Functional Assessment Screening Patient Reported Information: FAST-PRI

功能评估筛查患者报告信息：FAST-PRI

• 批准号: 8214026
• 负责人: RACHEL HESS
• 金额: $ 41.08万
• 依托单位: UNIVERSITY OF PITTSBURGH AT PITTSBURGH
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-08-01 至 2015-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8214026
• 关键词: Functional; Assessment; Screening; Patient; Reported

DESCRIPTION (provided by applicant): The proposed project, Functional Assessment Screening Tablets-Patient Reported Information, has been developed in response to PAR-08-270: Utilizing Health Information Technology to Improve Health Care Quality (R18). Tobacco, physical activity, and poor mental health-related quality of life (HRQoL) are major causes of morbidity and mortality that are not being adequately addressed in the current systems of care. Healthcare providers play an important role in encouraging healthy behaviors and identifying factors that impact patients' HRQoL. Clinicians are most effective in this role when they partner with informed, activated, and engaged patients. We will evaluate a new tool, based our current "Functional Assessment Screening Tablets (FAST)," that is designed to inform and activate patients about their own patient reported information (PRI). The FAST currently uses wirelessly-networked tablet computers to collect PRI while patients wait to see their primary care provider and provides this PRI to providers at the time of the patient's visit. The new health information technology (HIT)-based tool, used in the FAST-PRI intervention and referred to as HIT patient feedback, provides patients with self-management support through immediate, personalized, guideline-based feedback about their health behaviors (tobacco use and physical inactivity) and mental HRQoL and encourages them to take a more active role in their health. Completion of this cluster-randomized controlled trial, FAST-PRI, will provide important information on the effectiveness of using HIT patient feedback to inform and activate patients and promote health behavior change. We will accomplish this through the following three specific aims: Aim 1. Use HIT patient feedback regarding study-designated PRI (i.e., tobacco use, physical inactivity, and mental HRQoL) to activate patients. Aim 2. Assess the impact of HIT patient feedback on study-designated PRI. Aim 3. Evaluate potential mediators of the effectiveness of HIT patient feedback on study-designated PRI. We will conduct a 12-month randomized controlled trial of HIT patient feedback, clustered at the physician level, in an academic group medical practice. Patients and providers will complete questionnaires regarding discussions of health behaviors and HRQoL at each clinical encounter. In addition, patient participants will complete questionnaires regarding smoking quit attempts, physical activity, and their mental HRQoL, as well as self-efficacy and use of interdisciplinary referral at baseline, six and twelve months. We will survey physicians regarding self-efficacy at baseline, 12 and 24 months. Finally, we will abstract referral data from the electronic medical record regarding health behaviors, HRQoL, and referrals. PUBLIC HEALTH RELEVANCE: Tobacco, physical activity, and poor mental health-related quality of life (HRQoL) are major causes of morbidity and mortality that are not being adequately addressed in the current systems of care. Healthcare providers play an important role in encouraging healthy behaviors and identifying factors that impact patients' HRQoL. Clinicians are most effective in this role when they partner with informed, activated, and engaged patients. We will evaluate a new tool, based our current "Functional Assessment Screening Tablets (FAST)," that provides patients with self-management support through immediate, personalized, guideline-based feedback about their health behaviors and HRQoL based on their own patient reported information and encourage them to take a more active role in their health. Completion of this project, FAST-PRI, will provide important information on the effectiveness of using HIT patient feedback to inform and activate patients and promote health behavior change.

描述（由申请人提供）：拟议项目“功能评估筛查片剂-患者报告信息”是为了响应 PAR-08-270：利用健康信息技术提高医疗保健质量 (R18) 而开发的。烟草、体力活动和与心理健康相关的生活质量 (HRQoL) 差是发病率和死亡率的主要原因，而当前的护理系统尚未充分解决这些问题。医疗保健提供者在鼓励健康行为和识别影响患者 HRQoL 的因素方面发挥着重要作用。当临床医生与知情、积极、积极参与的患者合作时，他们的这一角色才能最有效地发挥。我们将评估一种基于我们当前的“功能评估筛查片（FAST）”的新工具，该工具旨在告知并激活患者有关他们自己的患者报告信息（PRI）的信息。 FAST 目前使用无线联网平板电脑在患者等待看初级保健提供者时收集 PRI，并在患者就诊时向提供者提供此 PRI。 FAST-PRI 干预中使用的基于健康信息技术 (HIT) 的新工具被称为 HIT 患者反馈，通过针对患者健康行为（吸烟和缺乏身体活动）和心理 HRQoL 的即时、个性化、基于指南的反馈，为患者提供自我管理支持，并鼓励他们在健康方面发挥更积极的作用。这项整群随机对照试验 FAST-PRI 的完成将为利用 HIT 患者反馈来告知和激活患者以及促进健康行为改变的有效性提供重要信息。我们将通过以下三个具体目标来实现这一目标： 目标 1. 利用 HIT 患者关于研究指定 PRI（即吸烟、缺乏身体活动和心理 HRQoL）的反馈来激活患者。 目标 2. 评估 HIT 患者反馈对研究指定 PRI 的影响。 目标 3. 评估 HIT 患者反馈对研究指定 PRI 有效性的潜在中介因素。我们将在学术团体医疗实践中针对 HIT 患者反馈进行为期 12 个月的随机对照试验，该试验集中在医生层面。患者和提供者将在每次临床接触中填写有关健康行为和 HRQoL 讨论的调查问卷。此外，患者参与者将在基线、六个月和十二个月时完成有关戒烟尝试、体力活动、心理 HRQoL 以及自我效能和跨学科转诊使用的调查问卷。我们将在基线、12 个月和 24 个月时对医生进行自我效能调查。最后，我们将从电子病历中提取有关健康行为、HRQoL 和转诊的转诊数据。 公共卫生相关性：烟草、体力活动和心理健康相关生活质量 (HRQoL) 不良是发病率和死亡率的主要原因，而当前的护理系统尚未充分解决这些问题。医疗保健提供者在鼓励健康行为和识别影响患者 HRQoL 的因素方面发挥着重要作用。当临床医生与知情、积极、积极参与的患者合作时，他们的这一角色才能最有效地发挥。我们将评估一种基于我们当前的“功能评估筛查片 (FAST)”的新工具，该工具根据患者自己报告的信息，通过有关患者健康行为和 HRQoL 的即时、个性化、基于指南的反馈，为患者提供自我管理支持，并鼓励他们在健康方面发挥更积极的作用。 FAST-PRI 项目的完成将提供关于利用 HIT 患者反馈来告知和激活患者以及促进健康行为改变的有效性的重要信息。