Timeliness of Symptom Recognition, Interpretation, and Reporting in Heart Failure

心力衰竭症状识别、解释和报告的及时性

• 批准号: 8128450
• 负责人: Katherine Marie Reeder
• 金额: $ 7.79万
• 依托单位: UNIVERSITY OF KANSAS MEDICAL CENTER
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-08-15 至 2012-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8128450
• 关键词: Acute; Acute myocardial infarction; Address; Adult; Affect; Aging; Award; Bayesian Analysis; Bayesian Method; Biometry; Cardiovascular Diseases; Certification; Chronic; Clinical Research; Complex; Data Collection; Databases; Development; Disease; Doctor of Philosophy; Education; Educational Activities; Educational process of instructing; Event; Evidence based intervention; Faculty; Family; Fatigue; Funding; Future; Goals; Health; Health Care Costs; Health Personnel; Health Professional; Healthcare; Heart failure; Hospitalization; Hospitals; Interdisciplinary Study; Intervention; Intervention Studies; Interview; Kansas; Knowledge; Lead; Left; Letters; Life; Medical; Mentors; Methodology; Methods; Modeling; Monitor; Morbidity - disease rate; National Heart, Lung, and Blood Institute; Outcome; Outcomes Research; Pathway interactions; Patient Discharge; Patients; Pattern; Phase; Positioning Attribute; Postdoctoral Fellow; Preventive Medicine; Procedures; Quality of Care; Questionnaires; Recording of previous events; Reporting; Research; Research Activity; Research Methodology; Research Personnel; Research Support; Research Training; Resources; Risk Factors; School Nursing; Self Care; Self Management; Shortness of Breath; Signs and Symptoms; Social Interaction; Specialist; Statistical Methods; Swelling; Symptoms; Testing; Time; Training; United States; United States National Institutes of Health; Universities; base; care seeking; career; clinical care; cost; cost effective; data management; design; effective intervention; experience; graduate student; high risk; hospital readmission; improved; innovation; mortality; novel; professor; programs; public health priorities; public health relevance; reconstruction; research and development; research study; response; success

DESCRIPTION (provided by applicant): This K99/R00 award will provide education and mentored research study experiences for Dr. Reeder to achieve success as an independent investigator. Dr. Reeder's program of research is aimed at improving self- management and clinical care outcomes of patients with cardiovascular disease, the nation's number-one killer. K99/R00 coursework and mentored research activities will support 1) implementation of a clinical research study to explore how adult patients living with heart failure (HF) recognize, interpret, and report symptoms, 2) verification of the content and construct validity of a theoretical and clinically-based interview questionnaire on HF symptom recognition, interpretation, and reporting using novel Bayesian analyses, 3) advancement of knowledge about self-management of HF, with respect to symptom recognition, interpretation, and reporting, and 4) development and submission of a future intervention research proposal to examine empirically the effect of an evidence-based intervention that is informed by findings from this K99/R00 study on HF outcomes. Dr. Reeder has strong research support and training from a team that includes Carol Smith, PhD, RN, professor, KU-SON and Preventive Medicine, mentor, with 23 consecutive years of NIH-funded research and a long history of mentoring graduate students, medical residents, post doctoral fellows, and junior faculty who have become successful independent researchers, and co-mentor, Byron Gajewski, PhD, associate professor, KU Department of Biostatistics. During the K99 phase of the award, Dr. Reeder will also have the support of 3 significant contributors, an internationally known health care economist and outcomes researcher, a cardiologist with extensive NIH outcomes research funding, and an exemplary data base development specialist. Many of Dr. Reeder's research development activities will draw from KUMC's interdisciplinary research development programs, resources, and seminars. Proposed educational activities will provide Dr. Reeder with new knowledge integral to developing an independent program of research to improve outcomes for people living with cardiovascular diseases. Dr. Reeder will apply this knowledge through corresponding mentored research activities within a clinical research study, entitled "Timeliness of Symptom Recognition, Interpretation, and Reporting in HF," as a logical progression of her academic research dissertation and current position. Building on her doctoral dissertation that evaluated the influences of social interactions on pre-hospital delay in acute myocardial infarction (AMI), Dr. Reeder will use an exploratory descriptive design to investigate symptom recognition, interpretation, and reporting by employing both the innovative Day Reconstruction Method for data collection and novel Bayesian analysis. The ultimate goal is an independent program of research to promote effective self-management of cardiovascular diseases, enhance quality of care, and reduce costs. PUBLIC HEALTH RELEVANCE: The relevance of this research to public health priorities is that it explores patients' self-management methods used to monitor their bodily changes and symptoms and the timeliness of reporting heart failure symptoms to health care providers. Understanding patient methods can help health care providers to identify ways improve heart failure status and reduce untimely, repeated heart failure hospitalizations.

