Information visualizations to facilitate clinician-patient communication in HIV care (Info Viz: HIV)

信息可视化促进艾滋病毒护理中临床医生与患者的沟通（信息可视化：艾滋病毒）

• 批准号: 10475136
• 负责人: Samantha Stonbraker
• 金额: $ 22.7万
• 依托单位: UNIVERSITY OF COLORADO DENVER
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-09-01 至 2024-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10475136
• 关键词: Acculturation; Affect; Area; Attention; Automation; Award; Behavior; CD4 Lymphocyte Count; Caring; Chronic; Chronic Disease; Clinic; Clinic Visits; Clinical; Communication; Communication Methods; Complex; Data; Developing Countries; Diagnosis; Dominican Republic; Ensure; Evaluation; Exercise; Exposure to; Face; Feasibility Studies; Funding; Future; Goals; Guidelines; HIV; HIV Infections; Health; Health Personnel; Health Promotion; Health Status; Health behavior; Image; Individual; Informatics; Intervention; Knowledge; Language; Latino; Latino Population; Lead; Linear Models; Measurement; Measures; Mentors; Mentorship; Methodology; Methods; Minority Groups; Modality; National Institute of Nursing Research; New York City; Nurses; Outcome; Pathway interactions; Patient-Focused Outcomes; Patients; Persons; Pharmaceutical Preparations; Phase; Population; Prevention; Production; Quality of life; Randomized Controlled Trials; Reduce health disparities; Research; Research Personnel; Research Project Summaries; Resource-limited setting; School Nursing; Scientist; Self Management; Site; Socioeconomic Status; Statistical Data Interpretation; Testing; Time; Training; Training Activity; Treatment outcome; United States; United States National Institutes of Health; Universities; Variant; Viral Load result; Visit; Visual; Visualization; Work; behavioral outcome; burden of illness; career; clinical encounter; design; efficacy evaluation; efficacy testing; evidence base; experience; feasibility trial; health care service utilization; health disparity; health literacy; health management; improved; improved outcome; informatics training; interdisciplinary collaboration; literacy; low socioeconomic status; multi-site trial; novel; nutrition; patient-clinician communication; pilot test; pre-doctoral; programs; response; satisfaction; side effect; skills; standard care; success; theories; usability

PROJECT SUMMARY The research in this K99/R00 Pathway to Independence Award is aligned with the National Institute of Nursing Research’s scientific focus area of improving self-management strategies for individuals with chronic conditions. Additionally, this award will provide the protected time, advanced training, and research experience that the candidate needs to further develop her program of research aimed at promoting health and reducing health disparities among Latinos with low health literacy. This study builds on previous NIH-funded pre- and postdoctoral research (T32 NR013454, T32 NR007969) and aims to evaluate infographics which are evidence-based, culturally appropriate, and methodically designed images to facilitate clinician-patient HIV-related communication. HIV is a complex chronic illness for which effective self-management requires persons living with HIV (PLWH) to acquire, understand, and utilize large amounts of health information. By using rigorously designed and evaluated infographics during clinical encounters, clinicians may provide the information PLWH need for effective self-management in a more meaningful way. During the first year of the K99, the candidate will assess the extent to which the infographics she developed through her postdoctoral work are a feasible and useful method to facilitate information exchange and improve outcomes among PLWH with low health literacy. To ensure cultural relevance, this feasibility trial of infographic use during clinical visits in a limited resource setting will take place at Clínica de Familia in La Romana in the Dominican Republic (DR). Beyond ensuring cultural appropriateness, this study builds on previous work conducted at the Clinic and a well-established relationship with the organization will ensure long-term project success. The second year of the K99 will take place at Columbia University School of Nursing in New York City, and will include advanced training in statistical analysis, design and implementation of randomized controlled trials (RCTs), theory and measurement of acculturation and cultural influences on health, communication methods with individuals who have low health literacy, and automation of infographics through coursework, seminars, and interdisciplinary collaboration. During the R00 phase, a multi-site RCT will be used to assess the efficacy of using infographics during normal clinic visits to improve short, medium, and long- term treatment outcomes among PLWH in the United States (US) and in the DR. How infographic use influences clinician-patient communication and treatment outcomes in both settings will also be compared. Through rigorous refinement and evaluation of a novel method to enhance HIV-related communication between health care providers and Latino PLWH with low health literacy in the US and abroad, findings will contribute to the evidence- base regarding methodically generated, culturally appropriate infographic design and communication methodologies that can lead to better health outcomes among Latino patients globally. Additionally, by ensuring the time and support needed to solidify her program of research, this award will advance the candidate towards becoming an independently funded nurse scientist seeking to promote health and reduce health disparities through evidenced-based informatics interventions.

项目总结

项目成果

Clinician Use of HIV-Related Infographics During Clinic Visits in the Dominican Republic is Associated with Lower Viral Load and Other Improvements in Health Outcomes.

• DOI: 10.1007/s10461-021-03331-8
• 发表时间: 2021-12
• 期刊: AIDS and behavior
• 影响因子: 4.4
• 作者: Stonbraker S;Liu J;Sanabria G;George M;Cunto-Amesty S;Alcántara C;Abraído-Lanza AF;Halpern M;Rowell-Cunsolo T;Bakken S;Schnall R
• 通讯作者: Schnall R

The copita question: Exploring alcohol consumption among Latina women.

• DOI: 10.1080/15332640.2021.2019161
• 发表时间: 2023
• 期刊: JOURNAL OF ETHNICITY IN SUBSTANCE ABUSE
• 影响因子: 1.3
• 作者: Stonbraker, Samantha;Mendoza-Grey, Sonia;Martins, Mariana C.;Florez, Karen R.;Abraido-Lanza, Ana F.
• 通讯作者: Abraido-Lanza, Ana F.

Establishing content for a digital educational support group for new adolescent mothers in the Dominican Republic: a user-centered design approach.

• DOI: 10.1515/ijamh-2020-0054
• 发表时间: 2020-08-27
• 期刊: International journal of adolescent medicine and health
• 作者: Stonbraker S;Haight E;Soriano L;Guijosa L;Davison E;Bushley D;Messina L;Halpern M
• 通讯作者: Halpern M

Feasibility and acceptability of using information visualizations to improve HIV-related communication in a limited-resource setting: a short report.

在资源有限的环境中使用信息可视化改善艾滋病毒相关沟通的可行性和可接受性：一份简短报告。

• DOI: 10.1080/09540121.2021.1883517
• 发表时间: 2022-04
• 期刊: AIDS care
• 影响因子: 1.7
• 作者: Stonbraker S;Flynn G;George M;Cunto-Amesty S;Alcántara C;Abraído-Lanza AF;Halpern M;Rowell-Cunsolo T;Bakken S;Schnall R
• 通讯作者: Schnall R

Digital Educational Support Groups Administered through WhatsApp Messenger Improve Health-Related Knowledge and Health Behaviors of New Adolescent Mothers in the Dominican Republic: A Multi-Method Study.

通过 WhatsApp Messenger 管理的数字教育支持小组可改善多米尼加共和国新青少年母亲的健康相关知识和健康行为：一项多方法研究。

• DOI: 10.3390/informatics7040051
• 发表时间: 2020
• 期刊: Informatics (MDPI)
• 作者: Stonbraker,Samantha;Haight,Elizabeth;Lopez,Alana;Guijosa,Linda;Davison,Eliza;Bushley,Diane;Peguero,KariAquino;Araujo,Vivian;Messina,Luz;Halpern,Mina
• 通讯作者: Halpern,Mina