Understanding Clinician-Parent Interaction to Reduce Disparities and Improve Quality of Pediatric Surgical Care

了解临床医生与家长的互动,以减少差异并提高儿科手术护理质量

基本信息

  • 批准号:
    10593554
  • 负责人:
  • 金额:
    $ 18.9万
  • 依托单位:
  • 依托单位国家:
    美国
  • 项目类别:
  • 财政年份:
    2022
  • 资助国家:
    美国
  • 起止时间:
    2022-12-20 至 2024-11-30
  • 项目状态:
    已结题

项目摘要

PROJECT SUMMARY Racial/ethnic minority children who undergo surgery have worse clinical outcomes compared to white or more affluent peers. Although clinical and environmental determinants contribute to these disparities, evidence suggests that these disparities may rise in part from racial/ethnic differences in relationships and communication between surgical clinicians and parents, which are a potentially remediable source of healthcare inequities. The importance of physician-family communication is particularly significant in the milieu of pediatric surgical care, where patients and parents may perceive surgeons as intimidating, paternalistic, or dismissive relative to other specialists. The goal of our project is to develop an innovative, valid, and scalable measurement and analytic approaches for better understanding of patient-physician interactions. Findings will inform development of interventions to improve communication and thereby enhance quality of equity of pediatric surgical care delivery. This proposal focuses on two innovative features of communication: linguistic style matching (LSM) and linguistic accommodation. LSM is the tendency of participants to use a common vocabulary and speech structure, while linguistic accommodation is the process by which participants in a conversation adjust their language according to the speech style of the other participant. Both LSM and linguistic accommodation have been rarely explored and are potential mechanisms by which less social/cultural distance can result in higher quality relationships and outcomes. Using a mixed-methods sequential explanatory study design, we apply computerized text analysis tools and subsequent thematic content analysis of clinician-parent interactions during pediatric surgical consultations to (1) Elucidate dimensions of parent and clinician linguistic style and generate novel measures of LSM and linguistic accommodation in pediatric surgical care, (2) Evaluate the convergent and predictive validity of LSM and linguistic accommodation, and (3) Explore dialogue examples and themes from visits where clinician linguistic style dimensions are associated with higher and lower parent ratings of surgical clinicians. We apply quantitative and qualitative methodology to wholly understand the significance and potential contribution of LSM and linguistic accommodation to bridging social distance in communication. We propose generating communication measures through automated text analysis versus traditional manual coding. Theis innovative approach can elucidate mechanisms by which surgical clinicians can communicate more effectively and reduce racial/ethnic disparities in surgical outcomes, provide initial validity evidence for novel communication analytic methods, expand the cost-effectiveness and scale of communication analysis studies of physician- parent interaction, and inform development of real-time feedback systems for surgical clinicians to improve their interactions over time. Because each surgical clinician sees many patients, small improvements in clinicians’ relationship and communication skills can have a large effect on improving quality and equity in patient outcomes.
项目总结

项目成果

期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)

数据更新时间:{{ journalArticles.updateTime }}

{{ item.title }}
{{ item.translation_title }}
  • DOI:
    {{ item.doi }}
  • 发表时间:
    {{ item.publish_year }}
  • 期刊:
  • 影响因子:
    {{ item.factor }}
  • 作者:
    {{ item.authors }}
  • 通讯作者:
    {{ item.author }}

数据更新时间:{{ journalArticles.updateTime }}

{{ item.title }}
  • 作者:
    {{ item.author }}

数据更新时间:{{ monograph.updateTime }}

{{ item.title }}
  • 作者:
    {{ item.author }}

数据更新时间:{{ sciAawards.updateTime }}

{{ item.title }}
  • 作者:
    {{ item.author }}

数据更新时间:{{ conferencePapers.updateTime }}

{{ item.title }}
  • 作者:
    {{ item.author }}

数据更新时间:{{ patent.updateTime }}

Emily Frances Boss其他文献

Emily Frances Boss的其他文献

{{ item.title }}
{{ item.translation_title }}
  • DOI:
    {{ item.doi }}
  • 发表时间:
    {{ item.publish_year }}
  • 期刊:
  • 影响因子:
    {{ item.factor }}
  • 作者:
    {{ item.authors }}
  • 通讯作者:
    {{ item.author }}

