Mobile Health Strategies for Veterans with Coronary Heart Disease
患有冠心病的退伍军人的移动健康策略
基本信息
- 批准号:10888126
- 负责人:
- 金额:--
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2016
- 资助国家:美国
- 起止时间:2016-12-01 至 2023-03-31
- 项目状态:已结题
- 来源:
- 关键词:AcuteAdherenceAdverse eventAffectAreaBehavior TherapyBlood PlateletsCardiacCardiovascular DiseasesCardiovascular systemCause of DeathCellular PhoneCessation of lifeChronicChronic DiseaseClinicalClinical TrialsCoagulation ProcessCommunicationControl GroupsCoronaryCoronary heart diseaseDoctor of PhilosophyEducationElectronicsFamiliarityFocus GroupsFoundationsFrequenciesGoalsGuidelinesHealthHealth educationHealthcareHospitalsIndividualInterviewInvestigator-Initiated ResearchKnowledgeLifeMentorsMentorshipMethodsMonitorMorbidity - disease rateMyocardial InfarctionNursesNursing ResearchOutcomeParticipantPatientsPharmaceutical PreparationsPharmacological TreatmentProceduresProtocols documentationPublic HealthQualitative ResearchQuality of lifeRandomizedResearchResearch PersonnelResearch ProposalsRoleSiteStatistical Data InterpretationStentsStrategic PlanningStratificationTechnologyTestingText MessagingTrainingVeteransVisionWorkacute coronary syndromeautomated text messagebehavior changecardiovascular disorder preventioncareercomparison controlconnected healthdesignefficacy evaluationexperiencefollow-uphigh riskimplantationimprovedmHealthmedication compliancemedication nonadherencemobile applicationmobile computingmortalitynew technologypatient orientedpercutaneous coronary interventionpharmacologicpreferenceprematurepreventprocess evaluationprogramsrandomized, clinical trialsreadmission ratessexskillssocialstent thrombosissystematic reviewthienopyridineusabilityuser-friendlyweb site
项目摘要
The proposed research seeks to determine whether text messages/messaging (TM) or a mobile
application (app), compared with an educational website-control provided to all Veterans, can improve
adherence to antiplatelet therapy among patients following acute coronary syndrome or percutaneous
coronary intervention (ACS/PCI). Adherence to antiplatelet medications is critical to prevent life-
threatening complications (i.e., stent thrombosis); yet rates of non-adherence range from 21-57% by 12
months. Mobile technology through TM or mobile apps is a practical and inexpensive strategy to promote
behavior change and enhance medication adherence. The three specific aims of this proposal are to: 1)
determine preferences for content and frequency of TM to promote medication adherence through focus
groups; 2) determine the most patient-centered app to promote adherence through a content analysis of
all commercially available apps for medication adherence and focus groups centered on usability; and 3)
compare adherence to antiplatelet medications in 225 Veterans post ACS/PCI through a randomized
clinical trial. Participants will be randomized to either TM, mobile app, or website-control group. The
focus groups will be stratified by low/high mobile phone use and sex.
In addition, the proposed work will provide Dr. Park with the mentorship and experience necessary to
establish herself as an early career investigator in the fields of cardiovascular disease prevention and
mobile health research. Dr. Park's primary career goal is to become an independent nurse investigator
who applies novel technology for patient-centered behavioral interventions to improve clinical outcomes
and quality of life for cardiac patients and Veterans. Dr. Park has assembled an outstanding
interdisciplinary team of mentors with expertise in the required areas of training. Eileen Collins, PhD, RN
will serve as Primary Nurse Mentor; Mary Whooley, MD will serve as VA On-Site Mentor; and Janet
Shim, PhD will serve as Qualitative Research Mentor. In addition, John Boscardin, PhD will conduct all
quantitative statistical analyses related to the study. Consultants include Yoshimi Fukuoka, RN, PhD
(expert in mobile health strategies) and Dr. Michael Ho (expert in medication adherence and
cardiovascular disease). Susan Woods, MD, MPH (Director of Patient Experience, Connected Health,
Office of Information and Analytics, VHA) will serve as a collaborator, particularly in relationship to our
use of “Annie,” the new VA automated TM program with a goal to help patients take a more active role in
their health.
