Effectiveness of the TB Contact Priority Model

结核病接触优先模型的有效性

• 批准号: 6899303
• 负责人: Lynn B Gerald
• 金额: $ 61.38万
• 依托单位: UNIVERSITY OF ALABAMA AT BIRMINGHAM
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-05-31 至 2009-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6899303
• 关键词: clinical research; communicable disease control; computers; disease /disorder model; education evaluation /planning; field study; health care personnel education; human subject; information dissemination; interview; public health; training; tuberculosis

DESCRIPTION (provided by applicant): Investigation of contacts of patients with active pulmonary tuberculosis (TB) is an important epidemiological tool in TB control. Unfortunately, due to budgetary and resource constraints, many health departments struggle to fulfill their responsibility of TB control through contact investigation. The broad purpose of this project, proposed by investigators at the University of Alabama at Birmingham and the State of Alabama Department of Public Health, is to use a behaviorally focused education that has been proven effective to enhance the accuracy and efficiency of the contact investigation process. The behaviorally focused intervention will focus on enabling public health workers to understand and implement a recently published model of TB transmission. The efficacy of this TB transmission model has been demonstrated by using computer algorithms; however, we endeavor to measure the clinical effectiveness of the TB contact priority model in field application. To achieve this goal, the following specific aims will be accomplished: 1) Enhance the current State of Alabama Department of Public Health contact investigation protocols and computer modules by using the statistically validated models of TB transmission; 2) Modify and re-implement an effective behaviorally focused education intervention to enable TB field workers to understand and implement the TB contact priority model and use the computer modules; 3) Conduct a formal evaluation of the a) behaviorally focused education intervention, b) usefulness of the newly developed computer modules, and c) the clinical effectiveness of the field implementation of the TB contact priority model; and 4) Disseminate and share results with other TB control programs seeking to improve contact investigation and provide more efficient TB disease control.

描述（由申请人提供）：对活动性肺结核（TB）患者的接触者进行调查是结核病控制的重要流行病学工具。不幸的是，由于预算和资源限制，许多卫生部门很难通过接触者调查履行结核病控制职责。该项目由阿拉巴马大学伯明翰分校和阿拉巴马州公共卫生部的研究人员提出，其广泛目的是利用以行为为重点的教育，这种教育已被证明可以有效提高接触者调查过程的准确性和效率。以行为为重点的干预措施将侧重于使公共卫生工作者能够理解和实施最近发布的结核病传播模型。该结核病传播模型的有效性已通过计算机算法得到证明；然而，我们努力衡量结核病接触优先模型在现场应用中的临床有效性。为了实现这一目标，将实现以下具体目标： 1) 通过使用经统计验证的结核病传播模型，加强阿拉巴马州公共卫生部当前的接触者调查方案和计算机模块； 2) 修改和重新实施有效的以行为为重点的教育干预措施，使结核病现场工作人员能够理解和实施结核病接触优先模型并使用计算机模块； 3) 对以下方面进行正式评估：a) 以行为为重点的教育干预措施，b) 新开发的计算机模块的实用性，以及 c) 结核病接触优先模型现场实施的临床有效性； 4) 传播并与其他结核病控制项目分享结果，以改善接触者调查并提供更有效的结核病控制。