduce disparities in risks for sleep-related infant deaths

健康信息技术可减少与睡眠相关的婴儿死亡风险的差异

基本信息

批准号：
10117553
负责人：
Andrea C Gielen
金额：
$ 68.74万
依托单位：
JOHNS HOPKINS UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2021
资助国家：
美国
起止时间：
2021-06-16 至 2026-02-28
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10117553
关键词：
Academy African American Algorithms American Asphyxia Back Back to Sleep Baltimore Beds Belief Birth Caring Cessation of life Child Childhood Childhood Injury Cities Clinic Clinical Clinical Informatics Communication Communities Computerized Medical Record Counseling Data Disadvantaged Disclosure Economically Deprived Population Environment Family Feedback Funding Health Health Personnel Health care facility Healthcare Home Infant Intervention Knowledge Life Newborn Infant Outcome Parents Patients Pediatrics Peer Review Population Prevention Measures Prevention Research Primary Health Care Provider Public Health Publications Randomized Randomized Controlled Trials Reporting Research Risk Site Sleep Smoke Source Sudden infant death syndrome Supination Surveys System Testing Theory of Change Training Training Activity United States National Institutes of Health United States Public Health Service Visit Work base behavior change care providers disadvantaged population disparity reduction effectiveness evaluation experience follow-up health disparity health information technology high risk improved infant death injury prevention innovation motivational enhancement therapy pediatrician portability programs racial and ethnic disparities response satisfaction skills socioeconomic disadvantage standard of care supine sleep tool

项目摘要

PROJECT SUMMARY/ABSTRACT This proposal is in response to PAR19-093, and its aims are consistent with NIMHD and OBSSR priorities. This research will examine how a unique health information technology (HIT) tool impacts patient and provider outcomes when implemented in a pediatric primary care clinic serving a socioeconomically disadvantaged population that is primarily Black/African American. Aim 1. To test the impact of implementing a new EMR-based Infant Sleep Assessment (ISA) and brief communication training on a) pediatric clinicians’ delivery of anticipatory guidance (both positive and unintended negative consequences); and b) parents’ satisfaction with care, infant safe sleep knowledge, beliefs, reported practices, and observed infant sleep environments. Aim 2. To assess how implementing the new EMR-based ISA and brief communication training is perceived by pediatric clinicians in terms of its advantages, disadvantages, and impact on their delivery of anticipatory guidance. For Aim 1, a randomized controlled trial will compare outcomes between a Standard of Care (SOC) and an ISA group. Each of 12 half-day clinic sessions will be randomly assigned to SOC or ISA. Clinicians (N=88) and the parents of their newborn patients (N=188 per study group) will remain in their assigned group throughout the study. The ISA group will complete the tool at their 2-month well-baby visit, and both groups will have this visit audio recorded. Follow-up data will be collected by an in-home survey and observation when the infant is 3-4 months old. For Aim 2, a brief survey will be completed by the clinicians at the end of their study participation. Results will be disseminated through peer-reviewed publications, presentations and summary briefs distributed through electronic media to the pediatric, injury prevention, public health, clinical informatics, and health disparities communities.

项目概要/摘要该提案是对 PAR19-093 的回应，其目标与 NIMHD 和 OBSSR 的优先事项一致。这项研究将探讨独特的健康信息技术 (HIT) 工具如何影响患者和提供者在为社会经济弱势群体提供服务的儿科初级保健诊所实施时的结果主要是黑人/非裔美国人的人口。目标 1. 测试实施新的基于 EMR 的婴儿睡眠评估 (ISA) 的影响并简要介绍 a) 儿科的沟通培训儿科提供预期指导（积极的和 b) 父母对护理的满意度、婴儿安全睡眠知识、信念、报告的实践和观察到的婴儿睡眠环境。目标 2. 评估实施基于 EMR 的新 ISA 和简短沟通培训的感受儿科医生的优点、缺点以及对他们提供预期治疗的影响指导。对于目标 1，随机对照试验将比较护理标准 (SOC) 和护理标准之间的结果 ISA 组。每 12 个半日门诊将被随机分配给 SOC 或 ISA 临床医生（N = 88）和 ISA 组。新生儿患者的父母（每个研究组 N=188）将始终留在指定的组中 ISA 小组将在两个月的婴儿健康检查中完成该工具，两个小组都会有这个工具。后续数据将通过婴儿出生时的家庭调查和观察来收集。 3-4 个月大对于目标 2，酋长将在学习结束时完成一项简短的调查。结果将通过同行评审的出版物、演示文稿和摘要进行传播。通过电子媒体向儿科、伤害预防、公共卫生、临床信息学、和健康差异社区。