描述（由申请人提供）：这个K99/R 00奖将提供教育和指导研究经验博士里德取得成功，作为一个独立的调查。里德博士的研究项目旨在改善心血管疾病患者的自我管理和临床护理结果，心血管疾病是美国的头号杀手。K99/R 00课程作业和指导研究活动将支持1）实施临床研究研究，以探索患有心力衰竭（HF）的成年患者如何识别，解释和报告症状，2）使用新的贝叶斯分析验证HF症状识别，解释和报告的理论和临床访谈问卷的内容和结构效度，3）关于症状识别、解释和报告的HF自我管理知识的进步，以及4）制定和提交未来干预研究提案，以经验性地检查基于证据的干预措施的效果，该干预措施由来自HF结局的K99/R 00研究的结果提供信息。 里德博士拥有强大的研究支持和团队培训，团队成员包括Carol Smith博士、注册护士、教授、KU-SON和预防医学导师，拥有连续23年的NIH资助研究以及指导研究生、住院医师的悠久历史、博士后研究员和初级教师，他们已成为成功的独立研究人员和联合导师Byron Gajewski博士，副教授，生物统计学系。在该奖项的K99阶段，里德博士还将得到3位重要贡献者的支持，一位国际知名的医疗保健经济学家和结果研究人员，一位拥有大量NIH结果研究资金的心脏病专家，以及一位模范数据库开发专家。里德博士的许多研究开发活动将借鉴KUMC的跨学科研究开发计划，资源和研讨会。 拟议的教育活动将为里德博士提供新的知识，以开发一个独立的研究计划，以改善心血管疾病患者的预后。里德博士将通过临床研究中相应的指导研究活动应用这些知识，该研究题为“HF症状识别、解释和报告的时间表”，作为她学术研究论文和当前职位的逻辑进展。里德博士的博士论文评估了社会交往对急性心肌梗死（AMI）院前延迟的影响，她将在论文的基础上，采用探索性描述性设计，通过采用创新的数据收集日重建方法和新颖的贝叶斯分析，研究症状识别、解释和报告。最终目标是一个独立的研究计划，以促进心血管疾病的有效自我管理，提高护理质量并降低成本。 公共卫生关系：这项研究与公共卫生优先事项的相关性在于，它探讨了患者用于监测其身体变化和症状的自我管理方法，以及向医疗保健提供者报告心力衰竭症状的及时性。了解患者的方法可以帮助医疗保健提供者确定改善心力衰竭状态的方法，并减少不适时的重复心力衰竭住院。

项目成果

Lay Consultations in Heart Failure Symptom Evaluation.

心力衰竭症状评估的非专业咨询。

• DOI: 10.15226/2471-6529/3/2/00133
• 发表时间: 2017
• 期刊: SOJ nursing & health care
• 作者: Reeder,KatherineM;Sims,JessicaL;Ercole,PatrickM;Shetty,ShivanS;Wallendorf,Michael
• 通讯作者: Wallendorf,Michael