Risk Communication Core

风险沟通核心

• 批准号: 10686382
• 负责人: Evelyn Hsieh
• 金额: $ 8.82万
• 依托单位: YALE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-09-10 至 2026-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10686382
• 关键词: Address; Adherence; Aging; Alcohol consumption; Alcohols; Area; Assessment tool; Behavior; Behavioral; Clinical Pharmacists; Communication; Communities; Counseling; Data; Data Analyses; Data Analytics; Development; Educational Materials; Elements; Ensure; Ethical Issues; Ethnic Origin; Exposure to; Faculty; Feedback; Foundations; Genetic Risk; Goals; HIV; Health; Health Personnel; Health behavior; Health behavior change; Individual; International; Intervention; Intervention Studies; Interview; Manuscripts; Medical; Methodology; Methods; Modeling; Motivation; Outcome; Participant; Patient Education; Patient Selection; Patients; Performance; Persons; Pharmacogenomics; Pilot Projects; Polypharmacy; Postdoctoral Fellow; Productivity; Provider; Race; Readability; Research; Research Design; Resources; Review Literature; Risk; Risk Estimate; Science; Series; Structure; Subgroup; Suggestion; Techniques; Terminology; Training; Translating; Work; alcohol misuse; alcohol research; behavior change; behavioral health; data management; design; dissemination science; diversity and equity; experience; implementation science; improved; instrument; literacy; mathematical ability; member; motivated behavior; motivational enhancement therapy; multidisciplinary; patient oriented; personalized intervention; posters; programs; remediation; shared decision making; skills; tool development

HARP RISK COMMUNICATION CORE PROJECT SUMMARY The goal of the HIV and Alcohol Research center focused on Polypharmacy (HARP) is to design and implement effective personalized interventions for people aging with HIV (PAH) experiencing medical harm from unhealthy alcohol use and polypharmacy. Communication of risks associated with unhealthy alcohol and polypharmacy as part of an intervention to motivate behavior change deserves careful consideration. The Information-Motivation-Behavioral Skills (IMB) model, co-developed by Dr. Jeffrey Fisher, has been used successfully for over 35 years to change diverse unhealthy behaviors. The model assumes that individual-level weaknesses in critical information, motivation, and behavioral skills are responsible for much unhealthy behavior. If these weaknesses can be identified and remediated through an intervention, significant and sustained health behavior change will occur. Guided by Dr. Fisher, we will apply the IMB model to the task of changing harmful alcohol use and polypharmacy. To further inform this effort, we have assembled a Risk Communication Resource Core (RCC) of experts. RCC experts represent seven synergistic domains pertinent to this effort. These include behavioral health, mixed methods, dissemination and implementation sciences, shared decision making, pharmaco-genomic risk and counseling, and provider context, all set upon the foundation of patient context and culture. This Core of experts will advise project teams on the design of a series of interlinked pilot studies in HARP Projects 1 and 2, including selection of patient salient risk outcomes, development of study instruments that account for the literacy and numeracy skills of participants, ensuring the appropriate incorporation of core components of the IMB model for harmful alcohol use and polypharmacy in all pilot studies, and reviewing and providing input on the interview guides used for semi-structured interviews. This group will also inform the interpretation and integration of quantitative and qualitative findings across HARP, including subgroup analyses, and all dissemination activities. Finally, the RCC will work with the HARP Administrative Data Analytics Core and the larger HARP expert network to seamlessly integrate personalized, patient-focused risk messaging across domains of research. The optimal approach for communicating alcohol use and polypharmacy risks to effectively motivate behavior change is not yet well understood. The HARP Risk Communication Core strategically builds on our existing expert network to facilitate effective personalized risk communication to support behavioral change for PAH harmed by alcohol use and polypharmacy.

HARP风险沟通核心项目摘要 艾滋病毒和酒精研究中心的目标集中在多药（HARP）是设计和 对经历医疗伤害的艾滋病毒（PAH）感染者实施有效的个性化干预措施 不健康的酒精使用和多种药物。与不健康酒精相关的风险的沟通， 作为激励行为改变的干预措施的一部分，多种药物治疗值得认真考虑。的 信息-动机-行为技能（IMB）模型，由Jeffrey Fisher博士共同开发， 35年来，他成功地改变了各种不健康的行为。该模型假设个人层面 关键信息、动机和行为技能方面的弱点导致了许多不健康的 行为如果这些弱点可以通过干预措施加以识别和补救， 将发生持续的健康行为改变。在Fisher博士的指导下，我们将IMB模型应用于以下任务： 改变有害的酒精使用和多种药物。为了进一步宣传这一努力，我们收集了一个风险 专家通信资源核心。区域合作中心的专家代表了七个协同领域， 这一努力。这些包括行为健康，混合方法，传播和实施科学， 共享决策，药物基因组风险和咨询，以及提供者背景，所有这些都建立在 患者背景和文化的基础。这一专家核心将为项目团队提供设计 HARP项目1和2中的一系列相互关联的试点研究，包括选择患者显著风险结局， 制定学习工具，说明参与者的识字和算术技能，确保 适当纳入有害酒精使用和多种药物的IMB模式的核心组成部分， 所有试点研究，审查半结构化访谈所用的访谈指南并提供投入。 该小组还将为解释和整合各部门的定量和定性结果提供信息。 HARP，包括亚组分析和所有传播活动。最后，RCC将与HARP合作 管理数据分析核心和更大的HARP专家网络， 以患者为中心的跨研究领域风险信息传递。酒精的最佳传播方式 使用和多种药物的风险，以有效地激励行为的变化还没有得到很好的理解。HARP风险 Communication Core战略性地建立在我们现有的专家网络之上，以促进有效的个性化风险管理 沟通，以支持因饮酒和多种药物治疗而造成PAH损害的行为改变。