Racial Differences in Patient-Provider Communication and Medication Adherence.

患者与提供者沟通和药物依从性的种族差异。

基本信息

批准号：
8698451
负责人：
Antoinette M Schoenthaler
金额：
$ 12.85万
依托单位：
NEW YORK UNIVERSITY SCHOOL OF MEDICINE
依托单位国家：
美国
项目类别：
财政年份：
2010
资助国家：
美国
起止时间：
2010-09-01 至 2015-12-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8698451
关键词：
Address Adherence Affect Ambulatory Care Antihypertensive Agents Area Attention Audiotape Award Behavioral Medicine Cardiovascular Diseases Cardiovascular system Caring Characteristics Chronic Disease Client satisfaction Clinic Code Communication Development Development Plans Dimensions Dose Educational workshop Event Feeling Goals Health Health Services Accessibility Healthy People 2010 Hypertension Institute of Medicine (U.S.)Institution Intervention K-Series Research Career Programs Knowledge Mediating Medical Mentorship Methods Minority Modeling Monitor Morbidity - disease rate New York City Outcome Pathway interactions Patient Care Patient Preferences Patients Pharmaceutical Preparations Phase Play Population Preventive Process Provider Race Reporting Research Research Personnel Research Project Grants Role Sum System Systems Analysis Training career development communication behavior design experience health care quality health disparity high risk improved interest low socioeconomic status medication compliance minority health mortality multidisciplinary racial difference research and development research study skills

项目摘要

DESCRIPTION (provided by applicant): The goal of this career development award is to develop theoretical and methodological expertise in patient-provider communication to facilitate the candidate's development into a leader in research to improve patient-provider communication with an emphasis on its relation to health disparities in patients with chronic disease. Building on her training and experience in cardiovascular behavioral medicine and minority health, the candidate has identified four core-training areas to further develop the skills needed to become an independent investigator: 1) interaction with a multidisciplinary mentorship team in cardiovascular disease, health disparities research, patient-provider communication, and behavioral medicine; 2) coursework and didactic training to develop expertise in methodological and analytical principles of minority and cardiovascular health research; 3) rigorous hands-on training in the use of qualitative analysis and an objective interaction analysis system to elucidate how patient-provider communication relates to patient outcomes, and; 4) participation in seminars/workshops to gain the fundamental knowledge needed to develop an intervention to improve patient-provider communication. Despite the mounting evidence that racial differences in patient- provider communication affects patient care, many of these studies have examined processes of care such as patient satisfaction with little attention to intermediate outcomes such as medication adherence. Further, studies examining racial differences in patient-provider communication have not adequately captured the mutual influence the patient and provider may have on one another during the interaction. Thus, the potential pathways through which patient-provider communication contribute to hypertension-related disparities is not clearly understood. This proposed two-phase, mixed-methods study, provides a unique opportunity to address these gaps by elucidating the effect of patient's race on patient-provider communication and medication adherence among 120 hypertensive black and white patients receiving care at the Bellevue Ambulatory Care Practice in New York City. Specifically, findings from a qualitative analysis of patient-provider communication (Phase 1) will inform the development of a conceptual model that will be used to quantitatively evaluate the relationship between patient's race, patient-provider communication and medication adherence (Phase 2). In addition, patient-, provider-, and clinic-level characteristics will be evaluated as covariates to examine potential confounders of the relationship between patient-provider communication and medication adherence. The proposed career development plan and research project, along with the support of an established mentorship team and access to a well-resourced institution, will be instrumental in launching the candidate's academic research trajectory into an independent investigator with a focus in behavioral medicine and cardiovascular health disparities. The knowledge gained from this award will provide invaluable information for developing interventions to reduce the disparate rates of cardiovascular mortality and morbidity in high-risk populations.

描述（由申请人提供）：该职业发展奖的目标是在患者提供者沟通方面发展理论和方法论专业知识，以促进候选人的发展成为研究领导者，以改善患者提供者的沟通，重点是其与慢性疾病患者健康差异的关系。候选人以她在心血管行为医学和少数民族健康方面的培训和经验的基础上，确定了四个核心训练领域，以进一步发展成为独立研究者所需的技能：1）与心血管疾病，健康差异研究，患者预科沟通和行为医学的多学科指导团队的互动； 2）课程和教学培训，以发展少数民族和心血管健康研究的方法论和分析原理方面的专业知识； 3）在使用定性分析和客观的相互作用分析系统中，严格的动手培训，以阐明患者提供者与患者结局的关系，并且； 4）参加研讨会/研讨会，以获取开发干预措施以改善患者提供沟通所需的基本知识。尽管有越来越多的证据表明患者沟通中的种族差异会影响患者护理，但其中许多研究已经检查了护理过程，例如患者满意度，很少关注中级结果，例如药物依从性。此外，研究患者提供者沟通中种族差异的研究还没有充分捕获患者和提供者在互动过程中彼此之间的相互影响。因此，尚不清楚理解患者提供沟通导致与高血压相关差异的潜在途径。这项提出的两相混合方法研究为解决这些差距提供了独特的机会，通过阐明患者种族对患者提供者的沟通和药物依从性的影响，在纽约市贝尔维尤卧床治疗实践中接受护理的120名高血压黑人和白人患者中。具体而言，从定性分析的患者提供者的沟通（第1阶段）的发现将为一种概念模型的发展提供信息，该模型将用于定量评估患者种族，患者提供者的沟通和药物依从性之间的关系（第2阶段）。此外，将评估患者，提供者和临床水平的特征作为协变量，以检查患者提供者的沟通和药物依从性之间关系的潜在混杂因素。拟议的职业发展计划和研究项目，以及既定的指导团队的支持并获得了资源良好的机构，将有助于将候选人的学术研究轨迹推向行为医学和心血管健康差异的独立研究者。从该奖项中获得的知识将为开发干预措施提供宝贵的信息，以降低高风险人群中心血管死亡率和发病率的不同率。

