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Re-thinking the role of Peers And Training Patients [RePeAT]

重新思考同伴的角色和培训患者 [RePeAT]

基本信息

批准号：
10650363
负责人：
Mechelle Renee Sanders
金额：
$ 14.78万
依托单位：
UNIVERSITY OF ROCHESTER
依托单位国家：
美国
项目类别：
财政年份：
2021
资助国家：
美国
起止时间：
2021-09-01 至 2026-06-30
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10650363
关键词：
Address American Applications Grants Award Back Behavior Cardiovascular Diseases Clinical Trials Code Communication Communities Data Development Plans Disease Educational process of instructing Equity Ethnic Origin Evidence based intervention Foundations Geography Goals Grant Health Health Policy Health Services International Intervention K-Series Research Career Programs Knowledge Knowledge acquisition Measurement Medical Medical Care Team Mentors Mentorship Methods Motivation National Heart, Lung, and Blood Institute Office Visits Outcome Patient Education Patient-Centered Care Patient-Focused Outcomes Patients Pharmaceutical Preparations Population Primary Care Primary Prevention Process Publications Recommendation Research Research Personnel Research Project Grants Research Training Resources Risk Reduction Role Science Self Efficacy Shame Testing Thinking Training cardiovascular disorder prevention cardiovascular disorder risk career career development design experience feasibility testing field study health care disparity health literacy implementation research implementation science improved literacy low health literacy medication compliance motivational enhancement therapy novel patient engagement patient-clinician communication patient-level barriers peer peer coaching pilot test prevent preventive intervention randomized trial response satisfaction shared decision making skills social stigma socioeconomics tool uptake

项目摘要

PROJECT ABSTRACT This project involves training peer-health coaches to improve the shared-decision making behavior of patients with low-health literacy (LHL). Most patients want to be involved in important health decisions such as taking medications to prevent cardiovascular disease. Yet, patients with LHL often lack the knowledge, confidence, and skills to assume a more active role in these decisions. I am committed to conducting research that will support patients with LHL in becoming equal partners with their clinicians. My commitment is evidenced in this novel intervention that is designed to help LHL patients acquire the knowledge they need to engage in a shared-decision about reducing their cardiovascular disease (CVD) risk; and the agency and confidence they need to do so. This study will provide a foundation for advancing the science of SDM around the primary prevention of CVD with a focus on addressing LHL through trained peers. Moreover, this proposed K-award will springboard to the next steps in my path to an independent investigator. By the end of this award, I will develop expertise in understanding the scope of peers in the SDM process and how they can be used to improve cardiovascular disease outcomes for patients with LHL. This award will span 5 years and will involve a graduated career development plan that includes mentorship, coursework, analyses, publication, and an R-level grant submission. In order to achieve the goals of this research plan and transition to independence, I need formal training and mentorship in implementation science, health literacy & patient communication, and primary prevention of cardiovascular disease. This proposal includes an exceptional team of mentors to help me reach my goals. My primary mentor, Dr. Kevin Fiscella, is a nationally known expert in health care disparities, implementation science, and health care policy. He is experienced in conducting equity- focused primary prevention of cardiovascular disease implementation research in primary care. My Co- Mentor, Dr. Ronald Epstein, is an internationally known expert in patient-provider communication. He is a communication and health services researcher with a focus on pragmatic strategies for improving communication with patients. My goal at the end of this award is to submit an NHLBI grant application (such as in response to NHLBI PA-19-166 (Implementation of shared decision making for HLBS diseases and conditions) to further refine and test the proposed intervention in a broader population.

项目摘要