Patient-Provider Communication on Partner Violence

关于伴侣暴力的医患沟通

• 批准号: 6822827
• 负责人: JUDY C CHANG
• 金额: $ 12.59万
• 依托单位: MAGEE-WOMEN'S RES INST AND FOUNDATION
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-05-01 至 2010-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6822827
• 关键词: attitude; audiotape; behavioral /social science research tag; clinical research; communication behavior; counseling; domestic violence; female; health care personnel performance; health care service evaluation; health services research tag; human subject; human therapy evaluation; motivation; outcomes research; patient care personnel attitude; patient care personnel relations; patient oriented research; questionnaires; spouse abuse; therapy design /development; violence prevention; women' s health

DESCRIPTION (provided by the applicant): The overarching goal of this proposal is to provide the candidate with the means, mentorship and structure to transition to an independent investigator focused on examining and improving communication between female patients and their health care providers. She is Assistant Professor in Ob-Gyn with fellowship training in health services research. Many conditions treated by obstetricians-gynecologists deal with sensitive social and behavioral issues that necessitate patient disclosure and the provision of information and advice. The candidate's interest in patient-provider communication represents a shift in research focus and a natural extension of her previous work on health care screening and interventions for intimate partner violence (IPV). Using IPV as an example of a challenging topic faced by women's health care providers, she intends to understand what components of patient-provider communication in IPV are associated with increased patient disclosure, comfort and motivation to seek help. She intends to design a communication intervention to improve provider IPV discussions and health and safety outcomes for affected women. Aims of the research project are: 1) to describe the content and style of patient-provider communication regarding intimate partner violence during the initial obstetric visit; 2) to describe association between communication and IPV disclosure; 3) to describe the patients' perspectives on the discussion including how it affected their intentions to attempt to change their situations to increase their safety; and 4) to develop a provider communication intervention on how to ask and counsel about IPV. The candidate's career development plan incorporates coursework, tutorials with methodological and topic experts, conferences, and mentored research to meet her educational objectives: 1) to acquire knowledge and skills to assess patient-provider communication; 2) to learn how to develop and implement interventions to improve patient-provider communication; and 3) to enhance understanding in measuring outcomes of communication intervention.

描述（由申请人提供）：本提案的总体目标是为候选人提供过渡到独立研究者的方法、指导和结构，该独立研究者专注于检查和改善女性患者与其医疗保健提供者之间的沟通。她是妇产科助理教授，在卫生服务研究方面接受奖学金培训。妇产科医生治疗的许多疾病涉及敏感的社会和行为问题，需要患者披露信息和提供建议。候选人对医患沟通的兴趣代表了研究重点的转变，也是她以前在医疗保健筛查和亲密伴侣暴力干预（IPV）方面工作的自然延伸。使用IPV作为一个例子，一个具有挑战性的话题所面临的妇女的医疗保健提供者，她打算了解什么组件的IPV患者提供者的沟通与增加患者的披露，舒适度和寻求帮助的动机。她打算设计一种沟通干预措施，以改善提供者IPV讨论以及受影响妇女的健康和安全结果。研究项目的目的是：1）描述在初次产科就诊期间患者-提供者关于亲密伴侣暴力的沟通的内容和风格; 2）描述沟通与IPV披露之间的关联; 3）描述患者对讨论的观点，包括它如何影响他们试图改变他们的情况以增加他们的安全的意图;以及4）开发关于如何询问和咨询IPV的提供者沟通干预。候选人的职业发展计划包括课程作业，方法和主题专家的教程，会议和指导研究，以满足她的教育目标：1）获得知识和技能，以评估患者-提供者沟通; 2）学习如何制定和实施干预措施，以改善患者-提供者沟通;和3）提高对沟通干预结果的理解。