I-Corps: A digital health diagnostic technology that provides a multilingual, multimodal, and multidimensional pain management tool

I-Corps：一种数字健康诊断技术，提供多语言、多模式、多维度的疼痛管理工具

• 批准号: 2114224
• 负责人: ShinYe Kim
• 金额: $ 5万
• 依托单位: Texas Tech University
• 依托单位国家: 美国
• 项目类别: Standard Grant
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-04-01 至 2022-10-31
• 项目状态: 已结题
• 来源: https://www.nsf.gov/awardsearch/showAward?AWD_ID=2114224&HistoricalAwards=false
• 关键词: Corps; digital; health; diagnostic; technology

The broader impacts/commercial potential of this I-Corps project - CIPDAR (Culturally Informed Pain Diagnosis and Relief) - are potentially three-fold. The first benefit is a reduction in health disparities by improving both verbal and non-verbal communication between Limited English Proficiency (LEP) chronic pain patients and healthcare providers, resulting in greater diagnostic accuracy and improved treatment outcomes. The second is savings in time and money as improved diagnostic accuracy can eliminate unnecessary testing and lead to more effective treatment plans over shorter timespans. The third benefit is cost-effective adaptability to other diseases, such as chronic obstructive pulmonary disease, diabetes, and cancer. CIPDAR will also add significant knowledge to pain science, as well as health communication, including management and diagnostic best practices. By including cultural norms and fluency in other languages, CIPDAR can not only re-engage disenfranchised LEP patients, but improve their trust in the healthcare system by leveraging culturally and linguistically informed content and resources. The families of chronic pain LEP patients can also use CIPDAR to not only help advocate for their loved ones, but to better understand their needs when a condition has no cure.This I-Corps project, CIPDAR (Culturally Informed Pain Diagnosis and Relief), offers more than a simple translation service for Limited English Proficiency (LEP) chronic pain patients. Using a patient-centered approach, it incorporates culturally specific terms, phrases, and relevant questions to improve patient-provider communication. All features are designed and written by bilingual individuals, ensuring that patients receive accurate information that is also culturally and linguistically congruent. The technology integrates biopsychosocial interventions and techniques to better equip LEP patients with pain management tools, such as online modules that teach time management, work-family balance, and medication tracking. CIPDAR not only measures pain via patient self-reporting strategies, but also by analyzing non-verbal behaviors (e.g., gestures, movements, and facial expressions), providing multiple data streams for more informed pain assessments. By offering biopsychosocial interventions along with improved patient-provider communication, CIPDAR will address the detrimental effects of misdiagnosis, ineffective treatment, and medication misuse. It will empower LEP patients with chronic pain to advocate for themselves without having to rely on family members acting as translators or on simple, culturally-uninformed commercial translations.This award reflects NSF's statutory mission and has been deemed worthy of support through evaluation using the Foundation's intellectual merit and broader impacts review criteria.

这个i-Corps项目-CIPDAR(文化知情疼痛诊断和缓解)-的更广泛的影响/商业潜力可能有三个方面。第一个好处是通过改善有限英语水平(LEP)慢性疼痛患者和医疗保健提供者之间的语言和非语言沟通，减少健康差距，从而提高诊断准确性和改善治疗结果。第二是节省时间和金钱，因为提高诊断准确率可以消除不必要的测试，并在更短的时间跨度内产生更有效的治疗计划。第三个好处是对其他疾病的成本效益适应性，如慢性阻塞性肺疾病、糖尿病和癌症。CIPDAR还将增加疼痛科学以及健康传播的重要知识，包括管理和诊断最佳实践。通过融入其他语言的文化规范和流利性，CIPDAR不仅可以重新吸引被剥夺权利的LEP患者，而且通过利用文化和语言方面的信息内容和资源，提高他们对医疗系统的信任。慢性疼痛LEP患者的家属也可以使用CIPDAR不仅帮助他们的亲人代言，而且在无法治愈的情况下更好地了解他们的需求。这个i-Corps项目，CIPDAR(文化知情疼痛诊断和缓解)，为英语水平有限的慢性疼痛患者提供的不仅仅是简单的翻译服务。使用以患者为中心的方法，它结合了文化特定的术语、短语和相关问题，以改善患者与提供者的沟通。所有功能都是由双语个人设计和编写的，确保患者获得准确的信息，而且在文化和语言上也是一致的。这项技术整合了生物心理社会干预和技术，以更好地为LEP患者配备疼痛管理工具，例如教授时间管理、工作家庭平衡和药物跟踪的在线模块。CIPDAR不仅通过患者自我报告策略测量疼痛，还通过分析非语言行为(例如，手势、动作和面部表情)来测量疼痛，为更知情的疼痛评估提供多个数据流。通过提供生物心理社会干预以及改善患者与提供者的沟通，CIPDAR将解决误诊、无效治疗和药物滥用的有害影响。它将使患有慢性疼痛的LEP患者能够为自己辩护，而不必依赖家人充当翻译或简单的、不了解文化的商业翻译。这一奖项反映了NSF的法定使命，并通过使用基金会的智力优势和更广泛的影响审查标准进行评估，被认为值得支持。