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

项目摘要 K99/R 00独立之路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，该奖项将提供受保护的时间，先进的培训和研究经验，候选人 需要进一步发展她的研究计划，旨在促进健康和减少拉丁美洲人之间的健康差距 健康素养低。这项研究建立在以前NIH资助的博士前和博士后研究（T32 NR 013454，T32 NR 007969），旨在评估基于证据的、文化上适当的、有条理的信息图表 设计的图像，以促进临床医生与患者的艾滋病毒相关的沟通。艾滋病毒是一种复杂的慢性疾病， 有效的自我管理需要艾滋病毒感染者（PLWH）获得，理解和利用大量的 健康信息通过在临床诊疗过程中使用经过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艾滋病毒携带者有效自我管理所需的信息。 在K99的第一年，候选人将评估她开发的信息图表在多大程度上 她博士后工作是一个可行和有用的方法，以促进信息交流和改善成果， 健康知识水平低的艾滋病毒携带者。为了确保文化相关性，在临床访视期间使用信息图的可行性试验 在资源有限的情况下，将在多米尼加共和国（DR）的La Romana的Clínica de Familia举行。超出 确保文化的适当性，这项研究建立在以前的工作进行的诊所和一个完善的 与本组织的关系将确保项目的长期成功。K99的第二年将在 纽约市的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， 随机对照试验（RCT）的设计和实施，文化适应和文化适应的理论和测量， 对健康的影响，与健康素养低的人的沟通方法，以及自动化 通过课程，研讨会和跨学科合作的信息图表。在R 00阶段，多中心RCT 将用于评估在正常诊所访视期间使用信息图的有效性，以改善短期、中期和长期- 美国（US）和DR中PLWH的长期治疗结局。信息图的使用如何影响 还将比较两种情况下的临床医生-患者沟通和治疗结果。 通过严格的改进和评估一种新的方法，以加强与艾滋病毒有关的健康 护理提供者和拉丁裔PLWH与低健康素养在美国和国外，调查结果将有助于证据- 基于系统生成的、文化上适当的信息图设计和沟通方法， 可以在全球拉丁美洲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，该奖项将推动候选人成为一个独立资助的 护士科学家寻求促进健康和减少健康差距，通过循证信息干预。

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.