Effectiveness of the TB Contact Priority Model

结核病接触优先模型的有效性

• 批准号: 7385916
• 负责人: WILLIAM C BAILEY
• 金额: $ 56.35万
• 依托单位: UNIVERSITY OF ALABAMA AT BIRMINGHAM
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-05-31 至 2009-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7385916
• 关键词: Alabama; Algorithms; Behavior Therapy; Clinical effectiveness; Computers; Data Collection; Education; Educational Intervention; Effectiveness; Ensure; Evaluation; Field Workers; Goals; Health; Intervention; Investigation; Measures; Modeling; Outcome; Patients; Process; Program Evaluation; Protocols documentation; Public Health; Publishing; Pulmonary Tuberculosis; Purpose; Research Personnel; Resources; Tuberculosis; Universities; disorder control; improved; instrument; intervention program; programs; tool; transmission process

DESCRIPTION (provided by applicant): Investigation of contacts of patients with active pulmonary tuberculosis (TB) is an important epidemiological tool in TB control. Unfortunately, due to budgetary and resource constraints, many health departments struggle to fulfill their responsibility of TB control through contact investigation. The broad purpose of this project, proposed by investigators at the University of Alabama at Birmingham and the State of Alabama Department of Public Health, is to use a behaviorally focused education that has been proven effective to enhance the accuracy and efficiency of the contact investigation process. The behaviorally focused intervention will focus on enabling public health workers to understand and implement a recently published model of TB transmission. The efficacy of this TB transmission model has been demonstrated by using computer algorithms; however, we endeavor to measure the clinical effectiveness of the TB contact priority model in field application. To achieve this goal, the following specific aims will be accomplished: 1) Enhance the current State of Alabama Department of Public Health contact investigation protocols and computer modules by using the statistically validated models of TB transmission; 2) Modify and re-implement an effective behaviorally focused education intervention to enable TB field workers to understand and implement the TB contact priority model and use the computer modules; 3) Conduct a formal evaluation of the a) behaviorally focused education intervention, b) usefulness of the newly developed computer modules, and c) the clinical effectiveness of the field implementation of the TB contact priority model; and 4) Disseminate and share results with other TB control programs seeking to improve contact investigation and provide more efficient TB disease control.

描述（由申请人提供）：对活性肺结核（TB）患者接触的调查是结核病控制中重要的流行病学工具。不幸的是，由于预算和资源限制，许多卫生部门努力通过联系调查来履行结核病控制的责任。阿拉巴马大学伯明翰大学和阿拉巴马州公共卫生部的调查人员提出的该项目的广泛目的是使用以行为为中心的教育，该教育已被证明有效地提高了接触调查过程的准确性和效率。以行为为重点的干预将着重于使公共卫生工作者能够理解和实施最近发表的结核病传播模型。通过使用计算机算法证明了该结核病传输模型的功效。但是，我们努力测量在现场应用中TB接触优先模型的临床有效性。为了实现这一目标，将实现以下具体目标：1）通过使用统计验证的结核病传输模型来增强阿拉巴马州公共卫生联系调查协议和计算机模块的现状； 2）修改和重新实施有效的以行为为中心的教育干预措施，使结核病现场工作者能够理解和实施结核病联系优先级模型并使用计算机模块； 3）对a）以行为为中心的教育干预，b）新开发的计算机模块的有用性进行正式评估，c）TB接触优先模型的现场实施临床有效性； 4）与其他结核病控制计划进行传播并共享结果，以寻求改善接触调查并提供更有效的结核病疾病控制。