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Unpacking Dimensions of Patient Preferences Related to Hypertension Management in Black Adults

揭示与黑人成人高血压管理相关的患者偏好维度

基本信息

批准号：
10002120
负责人：
Aisha Tene Langford
金额：
$ 17.07万
依托单位：
NEW YORK UNIVERSITY SCHOOL OF MEDICINE
依托单位国家：
美国
项目类别：
财政年份：
2018
资助国家：
美国
起止时间：
2018-08-01 至 2023-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10002120
关键词：
Address Adherence Adult Affect Anxiety Area Attention Attenuated Attitude Belief Cardiovascular Diseases Clinic Cognitive Communication Counseling DASH diet Data Decision Making Development Dimensions Eating Electronic Health Record Focus Groups Food Funding Health Health Communication Healthcare Hypertension Intervention Interview K-Series Research Career Programs Knowledge Life Style Literature Malignant Neoplasms Manuscripts Medical Mentorship Modality Morbidity - disease rate National Heart, Lung, and Blood Institute Newly Diagnosed Patient Preferences Patients Pharmaceutical Preparations Pharmacotherapy Public Health Publications Qualitative Methods Randomized Clinical Trials Reading Research Research Personnel Research Project Grants Risk Role Self Efficacy Social support Structure Surveys Testing Thinking Time Training Uncertainty Work base behavior change career career development clinical practice evidence base health disparity hypertension control implementation science improved interest lifestyle intervention meetings mortality patient-clinician communication population health preference programs psychosocial shared decision making support tools symposium tool usability

项目摘要

PROJECT SUMMARY Background. Hypertension (HTN) is a significant public health problem that affects nearly a billion people worldwide and explains the most variance in the racial gap in mortality between blacks and whites. Successful management of HTN is often achieved through drug therapy and lifestyle change. For example, evidence- based lifestyle interventions like the NHLBI-funded Dietary Approaches to Stop Hypertension (DASH) eating plan have been shown to improve HTN control in black patients compared to whites. Yet, adherence to lifestyle change interventions still remains low; a potential explanation is that these decisions are not preference-based. Little is known about the impact of preferences on adherence to lifestyle change interventions for black patients with HTN. This K01 provides a unique opportunity to address this gap in the literature. Candidate Overview. My long-term career objective is to become an independent investigator who specializes in attenuating health disparities by studying the health care and communication preferences of patients. My short-term objective is to perform research to improve HTN management in black adults. Historically, I have done work in cancer; however, I now seek to expand my research portfolio to include cardiovascular disease broadly and hypertension specifically. Career Development and Training Plan. My educational program includes: a) structured course work, b) professional conferences pertinent to my interests, c) directed readings, d) shadowing of clinicians, and e) a research project with specific aims timed to coincide with these activities. Structured mentorship with national experts including Dr. Scott Braithwaite (medical decision making), Dr. Olugbenga Ogedegbe (hypertension, Dr. Angela Fagerlin (shared decision making), and Dr. Donna Shelley (implementation science) will promote my continued publication of manuscripts, presentations at academic meetings, and an R01 application. Research Strategy. To accomplish my aims, I will use qualitative methods (in Aims 1 and 2) including focus groups with black patients and interviews with clinicians, leading to the development of a decision support tool (in Aim 3) for which I will test the feasibility and usability of the tool to enhance preference-concordant decision making in black patients and shared decision making with their clinicians.

项目总结