The Nursing Research Initiative will provide Dr. Park with an exceptional opportunity to receive the
mentorship and experience necessary to prepare a strong scientific foundation for a compelling
Investigator Initiated Research proposal to evaluate clinical outcomes (i.e., cardiac morbidity and
mortality) through a multi-site full scale RCT. Determining the efficacy of mobile technology through a
Veteran-designed protocol to promote medication adherence will have a significant impact on Veteran
health and public health, particularly for individuals with chronic diseases that require strict medication
adherence.
拟议的研究旨在确定文本消息/消息传递(TM)或移动的
与提供给所有退伍军人的教育网站控制相比,
急性冠状动脉综合征或经皮冠状动脉介入治疗后患者的抗血小板治疗依从性
冠状动脉介入治疗(ACS/PCI)。坚持抗血小板药物治疗对于预防生命危险至关重要-
威胁性并发症(即,支架内血栓形成);然而,12例患者的非粘附率为21-57%,
个月通过TM或移动的应用程序的移动的技术是一种实用且廉价的推广策略
行为改变和提高药物依从性。这项建议的三个具体目标是:
确定对TM内容和频率的偏好,以通过关注促进药物依从性
2)通过内容分析确定最以患者为中心的应用程序,以促进依从性,
用于药物依从性的所有市售应用程序和以可用性为中心的焦点小组;以及3)
通过一项随机研究,比较225名ACS/PCI后退伍军人抗血小板药物的依从性。
临床试验受试者将被随机分配至TM、移动的应用程序或网站对照组。的
将按移动的电话使用率低/高和性别对重点群体进行分层。
此外,拟议的工作将为朴博士提供必要的指导和经验,
确立了自己作为心血管疾病预防领域的早期职业研究者的地位,
移动的健康研究。朴博士的主要职业目标是成为一名独立的护士调查员
他将新技术应用于以患者为中心的行为干预,以改善临床结果。
心脏病患者和退伍军人的生活质量。朴医生召集了一个杰出的
在所需培训领域具有专门知识的跨学科导师团队。艾琳柯林斯,博士,注册护士
将担任初级护士导师;医学博士玛丽乌利将担任VA现场导师;珍妮特
Shim博士将担任定性研究导师。此外,约翰·博斯卡丁博士将进行所有
与研究相关的定量统计分析。顾问包括Yoshimi Fukuoka,RN,PhD
(移动的健康策略专家)和何博士(药物依从性和
心血管疾病)。Susan Woods,医学博士,公共卫生硕士(互联健康患者体验总监,
信息和分析办公室,VHA)将作为合作者,特别是与我们的
使用“安妮”,新的VA自动TM程序,旨在帮助患者在以下方面发挥更积极的作用:
他们的健康
护理研究计划将为Park博士提供一个特殊的机会,
指导和经验,为一个令人信服的
研究者发起的研究提案,以评价临床结局(即,心脏病发病率和
死亡率)。通过以下方式确定移动的技术的功效:
退伍军人设计的促进药物依从性的方案将对退伍军人产生重大影响。
健康和公共卫生,特别是对患有需要严格药物治疗的慢性病的个人而言
坚持。
项目成果
期刊论文数量(0)
专著数量(0)
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会议论文数量(0)
专利数量(0)
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Linda Grace Park其他文献
Linda Grace Park的其他文献
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{{ truncateString('Linda Grace Park', 18)}}的其他基金
Mobile Health Strategies for Veterans with Coronary Heart Disease
患有冠心病的退伍军人的移动健康策略
- 批准号:
10890068 - 财政年份:2016
- 资助金额:
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