Patient-Provider Communication on Partner Violence

关于伴侣暴力的医患沟通

• 批准号: 7359666
• 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/7359666
• 关键词: Patient; Provider; Communication; Partner; Violence

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）：该提案的总体目标是为候选人提供手段、指导和结构，以过渡为独立调查员，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，接受卫生服务研究方面的进修培训。妇产科医生治疗的许多病症涉及敏感的社会和行为问题，需要向患者披露信息并提供信息和建议。候选人对患者与提供者沟通的兴趣代表了研究重点的转变，也是她之前在医疗保健筛查和亲密伴侣暴力 (IPV) 干预方面工作的自然延伸。她以 IPV 作为女性医疗保健提供者面临的一个具有挑战性的话题的例子，打算了解 IPV 中患者与提供者沟通的哪些组成部分与增加患者的披露、舒适度和寻求帮助的动机相关。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。该研究项目的目的是： 1）描述初次产科就诊期间患者与提供者关于亲密伴侣暴力的沟通内容和风格； 2) 描述通信与IPV披露之间的关联； 3) 描述患者对讨论的看法，包括讨论如何影响他们尝试改变处境以提高安全的意图； 4) 就如何询问和咨询有关 IPV 的问题制定提供者沟通干预措施。候选人的职业发展计划包括课程作业、方法论和主题专家的辅导、会议和指导研究，以实现她的教育目标：1) 获取评估患者与提供者沟通的知识和技能； 2）学习如何制定和实施干预措施以改善医患沟通； 3) 加强对衡量沟通干预结果的理解。