The role of partner support in chronic disease outcomes

合作伙伴支持在慢性病结果中的作用

• 批准号: 2887214
• 金额: --
• 依托单位: University of Essex
• 依托单位国家: 英国
• 项目类别: Studentship
• 财政年份: 2023
• 资助国家: 英国
• 起止时间: 2023 至 无数据
• 项目状态: 未结题
• 来源: https://gtr.ukri.org/projects?ref=studentship-2887214
• 关键词: role; partner; support; chronic; disease

Project background In the UK, patient care and disease management are typically treated as individual concerns rather than recognising that disease management is a social process. This project offers an exciting opportunity to develop and test a comprehensive account of how partner interactions impact chronic disease, with immediate relevance to chronic disease management and care of arthritis patients. Patient reported outcomes are important measures in management of inflammatory arthritis, but they are inherently subjective, and may be influenced by social factors overlooked in clinical contexts (e.g., social support). There is often a large discordance between patient and physician global assessments of disease activity in inflammatory arthritis, which impacts treatment decisions, patient satisfaction and compliance. An overreliance on physiological predictors of patient global assessments means that important social information (e.g., interactions with partners) which may contribute to patient-physician discordance have been overlooked. Shifting to a bio-psycho-social model approach which includes understanding the impact of social contexts should contribute to a better disease management.Project aims and objectivesThis exciting PhD project aims to examine how daily interactions between partners influence patient-reported disease outcomes and may account for discrepancies between patient and physician global assessments of disease activity in inflammatory arthritis. Specific objectives include:1. Synthesizing the current evidence regarding associations between partner support and patient reported outcomes among arthritis patients.2. Examining daily associations between partner interactions and patient reported outcomes. 3. Examining longitudinal associations between daily partner interactions and patient reported disease outcomes, and the over-time patient-physician discordance on global assessments. 4. Identifying the similarities and differences in how partner interactions patient-physician assessments across different types of inflammatory arthritis.5. Piloting possible psycho-social interventions to improve patient reported disease outcomes.

在英国，病人护理和疾病管理通常被视为个人问题，而不是认识到疾病管理是一个社会过程。该项目提供了一个令人兴奋的机会，开发和测试合作伙伴互动如何影响慢性病的全面说明，与慢性病管理和关节炎患者的护理直接相关。患者报告的结果是炎症性关节炎管理的重要指标，但它们本质上是主观的，并且可能受到临床环境中被忽视的社会因素的影响（例如，社会支持）。在炎症性关节炎中，患者和医生对疾病活动性的总体评估之间往往存在很大的不一致性，这会影响治疗决策、患者满意度和依从性。过度依赖患者整体评估的生理预测因素意味着重要的社会信息（例如，与合作伙伴的互动），这可能会导致病人与医生的不一致被忽视。转移到一个生物心理社会模型的方法，其中包括了解社会背景的影响，应有助于更好的疾病management.Project的目的和objectivesThis令人兴奋的博士项目旨在研究如何合作伙伴之间的日常互动影响患者报告的疾病结果，并可能占患者和医生之间的差异炎症性关节炎的疾病活动的全球评估。具体目标包括：1.综合目前关于关节炎患者伴侣支持和患者报告结果之间相关性的证据.检查伴侣互动与患者报告结果之间的日常关联。3.检查日常伴侣互动与患者报告的疾病结局之间的纵向关联，以及患者与医生在总体评估上的长期不一致性。4.确定不同类型的炎症性关节炎患者-医生评估中合作伙伴互动方式的相似性和差异性。试行可能的心理社会干预措施，以改善患者报告的疾病结局。