权益分类	功能权益	普通用户	{{item.name}}会员
{{category.name}}	{{benefitItem.name}}

Improving Adolescent Primary Care Through An Interactive Behavioral Health Module

通过互动行为健康模块改善青少年初级保健

基本信息

批准号：
8323058
负责人：
ELIZABETH M OZER
金额：
$ 14.42万
依托单位：
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
依托单位国家：
美国
项目类别：
财政年份：
2011
资助国家：
美国
起止时间：
2011-09-01 至 2014-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8323058
关键词：
Improving Adolescent Primary Care Through

项目摘要

DESCRIPTION (provided by applicant): Most adolescents visit a health care provider once a year, providing an ideal opportunity to integrate behavioral/emotional health screening into clinical care. Yet despite clinical guidelines, providers screen adolescents for risky health behaviors and depression at rates consistently lower than recommended. New strategies are needed to increase behavioral health screening in primary care. Health information technology, with clinical decision support (CDS) has tremendous potential to improve health care quality and subsequent behavioral health outcomes for adolescents. Although the majority of adolescent health problems are amenable to behavioral intervention, and most adolescents are comfortable using interactive computerized technology, few health information technology interventions have been integrated into adolescent care. The proposed project primarily addresses the research area of Health IT to improve health care decision-making, specifically the development and implementation of health information tools into the primary care setting. A secondary research area is focused on Health IT to support patient-centered care. The major goals of this exploratory project are 1) to develop a theoretically based interactive behavioral/emotional health module for adolescents that can be integrated into health care delivery, serving both as a risk assessment and an intervention tool to enhance adolescent behavior change; and 2) to pilot the implementation of the computerized module/screening system into adolescent primary care, assessing clinician, adolescent, and system outcomes. The study will be conducted within the San Francisco Bay Collaborative Research Network (CRN) through the University of California, S.F. (UCSF). From these ethnically and economically diverse clinics, a sample of adolescents, ages 12 to18 years, will be recruited to participate in all phases of the research. Phase 1 (Year 1) will focus on developing a computerized behavioral/emotional health module that is acceptable to teenagers and to health professionals who care for them in primary care settings. Phase 2 (Year 2) will focus on implementing the module into two primary care clinics serving large numbers of diverse adolescent patients. Multiple approaches and data sources will be utilized to conduct quantitative and qualitative analyses on each of the outcomes of interest. The exploratory R21 provides an ideal opportunity to understand how the proposed intervention addresses the diverse needs of teenagers, inform us about contextual factors that contribute to quality of implementation in varied clinic contexts, and inform strategies for adaptation and integration in larger scale IT implementation.

描述（由申请人提供）：大多数青少年每年访问一次卫生保健提供者，提供了一个理想的机会，将行为/情绪健康筛查纳入临床护理。然而，尽管有临床指南，提供者筛选青少年的危险健康行为和抑郁症的比率始终低于建议。需要新的战略来增加初级保健中的行为健康筛查。健康信息技术，与临床决策支持（CDS）有巨大的潜力，以提高卫生保健质量和随后的行为健康结果的青少年。虽然大多数青少年的健康问题是服从于行为干预，大多数青少年是舒适的使用交互式计算机化技术，很少有健康信息技术的干预措施已被纳入青少年保健。拟议的项目主要针对健康信息技术的研究领域，以改善医疗决策，特别是在基层医疗环境中开发和实施健康信息工具。一个次要的研究领域是集中在健康IT支持以病人为中心的护理。这个探索性项目的主要目标是：1）为青少年开发一个基于理论的互动行为/情绪健康模块，该模块可以整合到卫生保健服务中，作为风险评估和干预工具，以促进青少年行为的改变;和2）在青少年初级保健中试行计算机化模块/筛查系统，评估临床医生，青少年，系统的成果。本研究将通过加州大学南佛罗里达分校（UCSF）在旧金山弗朗西斯科湾合作研究网络（CRN）内进行。从这些不同种族和经济状况的诊所中，将招募12至18岁的青少年样本参与研究的所有阶段。第一阶段（第一年）将侧重于开发一个计算机化的行为/情绪健康模块，该模块为青少年和在初级保健环境中照顾他们的卫生专业人员所接受。第二阶段（第二年）将重点实施该模块到两个初级保健诊所服务大量不同的青少年患者。将利用多种方法和数据来源对每一项有关成果进行定量和定性分析。探索性的R21提供了一个理想的机会，以了解拟议的干预措施如何解决青少年的不同需求，告知我们在不同的临床环境中有助于实施质量的环境因素，并告知在更大规模的IT实施中的适应和整合策略。