A Clinic-Based Behavioral Intervention to Reduce Cardiovascular Disease Risk in Persons Living with HIV

基于临床的行为干预措施可降低艾滋病毒感染者的心血管疾病风险

• 批准号: 10084305
• 负责人: Nwora Lance Okeke
• 金额: $ 18.26万
• 依托单位: DUKE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-01-15 至 2022-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10084305
• 关键词: Achievement; Address; Aging; Antihypertensive Agents; Atherosclerosis; Attention; Behavior; Behavior Therapy; Blood Pressure; Cardiovascular Diseases; Caring; Case Manager; Chronic; Chronic Disease; Clinic; Clinical; Clinical Data; Clinical Trials; Clinical Trials Design; Communicable Diseases; Complement; Complex; Counseling; Custom; Data; Disease; Educational Curriculum; Educational Materials; Epidemiology; Event; Focus Groups; Foundations; Functional disorder; Future; Goals; Group Interviews; Guidelines; HIV; HIV Infections; HIV/HCV; Health; Health Services Research; Healthcare; Hepatitis C co-infection; High Prevalence; Inferior; Inflammation; Intervention; Interview; Knowledge; Lead; Low-Density Lipoproteins; Medical; Medicine; Melissa; Mental Health; Mentored Patient-Oriented Research Career Development Award; Mentors; Modeling; Myocardial Infarction; Outcome; Participant; Pathogenesis; Patients; Pattern; Peer Review; Perception; Persons; Pilot Projects; Population; Preventive care; Primary Health Care; Primary Prevention; Prognosis; Provider; Publications; Qualitative Methods; Randomized; Randomized Controlled Trials; Registries; Research; Research Methodology; Research Personnel; Research Training; Risk; Risk Factors; Risk Management; Risk Reduction; Role; Series; Site; Solid; Stroke; Structure; Substance abuse problem; Telephone; Therapeutic; Training; United States Department of Veterans Affairs; Universities; Viral; Work; antiretroviral therapy; base; blood lipid; cardiovascular disorder risk; care delivery; care providers; clinical care; clinical database; design; effectiveness testing; experience; high risk; high risk population; implementation science; improved; innovation; insight; instructor; interdisciplinary approach; longitudinal analysis; member; mid-career faculty; motivational enhancement therapy; multidisciplinary; novel; patient oriented; patient subsets; professor; programs; skills

SCOPE OF WORK The overall research objective is to determine optimal models of care for ASCVD primary prevention in HIV- infected persons and to investigate the role of clinical case managers in improving ASCVD preventative care in the HIV clinic setting. The proposed study will employ the innovative approach of telephone-based interventions for the augmentation of in-clinic care to address ASCVD risk reduction in HIV-infected persons, a high-risk group for ASCVD. The aims of the study are to: 1) Determine the association between the single- provider model for HIV care (HIV clinician as primary care provider) and ASCVD risk factor outcomes; 2) Identify experiences and perceptions of HIV-infected persons on current models of non-AIDS associated chronic disease care delivery; 3) assess the impact of telephone-based case manager-administered interventions in improving ASCVD risk factor outcomes among HIV-infected clinic patients.

工作范围 总体研究目标是确定艾滋病毒感染者ASCVD一级预防的最佳护理模式， 感染者，并调查临床病例管理者在改善ASCVD预防护理中的作用， 艾滋病诊所建议的研究将采用创新的方法， 加强门诊护理的干预措施，以降低艾滋病毒感染者的ASCVD风险，a ASCVD高危人群。本研究的目的是：1）确定单一- HIV护理提供者模式（HIV临床医生作为初级保健提供者）和ASCVD风险因素结局; 2） 确定艾滋病毒感染者对目前非艾滋病相关模式的经验和看法 慢性病护理提供; 3）评估基于电话的病例管理器管理的影响 在HIV感染的门诊患者中改善ASCVD危险因素结局的干预措施。