项目成果

期刊论文数量（10）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

It takes two to tango: A dyadic approach to understanding the medication dialogue in patient-provider relationships.

探戈需要两个人：一种理解医患关系中药物对话的二元方法。

DOI：
10.1016/j.pec.2018.02.009
发表时间：
2018
期刊：
Patient education and counseling
影响因子：
3.5
作者：
Schoenthaler,Antoinette;Basile,Melissa;West,TessaV;Kalet,Adina
通讯作者：
Kalet,Adina

The nature and scope of patient-sharing network research: a novel, important area for network science.

患者共享网络研究的性质和范围：网络科学的一个新颖而重要的领域。

DOI：
10.1093/tbm/iby052
发表时间：
2018
期刊：
Translational behavioral medicine
影响因子：
3.6
作者：
Robbins,Rebecca;Seixas,Azizi;Schoenthaler,Antoinette
通讯作者：
Schoenthaler,Antoinette

Psychosocial risk factors for hypertension: an update of the literature.

DOI：
10.1007/s11906-014-0483-3
发表时间：
2014-10
期刊：
CURRENT HYPERTENSION REPORTS
影响因子：
5.6
作者：
Cuffee, Yendelela;Ogedegbe, Chinwe;Williams, Natasha J.;Ogedegbe, Gbenga;Schoenthaler, Antoinette
通讯作者：
Schoenthaler, Antoinette

Provider burnout and patient-provider communication in the context of hypertension care.

高血压护理背景下的提供者倦怠和患者与提供者的沟通。

DOI：
10.1016/j.pec.2019.03.014
发表时间：
2019
期刊：
Patient education and counseling
影响因子：
3.5
作者：
Robbins,Rebecca;Butler,Mark;Schoenthaler,Antoinette
通讯作者：
Schoenthaler,Antoinette

Frequency and nature of discussing social influences on health in urban safety-net clinics: A qualitative analysis.

城市安全网诊所讨论社会对健康影响的频率和性质：定性分析。

DOI：
10.1016/j.pec.2023.107974
发表时间：
2023
期刊：
Patient education and counseling
影响因子：
3.5
作者：
Chebly,KatherineOtto;Shen,Michael;Schoenthaler,AntoinetteM
通讯作者：
Schoenthaler,AntoinetteM

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Antoinette M Schoenthaler其他文献

Proceedings of the Twenty-Second International Joint Conference on Artificial Intelligence A Flat Histogram Method for Computing the Density of States of Combinatorial Problems ∗

第二十二届国际人工智能联合会议论文集计算组合问题状态密度的平面直方图方法*

DOI：
发表时间：
期刊：
影响因子：
0
作者：
Lisa L. Groom;Antoinette M Schoenthaler;Devin M Mann;Abraham A Brody
通讯作者：
Abraham A Brody

Construction of the Digital Health Equity-Focused Implementation Research Conceptual Model - Bridging the Divide Between Equity-focused Digital Health and Implementation Research

构建以数字健康股权为中心的实施研究概念模型 - 弥合以股权为中心的数字健康与实施研究之间的鸿沟

DOI：
发表时间：
2024
期刊：
PLOS Digital Health
影响因子：
0
作者：
Lisa L. Groom;Antoinette M Schoenthaler;Devin M Mann;Abraham A Brody
通讯作者：
Abraham A Brody

Evaluation of a Coach-Centered Youth ACL Injury Risk Reduction Workshop Using RE-AIM Sports Setting Framework

使用 RE-AIM 运动设置框架评估以教练为中心的青少年 ACL 损伤风险降低研讨会

DOI：
发表时间：
2023
期刊：
Exercise, Sport and Movement
影响因子：
0
作者：
Brandon A. Yates;J. Janosky;T. Ologhobo;James Russomano;Daphne I. Ling;James J Kinderknecht;Antoinette M Schoenthaler;Robert G. Marx
通讯作者：
Robert G. Marx