S.E.N.D.: Developing a web-based, interactive guide to enhance patient-clinician electronic communication by focusing on specificity, expressing concerns, need, and directness

项目摘要 使用安全消息传递(SM)越来越多地被用于癌症通信。SM可以改进 护理并为患者与临床医生之间的交流提供渠道。然而，患者不确定如何使用 SM有效地与临床医生沟通，临床医生提出难以理解的目标 病人的信息。长期目标是进行广泛的实施，以整合证据- 以电子健康记录(EHR)系统为基础的在线互动工具，促进优质医疗保健 患者与临床医生之间的沟通。这项建议的目标是测试可行性和 通过与癌症患者进行访谈来提高患者信息写作技能的应用程序的可接受性 患者，然后在患者使用该应用程序后对他们进行调查，最后对消息进行评级 应用前/应用后的清晰度、直接性、组织和结构。这项提议的理由是， 比如面对面的交流培训，编写侧重于具体交流的材料 挑战可以增强患者与临床医生的沟通方式，从而提高效率、满意度、 知识和自我效能的行为。由Alpert(PI)组成的团队的良好记录确保了这一点， 作为癌症患者健康沟通技术方面的专家，Bylund‘s(Co-I)拥有丰富的经验 开发沟通技能培训计划，Markham(Co-I)癌症护理专业，Wang‘s(Co-I) 方法和分析专业知识，墨菲(Co-I)使用SM与患者互动的经验，并支持 通过UF健康癌症中心，我们的三个目标是现实的，要在指定的时间框架内完成和 拥有极大地提高沟通质量的潜力。我们的研究是创新的，因为我们将 提供理论上有根据的交互式干预，帮助患者学习特定的沟通技能 与SM相关，并通过将临床医生作为消息评分者来评估其有效性。我们的研究还将 为临床医生如何看待高质量的SM通信提供有价值的见解，从而支持未来的干预 专注于临床医生回复信息的技巧。这项拟议的研究具有重要意义，因为 虽然SM被广泛使用，但目前还没有提供关于如何有效使用它的指导。预期中的 该项目的积极影响是，它将提供证据，证实对SM的教育是必要的，并 有效。将计划进行多层次干预，以将应用程序集成到EHR中，以适合 病区种类繁多。

Project Summary The use of secure messaging (SM) is increasingly being relied upon for cancer communication. SM can improve care and provide an outlet for patient-clinician communication. However, patients are uncertain about how to use SM effectively to communicate with clinicians, and clinicians have cited difficulties understanding the goals of patients’ messages. The long-term goal is to perform a wide-scale implementation to integrate the evidence- based, online, interactive tool with the electronic health record (EHR) system to facilitate quality health care communication between patients and clinicians. The objective of this proposal is to test the feasibility and acceptability of the application to enhance patients’ message writing skills by conducting interviews with cancer patients, followed by surveying patients after they have used the application, and finally, rating messages pre/post-application for clarity, directness, organization, and structure. The rationale of this proposal is that just like in face-to-face communication training, developing materials that focus on specific communication challenges can enhance how patients communicate with clinicians, leading to higher efficiency, satisfaction, knowledge, and self-efficacious behavior. Ensured by the strong track record of the team comprising Alpert (PI), an expert in cancer patients’ health communication using technology, Bylund’s (Co-I) extensive experience developing communication skills training programs, Markham’s (Co-I) specialty in cancer care, Wang’s (Co-I) methods and analysis expertise, Murphy’s (Co-I) experience interacting with patients using SM, and supported by the UF Health Cancer Center, our three aims are realistic to be completed within the specified timeframe and hold the potential to greatly enhance the quality of communication. Our study is innovative because we will provide a theoretically grounded, interactive intervention to help patients learn specific communication skills related to SM, and evaluate its effectiveness by including clinicians as message raters. Our study would also provide valuable insights into how clinicians perceive quality SM communication, enabling future interventions focusing on clinicians’ techniques to responding to messages. The proposed research is significant because although SM is widely used, no guidance about how to use it effectively is currently provided. The anticipated positive impact of this project is that it will provide evidence to confirm that education for SM is necessary and effective. A multi-level intervention will be planned to integrate the application into the EHR to be suited for a wide variety of disease areas.