Patient Readiness to Use Internet Health Resources

患者准备好使用互联网医疗资源

• 批准号: 8433220
• 负责人: RICHELLE J KOOPMAN
• 金额: $ 14.48万
• 依托单位: UNIVERSITY OF MISSOURI-COLUMBIA
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-03-01 至 2014-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8433220
• 关键词: Patient; Readiness; Use; Internet; Health

DESCRIPTION (provided by applicant): For the more than 100 million patients with chronic conditions in the United States, collaborating with their health care team is part of effective, high-quality care. Internet health resources and communication can be an important element in improving care, as suggested by the Chronic Care Model. The model's keystone may be information technology that supports provider documentation and communication, as well as web-based patient self-management, education, and health communication; such technology can enable patient activation and self-management. Nationally, 50 percent of patients with chronic disease use the internet. However, little information is available on what promotes or is a barrier to use of internet health resources, or its effect on the consumer. To that end, we propose to examine these promoters and barriers, as well as the association of use with disease outcomes. We will develop a practical measure of the readiness of ambulatory patients with chronic conditions to use web-based health resources, test the predictive validity of the measure against logs of actual use of these resources by these same patients, and directly observe their use of these resources (Aim 1). We will examine how use of web-based resources is associated with clinical outcomes for patients with diabetes (Aim 2). This rich examination of preferences for use of web-based health resources among ambulatory patients with chronic disease will inform projects, systems, and policies that seek to use the online environment as part of a comprehensive disease management strategy. Although Dr. Koopman is experienced in the area of chronic disease research, the profound importance of this topic and the need for new skills in this area led her to the proposed Career Development Award as an important step toward future translational research. Dr. Koopman will leverage her established relationship with her mentor, Dr. David Mehr, and his currently funded AHRQ work "Using Health IT to Improve Ambulatory Chronic Disease Care" (1R18HS017035-01), which aims to evaluate the effectiveness of a new web-based interactive patient health portal. In addition to the proposed research, this application's structured career development plan includes supplementary training in instrument development and human- computer interaction, as well as scientific and career guidance from a multidisciplinary advisory committee and continued training in the responsible conduct of research. If awarded, Dr. Koopman's department and institution pledge that 75% of her time will be devoted to these research and career development activities. This Career Development Award will allow Dr. Koopman to gain expertise in scale development and in human computer interaction. This expertise will inform the research proposed, to identify promoters and barriers to the use of internet health resources by ambulatory patients with chronic conditions. She will also investigate how use of internet health resources is associated with disease outcomes. This knowledge will inform projects, systems, and policies seeking to use the online environment to improve care for patients.

描述（由申请人提供）：对于美国1亿多慢性病患者来说，与他们的医疗团队合作是有效，高质量护理的一部分。正如慢性病护理模式所建议的那样，互联网卫生资源和通信可以成为改善护理的一个重要因素。该模型的基石可能是信息技术，支持供应商的文档和通信，以及基于Web的患者自我管理，教育和健康通信;这种技术可以使患者激活和自我管理。在全国范围内，50%的慢性病患者使用互联网。然而，关于什么促进或阻碍使用互联网健康资源或其对消费者的影响的信息很少。为此，我们建议检查这些促进因素和障碍，以及使用与疾病结果的关联。我们将制定一个实用的措施，准备门诊慢性病患者使用基于网络的健康资源，测试的预测有效性的措施对日志的实际使用这些资源的这些相同的病人，并直接观察他们使用这些资源（目标1）。我们将研究如何使用基于网络的资源与糖尿病患者的临床结果（目标2）。这一丰富的检查偏好使用基于网络的健康资源之间的门诊慢性病患者将告知项目，系统和政策，寻求使用在线环境作为一个全面的疾病管理策略的一部分。虽然Koopman博士在慢性病研究领域经验丰富，但这一主题的深刻重要性以及对这一领域新技能的需求使她获得了拟议的职业发展奖，这是迈向未来转化研究的重要一步。Koopman博士将利用她与导师大卫梅尔博士建立的关系，以及他目前资助的AHRQ工作“利用健康IT改善门诊慢性病护理”（1 R18 HS 017035 -01），该工作旨在评估一个新的基于网络的互动式患者健康门户网站的有效性。除了拟议的研究外，该申请的结构化职业发展计划还包括仪器开发和人机交互方面的补充培训，以及多学科咨询委员会的科学和职业指导，以及负责开展研究的持续培训。如果获奖，Koopman博士的部门和机构承诺，她75%的时间将用于这些研究和职业发展活动。这个职业发展奖将使Koopman博士获得规模开发和人机交互方面的专业知识。这些专业知识将为拟议的研究提供信息，以确定慢性病门诊患者使用互联网健康资源的促进者和障碍。她还将研究互联网健康资源的使用如何与疾病结果相关。这些知识将为寻求利用在线环境改善患者护理的项目、系统和政策提供信息。

项目成果

Development of the PRE-HIT instrument: patient readiness to engage in health information technology.

• DOI: 10.1186/1471-2296-15-18
• 发表时间: 2014-01-28
• 期刊: BMC family practice
• 影响因子: 2.9
• 作者: Koopman RJ;Petroski GF;Canfield SM;Stuppy JA;Mehr DR
• 通讯作者: Mehr DR

Patient portal implementation: resident and attending physician attitudes.

患者门户实施：住院医生和主治医生的态度。

• 发表时间: 2013
• 期刊: Family medicine
• 影响因子: 1.9
• 作者: Keplinger,LynnE;Koopman,RichelleJ;Mehr,DavidR;Kruse,RobinL;Wakefield,DouglasS;Wakefield,BonnieJ;Canfield,ShannonM
• 通讯作者: Canfield,ShannonM

Health information technology evaluation and education: finding our way.

卫生信息技术评估和教育：寻找我们的道路。

• 发表时间: 2010
• 期刊: Family medicine
• 影响因子: 1.9
• 作者: Koopman,RichelleJ