Optimizing Chronic Illness Self-Management for Individuals with Schizophrenia

优化精神分裂症患者的慢性病自我管理

基本信息

批准号：
7387454
负责人：
RICHARD Warren GOLDBERG
金额：
$ 20.99万
依托单位：
UNIVERSITY OF MARYLAND BALTIMORE
依托单位国家：
美国
项目类别：
财政年份：
2007
资助国家：
美国
起止时间：
2007-03-28 至 2010-02-28
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7387454
关键词：
Accounting Address Adult Advocate Affect Americas Attention Behavioral Caring Chronic Chronic Care Chronic Disease Cognitive Comorbidity Condition Consumer Participation Diabetes Mellitus Disabled Persons Educational Curriculum Effectiveness Effectiveness of Interventions Face Freedom Future General Population Goals HIV Health Health Care Costs Health Personnel Health Promotion Health Status Health system Heart Diseases Hepatitis C Individual Infection Intervention Life Manuals Measures Medical Mental Health Mental Health Services Mental disorders Methods Modification Monitor Morbid Obesity Morbidity - disease rate Neurocognition Numbers Outcome Participant Patient Education Patient-Centered Care Patients Pattern Persons Pharmaceutical Preparations Population Study Procedures Provider Psyche structure Public Health Quality of Care Quality of life Randomized Controlled Trials Range Rate Recovery Rehabilitation therapy Relative (related person)Reliance Research Research Project Grants Schizophrenia Self Care Self Efficacy Self Management Services Smoke Solid Structure Substance abuse problem Surgeon Symptoms System Testing Weight Wellness Program abstracting base cost disability experience functional disability handbook improved innovation mortality peer pilot trial programs respiratory severe mental illness skills social social communication therapy development

项目摘要

DESCRIPTION (provided by applicant): Abstract Recovery is cited within Transforming Mental Health Care in America, Federal Action Agenda: First Steps, as the "single most important goal" for the mental health service delivery system. Increasingly, physical wellness is being recognized as a key component of a more holistic approach to recovery. The elevated rates of medical co-morbidity among individuals with schizophrenia represent a significant public health challenge with profound service delivery, cost and quality implications. Innovative and portable interventions are sorely needed to more effectively address this problem. Despite the growing recognition that self-management strategies hold enormous promise for improving quality and outcomes of care for chronic medical illnesses, and the fact that self-management is gaining prominence as a recovery oriented treatment focus, relatively little is known about how to extend use of effective medical self-care programs to help persons with schizophrenia more actively participate in their health and medical care management. To address this gap, our R34 application meets the objectives of PAR-06-248 "From Intervention Development to Services: Exploratory Research Grants (R34)" and proposes to develop and pilot test an optimized version of an existing and effective chronic medical illness self-management program to better meet the needs adults with schizophrenia. Our specific aims are to: 1. Develop intervention materials and a manual for the proposed adapted chronic medical illness self management intervention. 2. Refine materials and implementation procedures based on a preliminary, short-term trial with 6-8 patients. 3. Implement a carefully monitored pilot trial for 50 participants and measure the effect at 6 months on the primary outcomes of: a) health related self-efficacy and recovery orientation; b) medical illness self-management skills; c) social/communication skills focusing on interactions with health care providers; d) physical and mental health status; and f) medical service use patterns. Secondary, exploratory analyses will examine the modifying effect of various covariates on the effectiveness of the intervention including medication use, neurocognition, substance abuse, psychiatric symptoms, number of and seriousness of related comorbidities, and quantitative and qualitative ratings of consumer participation in the intervention. This R34 application meets the objectives of PAR-06-248 "From Intervention Development to Services: Exploratory Research Grants (R34)" and proposes to develop and pilot test an optimized version of an existing and effective chronic medical illness self-management program to better meet the needs adults with schizophrenia.

描述（由申请人提供）：在美国转型心理保健，联邦行动议程：第一步，作为心理健康服务提供系统的“最重要目标”。越来越多的身体健康被认为是一种更全面的恢复方法的关键组成部分。精神分裂症患者的医疗合并症率升高代表了一项重大的公共卫生挑战，服务提供了深远的服务，成本和质量影响。迫切需要更有效地解决此问题的创新和便携式干预措施。尽管人们越来越认识到，自我管理策略对改善慢性医学疾病的质量和护理结果的巨大希望以及自我管理作为一种恢复为导向的治疗的重点而变得突出的事实相对较少，但对于如何扩展使用有效的医疗自我护理计划来帮助患者与精神分裂症患者更加积极地参与其健康和医疗保健管理。为了解决这一差距，我们的R34应用程序符合PAR-06-248“从干预开发到服务的目标：探索性研究补助金（R34）”，并建议开发和试点测试现有且有效的慢性医疗疾病自我管理计划的优化版本，以更好地满足成年人的需求。我们的具体目的是：1。开发干预材料和拟议适应的慢性医学疾病自我管理干预措施的手册。 2。基于6-8例患者的初步，短期试验，完善材料和实施程序。 3.对50名参与者进行精心监控的试验试验，并在6个月对以下主要结果进行效果：a）与健康相关的自我效能和恢复方向； b）医学疾病自我管理技能； c）关注与医疗保健提供者互动的社会/沟通技巧； d）身心健康状况； f）医疗服务使用模式。次要的探索性分析将检查各种协变量对干预措施的有效性的修改作用，包括药物使用，神经认知，药物滥用，精神病症状，相关合并症的严重性和严重性，以及在干预中消费者参与的定量和定性评级。该R34应用程序符合PAR-06-248“从干预开发到服务的目标：探索性研究补助金（R34）”，并建议开发和试点测试现有且有效的慢性医学疾病自我管理计划的优化版本，以更好地满足成人的成年人。