Patient Referral and Education Program prior to Renal Replacement Therapy (PREP RRT) - Resubmission 01

肾脏替代治疗 (PREP RRT) 之前的患者转诊和教育计划 - 重新提交 01

基本信息

批准号：
9115607
负责人：
MILDA Renne SAUNDERS
金额：
$ 17.68万
依托单位：
UNIVERSITY OF CHICAGO
依托单位国家：
美国
项目类别：
财政年份：
2015
资助国家：
美国
起止时间：
2015-07-24 至 2018-04-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9115607
关键词：
Address Advisory Committees Affect African American Ambulatory Care Arteriovenous fistula Behavior Therapy Caring Catheters Chicago Chronic Chronic Kidney Failure Clinical Communication Communities Data Development Dialysis patients Dialysis procedure Education Educational Intervention End stage renal failure Evaluation Face Fistula Future Glean Goals Guidelines Health Health Care Costs Health education Hemodialysis Home Hemodialysis Hospitalization Hospitals Illinois Improve Access Inpatients Institution Insurance Intervention Interview K-Series Research Career Programs Kidney Kidney Transplantation Knowledge Lead Link Medical Medicare Mentors Mentorship Minority Misinformation Modality Morbidity - disease rate Neighborhoods Nephrology Operative Surgical Procedures Outcome Patient Education Patients Peritoneal Dialysis Persons Procedures Provider Public Health Public Health Schools Qualitative Methods Qualitative Research Quality of Care Quality of life Renal Replacement Therapy Research Self Care Site Sociology Structure Surveys Survival Rate System Transplant Recipients Transplantation Transportation United States Universities Venous Work base behavior change common treatment cost cost effectiveness design disparity reduction education planning effective therapy experience health care service utilization health disparity health literacy improved minority-serving hospitals mortality motivated behavior novel patient oriented preference primary outcome programs public health relevance skills theories uptake

项目摘要

DESCRIPTION (provided by applicant): Patient Referral and Education Program prior to Renal Replacement Therapy (PREP RRT) Patient education prior to renal replacement therapy (RRT) leads to reduced central venous catheter use, improved access to self-care dialysis such as peritoneal dialysis, and increased access to transplantation. Each of these modalities has been shown to reduce morbidity and mortality and to improve quality of life for patients with end-stage renal disease (ESRD). African Americans are less likely than their White counterparts to receive nephrology care prior to dialysis initiation. African Americans are also less likely to hav a fistula for dialysis, to select peritoneal dialysis, and to appear on the renal transplant waitlit. Hospitalization may represent a "missed opportunity" to provide RRT education and planning to help patients make informed choices about their care that align with their preferences. Many patients are hospitalized within three months of dialysis initiation. The hospital may also capture patients who are not otherwise well-linked to the medical system. In addition, culturally-tailoring of health education messages through patient narratives has been found to be an effective means of increasing knowledge and motivating behavior change in African American patients. Therefore, I aim to develop, implement, and evaluate a patient-centered referral and education program for RRT (PREP RRT) that incorporates in- person education with a video of culturally-tailored patient narratives for hospitalized African American patients with advanced chronic kidney disease. To effectively implement these goals, I will develop expertise in qualitative research, health education design and behavioral interventions through coursework and mentorship. I have assembled a mentorship and research committee with expertise in reducing health disparities, qualitative methods, hospital-based interventions, multi-media education interventions and chronic kidney disease. I also will complete coursework in the Departments of Health Studies, Sociology and at the University of Illinois School of Public Health related to Survey Research, Qualitative Analysis and Behavior Change Interventions. Through successful implementation of this project, we aim to reduce health disparities and to decrease morbidity, mortality and health care utilization in patients with ESRD.

描述（应用程序提供）：在肾脏替代疗法之前（Prep RRT）在进行肾脏替代疗法（RRT）之前的患者转诊和教育计划会导致使用中央静脉导管的使用减少，改善了对自我护理透析（例如腹膜透析）的访问，并增加了移植的机会。这些模式中的每一种都被证明可以降低发病率和死亡率，并改善终末期肾脏疾病（ESRD）患者的生活质量。在透析倡议之前，非裔美国人比白人同行接受肾脏病护理的可能性要小。非洲裔美国人也不太可能有透析，选择腹膜透析并出现在肾脏移植候补上的可能性。住院可能代表“错过的机会”，以提供RRT教育和计划，以帮助患者做出与他们的偏好相符的护理的明智选择。许多患者在透析计划的三个月内住院。医院也可能占领其他与医疗系统没有良好联系的患者。此外，在文化上发现通过患者叙事的健康教育信息是增加知识并激励非裔美国人患者行为改变的有效手段。因此，我的目标是为RRT（PREP RRT）开发，实施和评估以患者为中心的转诊和教育计划，该计划将内部教育与医护化的患有较长慢性肾脏病的非裔美国人患者进行文化量身定制的患者叙事视频。为了有效地实施这些目标，我将通过课程和心态发展定性研究，健康教育设计和行为干预的专业知识。我已经组建了一个心态和研究委员会，该委员会在减少健康分布，定性方法，基于医院的干预措施，多媒体教育干预措施和慢性肾脏疾病方面具有专业知识。我还将完成与调查研究，定性分析和行为改变干预措施有关的健康研究，社会学和伊利诺伊大学公共卫生学院的课程。通过成功实施该项目，我们旨在减少健康差异，并降低ESRD患者的发病率，死亡率和医疗保健利用。