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A pilot to develop and test an Interactive Computer-adaptive Chronic Kidney Disease education program for hospitalized African American patients (I-C-CKD)

为住院的非裔美国患者开发和测试交互式计算机自适应慢性肾病教育计划 (I-C-CKD) 的试点项目

基本信息

批准号：
10373041
负责人：
MILDA Renne SAUNDERS
金额：
$ 20.76万
依托单位：
UNIVERSITY OF CHICAGO
依托单位国家：
美国
项目类别：
财政年份：
2020
资助国家：
美国
起止时间：
2020-04-01 至 2024-03-31
项目状态：
已结题

项目摘要

PROJECT SUMMARY African Americans with chronic kidney disease (CKD) experience disparities in the quality of their medical care, self-care and preparation for end stage renal disease (ESRD). Patient education can help African American patients with advanced CKD decide to engage in self-care to delay progression to ESRD and to learn about ESRD treatment options. Hospitalization represents a “missed opportunity” to provide CKD education and ESRD 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 also captures patients who are not otherwise well-linked to the medical system. In prior work, our team developed and implemented a culturally-tailored, multi-modality patient education intervention for hospitalized African American patients with advanced CKD using a racially concordant in-person educator and literacy-sensitive education materials. Our intervention was feasible and effective. However, using an in-person patient educator is resource-intensive. In this proposal, we will develop an interactive, computer adaptive patient education intervention that benefits from the convenience of electronic media with the patient-centered benefits of an in-person educator. We will also determine the efficacy of the computer-adaptive education in improving knowledge for hospitalized African American patients with advanced chronic CKD as compared to usual care. We have assembled a strong team with skills in chronic kidney disease health disparities, hospital-based interventions, culturally-tailored patient- education, motivational interviewing, and technology-based interventions for patient education. This R21 pilot and feasibility trial will enable the team to build and test the efficacy and acceptability of the computer-adaptive education intervention prior to a larger scale randomized R01-level study.

项目总结患有慢性肾脏疾病(CKD)的非裔美国人在医疗质量方面存在差异，终末期肾病(ESRD)的自我护理和准备。耐心教育可以帮助非裔美国人晚期CKD患者决定进行自我护理，以延缓进展到终末期肾病，并了解终末期肾病治疗方案。住院是提供CKD教育和 ESRD计划帮助患者做出与他们的偏好一致的关于他们的护理的明智选择。许多患者在开始透析后三个月内住院。医院还收治那些在其他方面与医疗系统没有很好的联系。在之前的工作中，我们的团队开发并实现了一个针对非裔美国人住院患者的文化定制、多模式患者教育干预高级CKD使用种族和谐的面对面教育者和识字敏感的教育材料。我们的干预是可行和有效的。然而，使用面对面的患者教育者是资源密集型的。在……里面在这项提议中，我们将开发一种交互式的、计算机适应的患者教育干预措施，从电子媒体的便利和以患者为中心的面对面教育者的好处。我们会还确定了计算机适应教育在改善住院非洲人知识方面的有效性与常规护理相比，美国晚期慢性CKD患者。我们已经组建了一支强大的团队具备慢性肾脏疾病健康差距的技能，基于医院的干预，文化定制的患者- 教育、激励性访谈和以技术为基础的患者教育干预。这架R21飞行员可行性试验将使团队能够建立和测试计算机自适应的有效性和可接受性教育干预前进行更大规模的随机R01水平研究。