Re-thinking the role of Peers And Training Patients [RePeAT]

重新思考同伴的角色和培训患者 [RePeAT]

• 批准号: 10282430
• 负责人: Mechelle Renee Sanders
• 金额: $ 14.75万
• 依托单位: UNIVERSITY OF ROCHESTER
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-09-01 至 2026-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10282430
• 关键词: Address; Applications Grants; Award; Back; Behavior; Cardiovascular Diseases; Clinical Trials; Code; Communication; Communities; Data; Development Plans; Disease; Ethnic Origin; Evidence based intervention; Foundations; Geography; Goals; Grant; Health; Health Policy; Health Services; International; Intervention; K-Series Research Career Programs; Knowledge; Measurement; Medical; Medical Care Team; Mentors; Mentorship; Methods; Motivation; National Heart, Lung, and Blood Institute; Office Visits; Outcome; Patient Education; Patient-Centered Care; Patient-Focused Outcomes; Patients; Pharmaceutical Preparations; Population; Primary Health Care; Primary Prevention; Process; Publications; Research; Research Personnel; Research Project Grants; Research Training; Resources; Risk Reduction; Role; Science; Self Efficacy; Shame; Testing; Thinking; Training; cardiovascular disorder prevention; cardiovascular disorder risk; career; career development; design; experience; feasibility testing; field study; health care disparity; health literacy; implementation research; implementation science; improved; literacy; medication compliance; motivational enhancement therapy; novel; patient-clinician communication; patient-level barriers; peer; peer coaching; prevent; preventive intervention; randomized trial; response; satisfaction; shared decision making; skills; social stigma; socioeconomics; tool; uptake

PROJECT ABSTRACT This project involves training peer-health coaches to improve the shared-decision making behavior of patients with low-health literacy (LHL). Most patients want to be involved in important health decisions such as taking medications to prevent cardiovascular disease. Yet, patients with LHL often lack the knowledge, confidence, and skills to assume a more active role in these decisions. I am committed to conducting research that will support patients with LHL in becoming equal partners with their clinicians. My commitment is evidenced in this novel intervention that is designed to help LHL patients acquire the knowledge they need to engage in a shared-decision about reducing their cardiovascular disease (CVD) risk; and the agency and confidence they need to do so. This study will provide a foundation for advancing the science of SDM around the primary prevention of CVD with a focus on addressing LHL through trained peers. Moreover, this proposed K-award will springboard to the next steps in my path to an independent investigator. By the end of this award, I will develop expertise in understanding the scope of peers in the SDM process and how they can be used to improve cardiovascular disease outcomes for patients with LHL. This award will span 5 years and will involve a graduated career development plan that includes mentorship, coursework, analyses, publication, and an R-level grant submission. In order to achieve the goals of this research plan and transition to independence, I need formal training and mentorship in implementation science, health literacy & patient communication, and primary prevention of cardiovascular disease. This proposal includes an exceptional team of mentors to help me reach my goals. My primary mentor, Dr. Kevin Fiscella, is a nationally known expert in health care disparities, implementation science, and health care policy. He is experienced in conducting equity- focused primary prevention of cardiovascular disease implementation research in primary care. My Co- Mentor, Dr. Ronald Epstein, is an internationally known expert in patient-provider communication. He is a communication and health services researcher with a focus on pragmatic strategies for improving communication with patients. My goal at the end of this award is to submit an NHLBI grant application (such as in response to NHLBI PA-19-166 (Implementation of shared decision making for HLBS diseases and conditions) to further refine and test the proposed intervention in a broader population.

项目摘要 这个项目包括培训同伴健康教练，以改善患者的共同决策行为 低健康素养（LHL）。大多数患者希望参与重要的健康决策，例如 预防心血管疾病的药物。然而，LHL患者往往缺乏知识，信心， 以及在这些决策中发挥更积极作用的技能。我致力于进行研究， 支持LHL患者与临床医生成为平等的合作伙伴。我的承诺体现在 这种新的干预措施旨在帮助LHL患者获得他们需要的知识， 关于降低心血管疾病（CVD）风险的共同决定;以及他们的代理和信心， 必须这样做。这项研究将为推进围绕主要的SDM科学提供基础 预防心血管疾病，重点是通过受过培训的同行解决LHL问题。 此外，这一拟议中的K奖将成为我成为独立调查员的下一步。 在这个奖项结束时，我将发展专业知识，了解同行在SDM过程中的范围， 它们如何用于改善LHL患者的心血管疾病结局。该奖项将跨越 5年，将涉及一个毕业的职业发展计划，包括导师，课程，分析， 出版物和R级补助金提交。为了实现本研究计划和过渡期的目标 为了独立，我需要在实施科学，健康素养和病人方面的正式培训和指导 沟通和心血管疾病的初级预防。该提案包括一个特殊的团队 来帮助我实现目标我的主要导师，凯文·费塞拉博士，是一位全国知名的专家， 卫生保健差距，实施科学，和卫生保健政策。他在管理股票方面很有经验- 在初级保健中重点开展心血管疾病初级预防实施研究。我的同事- 导师罗纳德爱泼斯坦博士是国际知名的医患沟通专家。他是一个 通信和卫生服务研究员，重点是改善 与患者沟通。我的目标是在这个奖项结束时提交一个NHLBI赠款申请（如 根据NHLBI PA-19-166（实施HLBS疾病的共同决策， 条件），以进一步完善并在更广泛的人群中测试拟议的干预措施。