Academic Career Award in Complementary and Alternative Medicine

补充和替代医学学术生涯奖

• 批准号: 8318012
• 负责人: Paula Marie Gardiner
• 金额: $ 12.96万
• 依托单位: BOSTON 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: 2010-09-01 至 2015-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8318012
• 关键词: Academic Career Award; Access to Information; Accident and Emergency department; Address; Adherence; Adult; Adverse event; Advocate; Affect; Award; Benefits and Risks; Biometry; Boston; Caring; Characteristics; Clinical Trials Design; Communication; Complementary and alternative medicine; Control Groups; Cranberries; Data; Data Analyses; Development; Documentation; Dose; Education; Educational Curriculum; Educational Intervention; Educational process of instructing; Engineering; Enrollment; Epidemiologic Methods; Epidemiology; Fish Oils; Funding; Future; Goals; Grant; Healthcare; Herb; Hospital Design; Hospital Records; Hospitalization; Hospitals; Hypericum perforatum; Information Systems; Inpatients; Instructional Technology; Intervention; Joints; Knowledge; Low income; Measures; Medical; Medical Errors; Medical Records; Medicine; Mentors; Methods; Minority; Modeling; National Center for Complementary and Alternative Medicine; National Health Interview Survey; National Heart, Lung, and Blood Institute; Nurses; Online Systems; Outcome; Patient Discharge; Patients; Pharmaceutical Preparations; Physicians; Pilot Projects; Pre-Post Tests; Probiotics; Randomized; Randomized Clinical Trials; Reporting; Research; Research Personnel; Risk; Safety; Sampling; Schools; Solid; Strategic Planning; System; Testing; Time; Training; Underserved Population; United States National Institutes of Health; Universities; Vaccinium macrocarpon; Visit; Woman; Work; base; capsule; career; career development; computerized; design; dietary supplements; evidence base; health care delivery; health information technology; health literacy; high risk; hospital utilization; human subject protection; innovation; knowledge base; literacy; patient oriented; patient safety; post intervention; prevent; programs; public health relevance; skills; virtual

DESCRIPTION (provided by applicant): NCCAM's 2005 Strategic Plan includes the exploration of organized health care delivery models which integrate complementary and alternative medicines (CAM) with conventional care. The 2007 National Health Interview Survey reports that approximately one in five adults use Herbs and non-vitamin Dietary Supplements (HDS). However, little is known about the number of inpatients in urban underserved hospitals who continue to use HDS while receiving treatment with allopathic medicines. Similarly, little is known about factors associated with potential HDS adverse events in hospital settings. Health information technology holds promise as an innovative and effective way to deliver HDS information to underserved patients and their physicians. This K07 application proposes essential first steps toward (1) developing a solid knowledge base about HDS use in underserved hospital patients, and (2) designing and piloting innovative methods to effectively deliver evidenced-based HDS information to underserved inpatients and their physicians, in particular through health information technology. The research objectives of this application are: (1) to contribute to the knowledge base about HDS use among minority inpatients; (2) to design culturally sensitive literacy-informed patient-centered information technology systems to teach about HDS; and (3) to develop a patient safety curriculum that will help clinicians document HDS use and communicate effectively with their patients about HDS. To achieve these objectives, this K07 application has three specific aims: (1) Investigate the association between HDS use, health literacy, medication use, and hospital utilization in a sample of 750 hospitalized patients; (2) Conduct a randomized clinical trial in sixty women who will receive a hospitalized discharge plan on cranberry delivered by a virtual patient advocate (a computerized, animated, empathic character), and a control group who receives the same information via a cranberry patient information sheet; and (3) Design, program, and evaluate a web-based HDS patient safety curriculum for clinicians, then utilize pre and post measures and chart reviews to assess its impact on clinician-patient HDS communication. Completion of this research will be supported by: (1) a core of highly skilled mentors and consultants; and (2) completion of a Graduate Certificate in Instructional Technology at the Boston University School of Education. The candidate's career goals are to become (1) an independent HDS research investigator and educator for underserved populations, and (2) a national leader in the use of health information technology for HDS patient and clinician education. To prepare herself to accomplish these career goals, as well as the research objectives outlined above, the candidate proposes (1) to undertake mentored training in patient safety, health care disparities, health literacy, and epidemiologic methods, and (2) to pursue course-working clinical trial design, statistical analysis, human subject protections, and online curriculum development. This award will effectively prepare the candidate to become a successful independently-funded HDS investigator, focused on the needs of underserved patients, and an expert in applying health information technology to the study and teaching of CAM. PUBLIC HEALTH RELEVANCE: Despite widespread herb use, little is known about inpatient use of herbs and non-vitamin dietary supplements in urban underserved hospitals. In this K07 Academic Career Development application, the candidate proposes essential first steps toward (1) developing a solid knowledge base about herb use in underserved hospital patients, and (2) designing and piloting innovative methods to effectively deliver evidenced-based herbal information to underserved inpatients and their physicians using health information technology.

