Role of patient-provider communication on clinical outcomes of rehabilitation for chronic spine pain

医患沟通对慢性脊柱疼痛康复临床结果的作用

• 批准号: 9911597
• 负责人: Chelsea Reed Chapman
• 金额: $ 3.44万
• 依托单位: SAN DIEGO STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-11-01 至 2022-10-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9911597
• 关键词: Academic Medical Centers; Address; Adult; Behavior; California; Caring; Chronic; Clinical; Clinical Research; Communication; Complex; Discourse analysis; Educational Intervention; Effectiveness; Emotional; Emotions; Empathy; Evaluation; Exclusion; Expressed Emotion; Faculty; Fostering; Foundations; Goals; Health; Health Care Costs; Health Personnel; Health behavior; Individual; Intervention; Investigation; Joints; Knowledge; Lead; Leadership; Longitudinal Studies; Mediating; Mediation; Mentors; Mentorship; Methods; Modeling; Musculoskeletal Diseases; Outcome; Pain; Pain intensity; Pain interference; Pain management; Pain quality; Pathway interactions; Patient Care; Patient-Focused Outcomes; Patients; Perception; Performance at work; Physical Rehabilitation; Physical therapy; Positioning Attribute; Primary Care Physician; Provider; Public Health; Qualitative Methods; Qualitative Research; Rehabilitation Outcome; Rehabilitation therapy; Research; Research Activity; Research Design; Role; Scientist; Source; Spine pain; Therapeutic; Training; Training Activity; Training Programs; Training and Education; Treatment outcome; United States; United States Dept. of Health and Human Services; Universities; Visit; Work; behavior influence; career; career networking; chronic musculoskeletal pain; chronic pain; clinical effect; clinical practice; communication behavior; disability; dissemination research; doctoral student; emotional distress; experience; graduate student; improved; pain outcome; patient-clinician communication; physical therapist; physically handicapped; pre-doctoral; programs; psychologic; research data dissemination; skills; skills training; tenure track; undergraduate student

PROJECT SUMMARY This proposal features a comprehensive pre-doctoral program of training, mentorship, and research activities that will provide me with the support, knowledge, and skills necessary to advance my career goals of attaining a tenure-track faculty position at a research intensive academic medical center, and becoming an independent research scientist as well as a leader in the field of pain communication. Training activities will be completed as a doctoral student in the Health Behavior Track of the Joint Doctoral Program in Public Health at the University of California San Diego (UCSD) and San Diego State University (SDSU). The overall research objective is to build from my previous background in pain communication to better understand how communication practices influence pain outcomes in the physical therapy management of adults with chronic spine pain. This will be accomplished by conducting a mixed methods, longitudinal study of the relationship between communication practices (empathic communication and up front agenda setting), patient-provider therapeutic alliance, and clinical outcomes (pain intensity and interference) in patients referred to physical therapy for the management of chronic spine pain. A comprehensive training plan that includes didactic coursework and practical research experience will allow me to gain advanced knowledge and skills in the emerging field of pain communication, including (1) clinical research and practice by working directly with physical therapists and patients with chronic spine pain, (2) qualitative research in the field of communication to include mixed-methods approaches in the evaluation of patient outcomes, (3) professional networking in both communication and pain management research, (4) leadership and management by mentoring graduate and undergraduate student research experiences, and (5) study design and analysis, project management, and dissemination of research findings.

项目概要 该提案包括全面的博士前培训、指导和研究活动计划 这将为我提供必要的支持、知识和技能，以推动我实现职业目标 在研究密集型学术医学中心获得终身教授职位，并成为独立的 研究科学家以及疼痛交流领域的领导者。培训活动将完成为 大学公共卫生联合博士项目健康行为方向博士生 加州圣地亚哥大学 (UCSD) 和圣地亚哥州立大学 (SDSU)。总体研究目标是 以我之前在疼痛沟通方面的背景为基础，更好地理解沟通的实践方式 影响成人慢性脊柱疼痛的物理治疗管理中的疼痛结果。这将是 通过对传播之间的关系进行混合方法、纵向研究来完成 实践（同理心沟通和预先议程设定）、患者-提供者治疗联盟，以及 转介物理治疗来管理的患者的临床结果（疼痛强度和干扰） 慢性脊柱疼痛。全面的培训计划，包括教学课程和实践研究 经验将使我能够在新兴的疼痛交流领域获得先进的知识和技能， 包括（1）直接与物理治疗师和慢性病患者合作进行临床研究和实践 脊柱疼痛，(2) 沟通领域的定性研究，包括混合方法 评估患者结果，(3) 沟通和疼痛管理方面的专业网络 研究，(4) 通过指导研究生和本科生研究进行领导和管理 经验，(5) 研究设计和分析、项目管理以及研究成果的传播。