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Patient Referral and Education Program prior to Renal Replacement Therapy (PREP RRT) - Resubmission 01

肾脏替代治疗 (PREP RRT) 之前的患者转诊和教育计划 - 重新提交 01

基本信息

批准号：
8968041
负责人：
MILDA Renne SAUNDERS
金额：
$ 17.83万
依托单位：
UNIVERSITY OF CHICAGO
依托单位国家：
美国
项目类别：
财政年份：
2015
资助国家：
美国
起止时间：
2015-07-24 至 2018-04-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8968041
关键词：
Address Advisory Committees Affect African American Ambulatory Care Arteriovenous fistula Behavior Therapy Caring Catheters Chicago Chronic Chronic Kidney Failure Clinical Communication Communities Data Development Dialysis patients Dialysis procedure Education Educational Intervention End stage renal failure Evaluation Face Fistula Future Glean Goals Guidelines Health Health Care Costs Health education Hemodialysis Home Hemodialysis Hospitalization Hospitals Illinois Improve Access Inpatients Institution Insurance Intervention Interview K-Series Research Career Programs Kidney Kidney Transplantation Knowledge Lead Link Medical Medicare Mentors Mentorship Minority Misinformation Modality Morbidity - disease rate Neighborhoods Nephrology Operative Surgical Procedures Outcome Patient Education Patients Peritoneal Dialysis Persons Procedures Provider Public Health Public Health Schools Qualitative Methods Qualitative Research Quality of Care Quality of life Renal Replacement Therapy Research Self Care Site Sociology Structure Surveys Survival Rate System Transplant Recipients Transplantation Transportation United States Universities Venous Work base behavior change common treatment cost cost effectiveness design education planning effective therapy experience health care service utilization health disparity health literacy improved mortality motivated behavior novel patient oriented preference primary outcome programs public health relevance skills theories uptake

项目摘要

DESCRIPTION (provided by applicant): Patient Referral and Education Program prior to Renal Replacement Therapy (PREP RRT) Patient education prior to renal replacement therapy (RRT) leads to reduced central venous catheter use, improved access to self-care dialysis such as peritoneal dialysis, and increased access to transplantation. Each of these modalities has been shown to reduce morbidity and mortality and to improve quality of life for patients with end-stage renal disease (ESRD). African Americans are less likely than their White counterparts to receive nephrology care prior to dialysis initiation. African Americans are also less likely to hav a fistula for dialysis, to select peritoneal dialysis, and to appear on the renal transplant waitlit. Hospitalization may represent a "missed opportunity" to provide RRT education and planning to help patients make informed choices about their care that align with their preferences. Many patients are hospitalized within three months of dialysis initiation. The hospital may also capture patients who are not otherwise well-linked to the medical system. In addition, culturally-tailoring of health education messages through patient narratives has been found to be an effective means of increasing knowledge and motivating behavior change in African American patients. Therefore, I aim to develop, implement, and evaluate a patient-centered referral and education program for RRT (PREP RRT) that incorporates in- person education with a video of culturally-tailored patient narratives for hospitalized African American patients with advanced chronic kidney disease. To effectively implement these goals, I will develop expertise in qualitative research, health education design and behavioral interventions through coursework and mentorship. I have assembled a mentorship and research committee with expertise in reducing health disparities, qualitative methods, hospital-based interventions, multi-media education interventions and chronic kidney disease. I also will complete coursework in the Departments of Health Studies, Sociology and at the University of Illinois School of Public Health related to Survey Research, Qualitative Analysis and Behavior Change Interventions. Through successful implementation of this project, we aim to reduce health disparities and to decrease morbidity, mortality and health care utilization in patients with ESRD.

描述(由申请人提供)：肾脏替代疗法(RRT)前的患者转诊和教育计划(PREP RRT)肾脏替代疗法(RRT)前的患者教育可以减少中心静脉导管的使用，改善自我护理透析(如腹膜透析)的可及性，并增加移植的可及性。这些方法中的每一种都被证明可以降低发病率和死亡率，并改善终末期肾病(ESRD)患者的生活质量。非裔美国人比他们的白人同龄人更不可能在透析开始前接受肾病治疗。非裔美国人也不太可能出现尿瘘进行透析，选择腹膜透析，以及出现在肾移植等待治疗中。住院可能代表着提供RRT教育和规划以帮助患者做出与他们的偏好相一致的关于他们的护理的知情选择的“错失的机会”。许多患者在开始透析后的三个月内住院。医院还可能会捕获在其他方面与医疗系统没有很好联系的患者。此外，文化上的量身定制通过患者叙述传递健康教育信息已被发现是增加知识和激励非裔美国患者改变行为的有效手段。因此，我的目标是开发、实施和评估一项以患者为中心的RRT转诊和教育计划(Prep RRT)，该计划将面对面教育与为患有晚期慢性肾脏疾病的住院非裔美国人患者的文化定制的患者叙述视频相结合。为了有效地实现这些目标，我将通过课程作业和指导，发展定性研究、健康教育设计和行为干预方面的专业知识。我组建了一个指导和研究委员会，其专长包括缩小健康差距、定性方法、基于医院的干预措施、多媒体教育干预措施和慢性肾脏疾病。我还将在健康研究、社会学系和伊利诺伊大学公共卫生学院完成与调查研究、定性分析和行为改变干预相关的课程。通过该项目的成功实施，我们的目标是减少ESRD患者的健康差距，降低发病率、死亡率和医疗保健利用率。