Consumer Internet Education about Mental Health Quality

消费者心理健康素质互联网教育

• 批准号: 6732442
• 负责人: DONALD Michael STEINWACHS
• 金额: $ 46.45万
• 依托单位: JOHNS HOPKINS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-12-01 至 2006-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6732442
• 关键词: Internet; audiotape; behavioral /social science research tag; clinical research; clinical trials; computer human interaction; computer program /software; computer system design /evaluation; data collection methodology /evaluation; data quality /integrity; education evaluation /planning; health care model; health care personnel performance; health care quality; health care service evaluation; health services research tag; human subject; human therapy evaluation; mental disorder chemotherapy; mental health counseling; mental health education; model design /development; patient care personnel relations; psychotherapy; questionnaires; schizophrenia

DESCRIPTION (provided by applicant): Evidence has shown that less than 50% of persons with schizophrenia are receiving care consistent with the scientific evidence. There are potentially many factors contributing to this low level of performance, associated with the interaction of patients, providers, and the mental health system. Previous efforts to improve quality have focused on the physician and to a lesser extent the system. The goal of this research is to empower and activate the patient to understand key elements of what constitutes high quality care for schizophrenia and to discuss with his or her clinician differences between current treatment and evidence-based quality of care standards, based on the Schizophrenia PORT study. Building on the web-based CompareYourCare framework developed and tested by the Foundation for Accountability (FACCT), we will develop, test and evaluate an interactive schizophrenia web-based system that allows the consumer or family member to compare current treatment to evidence-based standards. The research has three aims: (1) Build interactive quality of care educational modules for schizophrenia, adapting the CompareYourCare TM (FACCT) framework and the work of the Mental Health Outcomes Roundtable, and test these modules for acceptability and understandability; (2) Assess the relevance and educational value of these modules for consumers and families in the community versus in the clinic based on patient and family reports; and (3) Examine the impact of these modules on consumers and families, their providers, and the quality of care received, testing clinic and community-based implementation strategies. The web-based educational system will be tested in a clinic environment, with patients completing it prior to a scheduled visit with their therapist, and in a community environment. The expectation is that increasing the knowledge of consumers and families regarding quality of care standards will increase the likelihood of discussion of quality with a therapist and the congruence between treatment and evidence-based quality standards. Also, education is expected to increase self-reported adherence to evidence-based treatments. These hypothesized changes would be expected to improve patient outcomes, including symptom control, functional status, and quality of life.

描述（由申请人提供）：有证据表明，不到 50% 的精神分裂症患者正在接受符合科学证据的护理。导致这种低绩效水平的潜在因素有很多，与患者、提供者和心理健康系统的相互作用有关。以前提高质量的努力主要集中在医生身上，其次是系统。这项研究的目标是根据精神分裂症 PORT 研究，赋予患者权力并激发患者了解构成精神分裂症高质量护理的关键要素，并与他或她的临床医生讨论当前治疗和循证护理质量标准之间的差异。在责任基金会 (FACCT) 开发和测试的基于网络的 CompareYourCare 框架的基础上，我们将开发、测试和评估一个交互式精神分裂症基于网络的系统，该系统允许消费者或家庭成员将当前的治疗与基于证据的标准进行比较。该研究有三个目标：（1）建立精神分裂症的交互式护理质量教育模块，采用CompareYourCare TM (FACCT)框架和心理健康成果圆桌会议的工作，并测试这些模块的可接受性和可理解性； (2) 根据患者和家庭的报告，评估这些模块对于社区消费者和家庭与诊所的相关性和教育价值； (3) 检查这些模块对消费者和家庭、其提供者以及所接受的护理质量的影响，测试诊所和社区的实施策略。基于网络的教育系统将在诊所环境和社区环境中进行测试，患者在预定的治疗师就诊之前完成该系统。我们期望增加消费者和家庭对护理质量标准的了解，将增加与治疗师讨论质量的可能性以及治疗与基于证据的质量标准之间的一致性。此外，教育有望提高自我报告的循证治疗的依从性。这些假设的变化预计将改善患者的治疗结果，包括症状控制、功能状态和生活质量。