Web-Based Partners in Care for Primary Care Practices

基于网络的初级保健实践护理合作伙伴

• 批准号: 6736676
• 负责人: REBEKAH K HERSCH
• 金额: $ 10万
• 依托单位: ISA ASSOCIATES, INC.
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-01-16 至 2005-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6736676
• 关键词: Internet; clinical research; computer assisted instruction; continuing education; continuing nursing education; depression; educational resource design /development; human subject; interactive multimedia; interview; medical education; primary care physician; training

DESCRIPTION (provided by applicant): Depression and other mental health problems are among the most prevalent and disabling disorders--ranking second only to cardiovascular conditions in loss of disability-adjusted life years. Surprisingly, the majority of people with depression, who seek treatment, use primary care settings for treatment rather than mental health service. Unfortunately, primary care settings do not typically provide a high level of quality for the treatment of depression because primary care physicians often do not receive sufficient training about depression and because they often do not have sufficient time to assess, educate, treat, and follow-up. In response to this problem, RAND created the Partners in Care (PIC) collaborative care intervention designed to provide primary care physicians and their staff with specialized training and access to resources in the areas of depression detection and treatment. In a 5-year clinical trial conducted by RAND, PIC was found to be effective in improving the quality of care for patients with depression as well as clinical outcomes, mental health functioning, and work retention of depressed patients. ISA will create a Web-based adaptation of the PIC program. The Web-based PIC training will not simply be a compendium of the text-based information, but an interactive, multimedia experience that will allow self-paced learning and broader dissemination of the PIC program. Phase I activities include prototype development, interviews with physicians and managed care organizations, feasibility and usability testing with a sample of physicians and nurses, and securing a Phase II field test site.

描述（由申请人提供）：抑郁症和其他心理健康问题是最普遍和致残的疾病之一-在残疾调整生命年损失方面仅次于心血管疾病。令人惊讶的是，大多数寻求治疗的抑郁症患者使用初级保健机构进行治疗，而不是心理健康服务。不幸的是，初级保健机构通常不提供高质量的抑郁症治疗，因为初级保健医生往往没有接受足够的培训，因为他们往往没有足够的时间来评估，教育，治疗和随访。针对这一问题，兰德创建了护理伙伴（PIC）协作护理干预，旨在为初级保健医生及其工作人员提供专门培训，并获得抑郁症检测和治疗领域的资源。在兰德公司进行的一项为期5年的临床试验中，发现PIC可有效改善抑郁症患者的护理质量以及抑郁症患者的临床结局、心理健康功能和工作保留。伊萨将创建一个基于Web的PIC程序改编。基于网络的事先知情同意培训将不仅仅是基于文本的信息的概要，而是一种互动的多媒体体验，将允许自定进度的学习和更广泛地传播事先知情同意方案。第一阶段的活动包括原型开发，与医生和管理式护理组织的访谈，以医生和护士为样本的可行性和可用性测试，以及确保第二阶段的现场测试场地。