{{ truncateString('Emily Frances Boss', 18)}}的其他基金

Project CONNECTS (Communication and Outcomes that eNhaNce Equity in Childhood Tonsillectomy and Sleep)
项目 CONNECTS(增强儿童扁桃体切除术和睡眠公平性的沟通和成果)
  • 批准号:
    10565822
  • 财政年份:
    2023
  • 资助金额:
    $ 18.9万
  • 项目类别:
Shared Decision-Making and Outcomes in Pediatric Sleep-Disordered Breathing
儿科睡眠呼吸障碍的共同决策和结果
  • 批准号:
    8678589
  • 财政年份:
    2014
  • 资助金额:
    $ 18.9万
  • 项目类别:
Shared Decision-Making and Outcomes in Pediatric Sleep-Disordered Breathing
儿科睡眠呼吸障碍的共同决策和结果
  • 批准号:
    9262852
  • 财政年份:
    2014
  • 资助金额:
    $ 18.9万
  • 项目类别:
Shared Decision-Making and Outcomes in Pediatric Sleep-Disordered Breathing
儿科睡眠呼吸障碍的共同决策和结果
  • 批准号:
    8840591
  • 财政年份:
    2014
  • 资助金额:
    $ 18.9万
  • 项目类别:

相似海外基金

STTR Phase I: A Reliable and Efficient New Method for Satellite Attitude Control
STTR第一阶段:可靠、高效的卫星姿态控制新方法
  • 批准号:
    2310323
  • 财政年份:
    2024
  • 资助金额:
    $ 18.9万
  • 项目类别:
    Standard Grant
BCSER - PVEST: A Dynamic Framework for Investigating STEM Interest, Attitude and Identity Among African American Middle School Students
BCSER - PVEST:调查非裔美国中学生 STEM 兴趣、态度和身份的动态框架
  • 批准号:
    2327055
  • 财政年份:
    2023
  • 资助金额:
    $ 18.9万
  • 项目类别:
    Standard Grant
The hidden power of grammar: a mixed-methods study of media discourses on climate change protests and their effects on audience attitude.
语法的隐藏力量:气候变化抗议媒体话语及其对受众态度影响的混合方法研究。
  • 批准号:
    2881735
  • 财政年份:
    2023
  • 资助金额:
    $ 18.9万
  • 项目类别:
    Studentship
Development of Psychological Approach to Improve Intergroup Attitude and Behavior and Exploration of Its Application
改善群际态度和行为的心理学方法的发展及其应用探索
  • 批准号:
    23K12855
  • 财政年份:
    2023
  • 资助金额:
    $ 18.9万
  • 项目类别:
    Grant-in-Aid for Early-Career Scientists
Attitude and Identity in Wales' Primary and Secondary Schools
威尔士中小学的态度和认同
  • 批准号:
    2876788
  • 财政年份:
    2023
  • 资助金额:
    $ 18.9万
  • 项目类别:
    Studentship
Attitude and Shape Estimation of an Unknown Object Using Light Curves
使用光曲线估计未知物体的姿态和形状
  • 批准号:
    23K04232
  • 财政年份:
    2023
  • 资助金额:
    $ 18.9万
  • 项目类别:
    Grant-in-Aid for Scientific Research (C)
Examining the relationship between death attitude and AD completion and attitude among older Chinese Americans
研究老年华裔美国人的死亡态度与 AD 完成度和态度之间的关系
  • 批准号:
    10575699
  • 财政年份:
    2023
  • 资助金额:
    $ 18.9万
  • 项目类别:
Insect flight mechanisms in high flight attitude
高飞行姿态下昆虫的飞行机制
  • 批准号:
    22H01397
  • 财政年份:
    2022
  • 资助金额:
    $ 18.9万
  • 项目类别:
    Grant-in-Aid for Scientific Research (B)
High-accurate relative position and rotation control of multiple satellites considering orbit-attitude coupled dynamics for space interferometry
空间干涉测量中考虑轨道姿态耦合动力学的多卫星高精度相对位置和旋转控制
  • 批准号:
    22K18856
  • 财政年份:
    2022
  • 资助金额:
    $ 18.9万
  • 项目类别:
    Grant-in-Aid for Challenging Research (Exploratory)
Solar Sailing: Attitude, Orbit, and Shape Control
太阳航行:姿态、轨道和形状控制
  • 批准号:
    RGPIN-2020-04037
  • 财政年份:
    2022
  • 资助金额:
    $ 18.9万
  • 项目类别:
    Discovery Grants Program - Individual
{{ showInfoDetail.title }}

作者:{{ showInfoDetail.author }}

知道了