Implementing Networks Self-management Tools Through Engaging Patients and Practic

通过患者参与和实践来实施网络自我管理工具

• 批准号: 8609905
• 负责人: Lyle James Fagnan
• 金额: $ 49.5万
• 依托单位: OREGON HEALTH & SCIENCE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-09-30 至 2015-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8609905
• 关键词: Implementing; Networks; Self; management; Tools

Project Summary/Abstract Self-management support (SMS) provided by primary care practice teams is recognized as an important component of the care model and patient centered medical home. The burden of chronic illness calls for team- based primary care working in partnership with activated informed patients. It is recognized that few patients are proficient in self-management skills, lacking knowledge and confidence. Primary practices are increasingly dedicating resources to care coordination-identifying and training care managers within the practice to help manage an increasingly complex panel of patients. The Agency for Healthcare Research and Quality (AHRQ) has developed a web-based set of resources and tools to assist busy practices with promoting and delivering patient self-management skills coping with the burden of chronic illness. This proposal from the Meta-LARC consortium of practice-based research networks (PBRNs) will utilize an innovative community participatory implementation intervention, Boot Camp Translation (BCT) to promote and study the implementation of ARHQ's SMS Library/Toolkit across 16 small- and medium-sized primary practices in four PBRNs. The Implementing Networks' Self-management Tools Through Engaging Patients and Practice (INSTTEPP) project will address three specific aims: 1) Implement the AHRQ SMS Library/Toolkit across four participating networks and 16 practices using Boot Camp Translation in a stepped-wedge design~ 2) Assess the impact of implementation on practice staff and patients engaged in chronic illness management~ and, 3) Identify the factors related to successful implementation. INSTTEPP describes four hypotheses: 1) Boot Camp Translation will have positive influences on the attitudes and behaviors of practice staff regarding patient self-management skills~ 2) BCT will positively influence the adoption of the AHRQ SMS Library/Toolkit~ 3) BCT and use of the AHRQ SMS Library will positively influence the attitudes of patients engaged in practice care management programs toward self-management~ and, 4) Identifiable factors within the Theory of Planned Behavior (TPB) and the Consolidated Framework for Implementation Research (CFIR) will impact the adoption of the AHRQ Library/Toolkit by practices. INSTTEPP will provide a model of working in partnership with PBRNs to effectively use BCT to effectively clinicians, clinic staff, and patients in using the AHRQ SMS Library/Toolkit to increase knowledge and use of self-management skills for chronic illness care. The assessment of SMS utility factors identified by TPB and CFIR and informed by qualitative comparative analysis will provide a roadmap for additional research in chronic illness care.

项目总结/摘要 由初级保健实践团队提供的自我管理支持（SMS）被认为是一个重要的 护理模式的组成部分和以患者为中心的医疗之家。 慢性病的负担需要团队- 基础的初级保健工作与积极知情的病人的伙伴关系。 据了解，很少有患者 自我管理能力不强，缺乏知识和信心。 主要做法越来越多 将资源用于护理协调-在实践中确定和培训护理管理人员， 管理日益复杂的病人群体 美国医疗保健研究和质量局（AHRQ） 开发了一套基于网络的资源和工具，以帮助忙碌的实践促进和提供 病人自我管理的技能，应付慢性疾病的负担。 Meta-LARC的这份提案 基于实践的研究网络（PBRN）联盟将利用创新的社区参与 实施干预，靴子营翻译（BCT），以促进和研究的实施 ARHQ的SMS库/工具包，涵盖四个PBRN的16个中小型主要实践。 的 通过患者参与和实践实施网络的自我管理工具（ETEPP） 该项目将实现三个具体目标：1）在四个参与国实施AHRQ SMS库/工具包 网络和16个使用阶梯楔形设计中的靴子Camp Translation的实践~ 2）评估 实施对从事慢性病管理的实践工作人员和患者的影响~和，3）确定 与成功实施有关的因素。 本文提出了四个假设：1）靴子营翻译对学生的态度有积极的影响 和行为的实践人员对病人自我管理技能~ 2）BCT将积极影响 采用AHRQ SMS库/工具包~ 3）BCT和使用AHRQ SMS库将产生积极影响 参与实践护理管理项目的患者对自我管理的态度~和，4） 计划行为理论（TPB）中的可识别因素和 执行研究将影响到各实践部门对AHRQ图书馆/工具包的采用。 BCT将提供一个与PBRN合作的模式，以有效地使用BCT， 临床医生，诊所工作人员和患者使用AHRQ SMS库/工具包，以增加知识和使用 慢性病护理的自我管理技能。 城市规划委员会确定的安全管理体系效用因素的评估， CFIR和定性比较分析的信息将为以下领域的其他研究提供路线图： 慢性病护理。

项目成果

Adapting Boot Camp Translation Methods to Engage Clinician/Patient Research Teams Within Practice-Based Research Networks: A Report From the INSTTEPP Trial and Meta-LARC Consortium.

调整新手训练营翻译方法，让临床医生/患者研究团队参与基于实践的研究网络：来自 INSTTEPP 试验和 Meta-LARC 联盟的报告。

• DOI: 10.17294/2330-0698.1633
• 发表时间: 2018
• 期刊: Journal of patient-centered research and reviews
• 影响因子: 1.7
• 作者: Fagnan,LyleJ;Simpson,MatthewJ;Daly,JeanetteM;Michaels,LeAnnC;Hahn,DavidL;Levy,BarceyT;Fernald,DouglasH;Westfall,JohnM;NeaseJr,DonaldE
• 通讯作者: NeaseJr,DonaldE

Impact of a Boot Camp Translation Intervention on Self-Management Support in Primary Care: A Report From the INSTTEPP Trial and Meta-LARC Consortium.

新兵训练营翻译干预对初级保健自我管理支持的影响：INSTTEPP 试验和 Meta-LARC 联盟的报告。

• DOI: 10.17294/2330-0698.1635
• 发表时间: 2018
• 期刊: Journal of patient-centered research and reviews
• 影响因子: 1.7
• 作者: NeaseJr,DonaldE;Daly,JeanetteM;Dickinson,LMiriam;Fernald,DouglasH;Hahn,DavidL;Levy,BarceyT;Michaels,LeAnnC;Simpson,MatthewJ;Westfall,JohnM;Fagnan,LyleJ
• 通讯作者: Fagnan,LyleJ

How to Translate Self-Management Support Tools Into Clinical Practice: A Report From the INSTTEPP Trial and Meta-LARC Consortium.

如何将自我管理支持工具转化为临床实践：INSTTEPP 试验和 Meta-LARC 联盟的报告。

• DOI: 10.17294/2330-0698.1636
• 发表时间: 2018
• 期刊: Journal of patient-centered research and reviews
• 影响因子: 1.7
• 作者: Simpson,MatthewJ;Daly,JeanetteM;Fernald,DouglasH;Westfall,JohnM;Michaels,LeAnnC;Levy,BarceyT;Hahn,DavidL;Fagnan,LyleJ;NeaseJr,DonaldE
• 通讯作者: NeaseJr,DonaldE