Is there a digital divide in Chronic Kidney Disease (CKD)?

慢性肾脏病 (CKD) 是否存在数字鸿沟？

• 批准号: 8699905
• 负责人: Clarissa Jonas Diamantidis
• 金额: $ 17.3万
• 依托单位: DUKE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-09-01 至 2018-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8699905
• 关键词: Adult; Affect; Age; Aptitude; Car Phone; Caring; Chronic Disease; Chronic Kidney Failure; Chronic Kidney Insufficiency; Classification Scheme; Clinical Investigator; Cohort Studies; Communication; Comorbidity; Computer Literacy; Computers; Data; Development; Development Plans; Disease; Disease Outcome; Educational Curriculum; Educational Materials; Epidemiology; Evaluation; Event; Fostering; Frequencies; Funding; Generations; Goals; Health; Health Personnel; Healthcare; Impaired Renal Function; Incidence; Individual; Informatics; Information Technology; Interdisciplinary Study; Internet; Knowledge; Lead; Measurement; Measures; Medical; Medication Errors; Mentored Patient-Oriented Research Career Development Award; Mentors; Mentorship; Methodology; Monitor; Nephrology; Outcome; Participant; Patients; Performance; Personal Digital Assistant; Pharmaceutical Preparations; Population; Population Study; Predictive Factor; Prospective Studies; Provider; Renal function; Reporting; Research; Research Methodology; Research Personnel; Risk; Safety; Self Management; Site; Socioeconomic Status; Solutions; Structure; Surveys; System; Technology; Testing; Touch sensation; Training; Visit; Work; base; career development; clinical epidemiology; cohort; computer human interaction; design; didactic education; digital; eHealth; empowered; health information technology; high risk; improved; instrument; literacy; mHealth; multidisciplinary; novel; patient safety; prototype; public health relevance; response; skills; tool; usability; web site

DESCRIPTION (provided by applicant): Health information technology (IT) offers new tools to improve outcomes in chronic diseases, yet few IT applications have been designed specifically for the chronic kidney disease (CKD) population, which includes many patients adversely affected by the "Digital Divide" and at risk for medication errors. Application type: K23 Mentored Patient-Oriented Research Career Development Award. Career development aim: Develop skills in the evaluation, development, and implementation of health IT solutions to improve the safety of care in CKD through a unique didactic curriculum and execution of a novel prospective study plan. Study aims: 1) examine the association between surveyed perceived e-literacy and medication errors in individuals with CKD, 2) assess the relationship between functional computer literacy and medication errors in individuals with CKD using performance assessment of a simple website-based task list, and 3) pilot a novel IT prototype medication inquiry system (MIS) which provides precautionary information on the safe usage medications common in CKD. Core study and population: Chronic Renal Insufficiency Cohort (CRIC) study, which is a nationally cohort of adult participants with CKD. Research methods: Aim 1: Survey CRIC participants from 4 CRIC sites (n=1150) at an annual visit regarding their mobile phone usage, and perceived e-health literacy with the validated eHealth Literacy Scale (eHEALS). Aim 2: Assess the human-computer interactions of participants at three CRIC centers (n=195) accessing an "eCRIC' website and a structured assignment list, designed to measure participants' computer proficiency. Evaluate the association between Aims 1 & 2 measures and degree of cumulative threat to safety defined by a novel medication error classification scheme. Aim 3: evaluate local CRIC participants (n = 50) effective use of a novel MIS application embedded on a personal digital assistant-based (e.g. iPod Touch"), which notifies users about the safety of specific medications upon input of their actual medications with CAUTION or NOT SAFE alerts. Correctness of reported results will be verified by study staff. Career development plan: Multidisciplinary mentorship team and curriculum has been assembled to foster Dr. Diamantidis' working knowledge of healthcare informatics, patient engagement methodology, and mobile technology applications. The mentorship team will oversee Dr. Diamantidis in her professional development and acquisition of a working understanding of health IT and its application to chronic disease populations. These acquired competencies will enhance her current background in clinical epidemiology. Anticipated results: This Mentored Patient-Oriented Research Career Development Award will help Dr. Diamantidis achieve her immediate and long term goals by supporting: 1) new and unique training in health IT research, 2) multidisciplinary collaboration with expert informatics researchers, 3) advanced training in epidemiology and 4) the generation of critical preliminary data to facilitate her transition to research independence with a specialized niche in implementation of disease-tailored health IT applications in CKD.

描述（由申请人提供）：健康信息技术（IT）提供了改善慢性疾病结局的新工具，但很少有专门针对慢性肾脏疾病（CKD）人群设计的IT应用程序，其中包括许多受“数字鸿沟”不利影响的患者，并存在用药错误的风险。申请类型：K23指导以患者为导向的研究职业发展奖。职业发展目标：培养健康IT解决方案的评估，开发和实施技能，通过独特的教学课程和执行新颖的前瞻性研究计划来提高CKD护理的安全性。研究目的：1）检查CKD患者中被调查的感知电子素养与用药错误之间的关联，2）使用简单的基于网站的任务列表的性能评估评估CKD患者中功能性计算机素养与用药错误之间的关系，以及3）试行新型IT原型用药查询系统（MIS），该系统提供有关CKD常见安全用药的预防信息。核心研究和人群：慢性肾功能不全队列（CRIC）研究，这是一项全国性CKD成人受试者队列研究。研究方法：目标1：对来自4个审评委站点的审评委参与者（n=1150）进行年度访问，调查他们的移动的电话使用情况，并使用经验证的电子卫生素养量表（eHEALS）对电子卫生素养进行感知。目标二：评估三个审评委中心的参与者（n=195）访问“eCRIC”网站和结构化任务清单的人机互动情况，该清单旨在衡量参与者的计算机熟练程度。评价目标1和目标2测量值与新用药错误分类方案定义的累积安全性威胁程度之间的相关性。目标三：评估当地CRIC参与者（n = 50）有效使用嵌入基于个人数字助理（例如iPod Touch）的新型MIS应用程序，该应用程序在输入用户实际药物时通知用户特定药物的安全性，并发出警告或不安全警报。研究工作人员将验证报告结果的正确性。职业发展计划：多学科指导团队和课程已经组装，以培养Diamantidis博士的医疗信息学，患者参与方法和移动的技术应用的工作知识。导师团队将监督Diamantidis博士的专业发展和对健康IT及其在慢性病人群中的应用的工作理解。这些获得的能力将增强她目前在临床流行病学方面的背景。预期结果：这个指导以患者为导向的研究职业发展奖将帮助博士Diamantidis通过支持实现她的近期和长期目标：1）卫生信息技术研究的新的和独特的培训，2）与专家信息学研究人员的多学科合作，3）流行病学高级培训; 4）产生关键的初步数据，以促进她过渡到研究独立与一个专门的利基在实施疾病-CKD中量身定制的健康IT应用程序。