描述(由申请人提供)：NCCAM的2005年战略计划包括探索将补充和替代药物(CAM)与传统护理相结合的有组织的卫生保健提供模式。2007年全国健康访谈调查报告称，大约五分之一的成年人使用草药和非维生素膳食补充剂(HDS)。然而，关于在服务不足的城市医院中，有多少住院患者在接受对症药物治疗的同时继续使用HDS，人们知之甚少。同样，人们对医院环境中与潜在HDS不良事件相关的因素知之甚少。健康信息技术有望成为向服务不足的患者及其医生提供HDS信息的一种创新和有效的方式。这个K07应用程序提出了重要的第一步，旨在(1)建立关于HDS在服务不足的医院患者中使用的坚实知识库，以及(2)设计和试验创新方法，以有效地向服务不足的住院患者及其医生提供基于证据的HDS信息，特别是通过健康信息技术。该应用程序的研究目标是：(1)促进少数民族住院患者使用HDS的知识库；(2)设计文化敏感、以识字为中心、以患者为中心的信息技术系统，教授HDS；以及(3)开发患者安全课程，帮助临床医生记录HDS的使用情况，并有效地与他们的患者就HDS进行沟通。为了实现这些目标，这款K07应用程序有三个具体目标：(1)在750名住院患者的样本中调查HDS使用、健康素养、药物使用和医院利用之间的关联；(2)在60名女性中进行随机临床试验，她们将收到由虚拟患者倡导者(一个计算机化的、动画的、有同情心的角色)提供的关于小红莓的住院出院计划，以及通过小红莓患者信息表接收相同信息的对照组；(3)为临床医生设计、规划和评估基于网络的HDS患者安全课程，然后利用前后测量和图表回顾来评估其对临床医生与患者HDS沟通的影响。这项研究的完成将得到以下支持：(1)由高技能导师和顾问组成的核心；(2)完成波士顿大学教育学院的教育技术学研究生证书。候选人的职业目标是：(1)成为一名独立的HDS研究调查员和教育工作者，为缺乏服务的人群服务，以及(2)在HDS患者和临床医生教育中使用健康信息技术方面的全国领先者。为了使自己做好准备来完成这些职业目标以及上面概述的研究目标，候选人建议(1)进行关于患者安全、医疗保健差异、健康素养和流行病学方法的指导培训，(2)从事课程-工作临床试验设计、统计分析、人类受试者保护和在线课程开发。这一奖项将有效地培养候选人成为一名成功的独立资助的HDS研究员，专注于服务不足的患者的需求，以及将卫生信息技术应用于CAM研究和教学的专家。 公共卫生相关性：尽管广泛使用草药，但在服务不足的城市医院，对住院患者使用草药和非维生素膳食补充剂的情况知之甚少。在这份K07学术职业发展申请中，应聘者向以下方向提出了必要的第一步：(1)建立关于在服务不足的医院患者中使用草药的坚实知识基础，以及(2)设计和试验创新方法，利用健康信息技术向服务不足的住院患者及其医生有效地提供基于证据的草药信息。