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Total Engagement and Activation Measure (TEAM): Developing a measure of the capacity for patients to engage in their health care

全面参与和激活措施 (TEAM)：制定患者参与医疗保健能力的衡量标准

基本信息

批准号：
10396454
负责人：
Jennifer L Hefner
金额：
$ 21.89万
依托单位：
OHIO STATE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2018
资助国家：
美国
起止时间：
2018-08-15 至 2024-04-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10396454
关键词：
Academic Medical Centers Accountability Address Attitude Caring Development Device or Instrument Development Dimensions Discipline Effectiveness Frequencies Funding Opportunities Future Goals Health Health Care Costs Health Policy Healthcare Healthcare Systems Incentives Individual Differences Intervention Measurement Measures Methodology Methods Modeling Outcome Patient-Centered Care Patients Pharmaceutical Preparations Phase Policies Provider Proxy Psychometrics Remunerations Research Resources Sampling Savings Self Efficacy Series Subgroup Terminology Testing United States National Institutes of Health Validation behavioral/social science design experience improved insight instrument new technology patient engagement patient expectation patient oriented population health response social cognitive theory therapy design tool willingness

项目摘要

With increasing emphasis on engaging patients as partners in and often drivers of their health and health care, patient engagement is seen as a necessary component in achieving the triple aim of improved experience of care, improved health of populations, and lower per capita health care costs. The goal of this research is to develop a patient-focused engagement measure that improves our understanding of patient engagement from the perspective of patients and clinicians, and that allows for identification of individual differences in the dimensions of patient engagement. As healthcare policies increasingly incentivize patient-centered and patient-engaged care, there is a critical need for the development and validation of such a measure. We propose a multi-phase study aimed at developing and implementing a psychometrically valid instrument that measures the capacity of patients to engage in their health care, the Total Engagement and Activation Measure (TEAM). Accomplishment of this major study aim will also involve three specific aims: 1) development of a conceptual model of patient engagement that reflects shared perspectives of patients and clinicians about engagement and takes into account the context in which engagement happens; 2) utilization of the NIH PROMIS® methodology to conduct Instrument Development and Validation (IDV) for this new measure of the capacity for patient engagement; and 3) administration of this newly developed measure in the `real world' setting of a large academic medical center to examine variability in the components of patient engagement across different subgroups of hospitalized patients. Development of the comprehensive TEAM measurement tool will enable future exploration of a series of ongoing and significant research questions such as how shifts in policy, provider remuneration, and new technologies support the kind of care that facilitates patient engagement. Achieving a greater understanding of the concept of patient engagement and its measurement will clarify the most effective ways to support patients in becoming partners in their care in order to improve and maintain their health, and subsequently allow for the identification of actionable points of intervention that can be leveraged in future studies and initiatives aimed at increasing patient engagement.

随着越来越强调让患者作为合作伙伴参与其健康和卫生保健，而且往往是他们健康和卫生保健的推动者，

项目成果

期刊论文数量（2）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Development of a conceptual model of the capacity for patients to engage in their health care: a group concept mapping study.

DOI：
10.1186/s12913-023-09785-x
发表时间：
2023-08-10
期刊：
BMC HEALTH SERVICES RESEARCH
影响因子：
2.8
作者：
Di Tosto, Gennaro;Hefner, Jennifer L.;Walker, Daniel M.;Gregory, Megan E.;McAlearney, Ann Scheck;Sieck, Cynthia J.
通讯作者：
Sieck, Cynthia J.

The role of health care organizations in patient engagement: Mechanisms to support a strong relationship between patients and clinicians.

DOI：
10.1097/hmr.0000000000000346
发表时间：
2023-01-01
期刊：
HEALTH CARE MANAGEMENT REVIEW
影响因子：
2.5
作者：
Sieck, Cynthia J.;Hefner, Jennifer L.;Walker, Daniel M.;Kurien, Natasha;Phelps, Lauren;McAlearney, Ann Scheck
通讯作者：
McAlearney, Ann Scheck