Risk Communication Core

HARP风险沟通核心项目总结 艾滋病毒和酒精研究中心专注于多药(HARP)的目标是设计和 对遭受医疗伤害的艾滋病毒(PAH)老年患者实施有效的个性化干预 不健康的饮酒和服用多种药物。传达与不健康酒精有关的风险和 多药联用作为激励行为改变的干预措施的一部分，值得认真考虑。这个 由Jeffrey Fisher博士共同开发的信息-动机-行为技能(IMB)模型已经被使用 成功地改变了超过35年的各种不健康行为。该模型假设个人层面的 关键信息、动机和行为技能方面的弱点是许多不健康的原因 行为。如果这些弱点可以通过干预来发现和补救，那么 持续的健康行为改变将会发生。在费雪博士的指导下，我们将把IMB模型应用于 改变有害的酒精使用和多药制药。为了进一步告知这一努力，我们聚集了一个风险 专家的沟通资源核心(RCC)。RCC专家代表了七个相关的协同领域 为这一努力。其中包括行为健康、混合方法、传播和实施科学， 共享决策、药物基因组风险和咨询以及提供者环境，所有这些都建立在 患者背景和文化的基础。该核心专家将就项目团队的设计提供建议 HARP项目1和2中的一系列相互关联的试点研究，包括选择患者显著的风险结果， 开发研究工具，说明参与者的识字和计算技能，确保 适当纳入IMB有害饮酒和多药联用模式的核心组成部分 所有试点研究，以及审查和提供关于用于半结构化面试的面试指南的意见。 该小组还将对以下方面的定量和定性调查结果进行解释和整合 HARP，包括分组分析和所有传播活动。最后，RCC将与HARP合作 管理数据分析核心和更大的HARP专家网络，无缝集成个性化、 跨研究领域以患者为中心的风险信息。酒精传播的最佳途径 使用和多药联用的风险以有效地激励行为改变还没有被很好地理解。HARP风险 通信核心在我们现有的专家网络上战略性地构建，以促进有效的个性化风险 沟通以支持因饮酒和服用多药而受到伤害的PAH的行为变化。

HARP RISK COMMUNICATION CORE PROJECT SUMMARY The goal of the HIV and Alcohol Research center focused on Polypharmacy (HARP) is to design and implement effective personalized interventions for people aging with HIV (PAH) experiencing medical harm from unhealthy alcohol use and polypharmacy. Communication of risks associated with unhealthy alcohol and polypharmacy as part of an intervention to motivate behavior change deserves careful consideration. The Information-Motivation-Behavioral Skills (IMB) model, co-developed by Dr. Jeffrey Fisher, has been used successfully for over 35 years to change diverse unhealthy behaviors. The model assumes that individual-level weaknesses in critical information, motivation, and behavioral skills are responsible for much unhealthy behavior. If these weaknesses can be identified and remediated through an intervention, significant and sustained health behavior change will occur. Guided by Dr. Fisher, we will apply the IMB model to the task of changing harmful alcohol use and polypharmacy. To further inform this effort, we have assembled a Risk Communication Resource Core (RCC) of experts. RCC experts represent seven synergistic domains pertinent to this effort. These include behavioral health, mixed methods, dissemination and implementation sciences, shared decision making, pharmaco-genomic risk and counseling, and provider context, all set upon the foundation of patient context and culture. This Core of experts will advise project teams on the design of a series of interlinked pilot studies in HARP Projects 1 and 2, including selection of patient salient risk outcomes, development of study instruments that account for the literacy and numeracy skills of participants, ensuring the appropriate incorporation of core components of the IMB model for harmful alcohol use and polypharmacy in all pilot studies, and reviewing and providing input on the interview guides used for semi-structured interviews. This group will also inform the interpretation and integration of quantitative and qualitative findings across HARP, including subgroup analyses, and all dissemination activities. Finally, the RCC will work with the HARP Administrative Data Analytics Core and the larger HARP expert network to seamlessly integrate personalized, patient-focused risk messaging across domains of research. The optimal approach for communicating alcohol use and polypharmacy risks to effectively motivate behavior change is not yet well understood. The HARP Risk Communication Core strategically builds on our existing expert network to facilitate effective personalized risk communication to support behavioral change for PAH harmed by alcohol use and polypharmacy.