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

项目总结 这项K99/R00独立途径奖的研究与国家护理研究所保持一致 研究的科学重点领域是改善慢性病患者的自我管理策略。 此外，该奖项将为应聘者提供受保护的时间、高级培训和研究经验 需要进一步发展她的研究方案，旨在促进健康和减少拉丁裔之间的健康差距 健康素养低。这项研究建立在之前NIH资助的博士后和博士后研究(T32 NR013454，T32 NR007969)，旨在评估以证据为基础、文化上适当和有条不紊的信息图表 设计了便于临床医生与患者进行HIV相关交流的图像。艾滋病毒是一种复杂的慢性病， 有效的自我管理要求艾滋病毒携带者(PLWH)获得、理解和利用大量的 健康信息。通过在临床会诊期间使用严格设计和评估的信息图表，临床医生可以 以更有意义的方式提供PLWH有效自我管理所需的信息。 在K99的第一年，候选人将评估她通过以下方式开发的信息图表的程度 她的博士后工作是促进信息交流和改善成果的可行和有用的方法 健康素养较低的PLWH。为了确保文化相关性，在临床访问期间使用信息图表的可行性试验 在资源有限的情况下，将在多米尼加共和国拉罗曼纳的Clínica de Familia举行。超越 确保文化适当性，这项研究建立在先前在该诊所进行的工作和一个成熟的 与组织的关系将确保项目的长期成功。K99的第二个年头将在 纽约哥伦比亚大学护理学院，并将包括统计分析方面的高级培训， 文化适应和文化适应的随机对照试验(RCT)、理论和测量的设计和实施 对健康的影响、与健康素养较低的人的沟通方法以及自动化 通过课程作业、研讨会和跨学科合作提供信息图表。在R00阶段，多站点RCT 将用于评估在正常临床就诊期间使用信息图表来改善短期、中期和长期- 美国PLWH和DR中PLWH的长期治疗结果：信息图使用如何影响 还将比较两种环境下的临床医生与患者之间的沟通和治疗结果。 通过严格改进和评估一种新的方法来加强与艾滋病毒相关的健康之间的沟通 在美国和国外健康素养较低的护理提供者和拉丁裔PLWH，研究结果将有助于证据- 关于有条不紊地生成、适合文化的信息图表设计和沟通方法的基础 可以在全球拉丁裔患者中带来更好的健康结果。此外，通过确保所需的时间和支持 为了巩固她的研究计划，这个奖项将推动候选人成为一个独立资助的 寻求通过循证信息学干预促进健康和减少健康差距的护士科学家。

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.