Information Technologies to Improve Patient Adherence

提高患者依从性的信息技术

• 批准号: 6604902
• 负责人: RAYMOND L OWNBY
• 金额: $ 16.92万
• 依托单位: UNIVERSITY OF MIAMI SCHOOL OF MEDICINE
• 依托单位国家: 美国
• 财政年份: 2002
• 资助国家: 美国
• 起止时间: 2002-07-01 至 2007-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6604902
• 关键词: Alzheimer's disease; aging; behavioral /social science research tag; clinical research; cognition; cognition disorders; computer assisted patient care; computer human interaction; depression; emotions; functional ability; health care service utilization; health education; human old age (65+); human subject; human therapy evaluation; longitudinal human study; mental disorder chemotherapy; neuropsychological tests; patient oriented research; postdoctoral investigator; quality of life; questionnaires; telemedicine; therapy compliance

DESCRIPTION (provided by applicant): This application requests five years of support for Raymond L. Ownby, MD, PhD, to pursue research and training in applied cognitive aging and human factors research as applied to patient- oriented research. Through mentoring by Sara J. Czaja, PhD, Dr. Ownby will not only develop expertise in applying skills in these areas to a critical problem (medication adherence in elderly patients with memory deficits) but will also create a center for evidence-based practice in geriatric mental health. The research study to be completed during the period of support will use two information technology interventions to improve patients' adherence with medication regimens. Base on a model of adherence to medical treatment developed by Park and Jones (1997), information interventions will target key points in the medication adherence process. Pilot research has suggested that this model is valid for use with the patient population of this study (elderly patients with memory problems who either have or are at risk for developing Alzheimer's disease). During the last two years of support, Dr. Ownby will develop a research proposal drawing on results of the research study to develop a large-scale multicenter clinical trial of information technology interventions for adherence in other geographical sites and with other patient populations. It is anticipated that this application will seek funding through the RO1 mechanism. The professional development program to be followed by Dr. Ownby comprises regular meetings with Dr. Czaja, work on the proposed research study, didactic coursework, workshops, and seminars in the areas of human factors, information technologies, statistics, research design, evidence-based practice, and the responsible conduct of research. Through regular meetings and research supervised by his mentor and regular meetings with co-mentors, Dr. Ownby will be able to integrate his professional experience as a clinical psychiatrist and neuropsychologist with didactic training in human factors and applied cognitive aging to create novel strategies to improve patient adherence, to develop a large-scale clinical trial of these strategies, and to apply principles of evidence-based practice to develop a Center for Evidence- Based Practice at the University of Miami. This center's mission will be to disseminate research findings in geriatric mental health through systematic reviews, meta-analyses~ and treatment guidelines made available through traditional publication routes and the World Wide Web. The Center will foster new research in applications of information technologies to the mental health problems of the elderly and provide leadership and training in applying information to clinical practice. The professional development program will thus allow Dr. Ownby to develop expertise in creating information technology applications for use in healthcare with the elderly, provide him with key tools in designing and carrying out large-scale Clinical trials, and enable him to use results of research studies to guide clinical practice in geriatrics. The period of proposed support will thus allow Dr. Ownby to develop as a clinical researcher capable of carrying out patient-oriented research studies and give him additional tools in applied cognitive aging and human factors research, especially applications of emerging information.

描述(由申请人提供)：本申请申请为期五年 支持Raymond L.Ownby，医学博士，从事研究和培训 应用认知老化和人的因素研究应用于患者- 以研究为导向。通过Sara J.Chaaja博士的指导，Ownby博士将不会 仅培养将这些领域的技能应用于关键问题的专业知识 (老年记忆障碍患者的用药依从性)，但也会 创建老年心理健康循证实践中心。这个 在支持期间完成的研究研究将使用两个 提高患者依从性的信息技术干预 药物治疗方案。基于坚持就医的模式 由Park和Jones(1997)开发的信息干预将针对关键 在服药依从性过程中的积分。初步研究表明， 该模型适用于本研究的患者群体(老年人 有记忆力问题的患者或有发展风险的患者 阿尔茨海默病)。在过去两年的支持中，奥恩比博士将 根据研究性研究的结果制定研究建议，以 开展大规模多中心信息技术临床试验 在其他地理位置和与其他患者坚持的干预措施 人口。预计这项申请将通过以下方式寻求资金 RO1机制。博士将遵循的职业发展计划。 Ownby包括与查贾博士定期会面，就拟议的研究进行工作 人文科学领域的研究、教学课程、讲习班和研讨会 因素、信息技术、统计、研究设计、循证 实践，以及负责任的研究行为。通过定期会议 以及由他的导师监督的研究，以及与合作导师的定期会议， Ownby博士将能够将他作为临床医生的专业经验 精神病学家和神经心理学家，在人的因素和 应用认知老龄化创造新的策略来改善患者 坚持，开发这些策略的大规模临床试验，并 应用循证实践原则发展证据中心-- 在迈阿密大学实习。该中心的任务将是 通过系统性传播老年人心理健康的研究成果 综述、荟萃分析和治疗指南，可通过 传统的出版途径和万维网。该中心将促进 信息技术在心理健康领域应用的新研究 针对老年人的问题，提供应用方面的领导和培训 信息提供给临床实践。职业发展计划将 从而允许Ownby博士在创建信息技术方面发展专业知识 应用于老年人的医疗保健，为他提供了关键 设计和实施大规模临床试验的工具，并使 他将使用研究结果来指导临床实践 老年病。因此，拟议的支持期将使奥恩比博士能够 培养成为一名能够以患者为中心的临床研究人员 研究性研究，并为他提供了应用认知老化和 人的因素研究，特别是新兴信息的应用。