SPHERE (Survivorship Plan Health Record) Implementation Trial

SPHERE（生存计划健康记录）实施试验

• 批准号: 10624770
• 负责人: DAVID A. HAGGSTROM
• 金额: $ 61.5万
• 依托单位: INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-06-01 至 2026-05-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10624770
• 关键词: Anxiety; Attention; Attitude; Blood Tests; Cancer Detection; Cancer Patient; Cancer Survivor; Carcinoembryonic Antigen; Caregivers; Caring; Client satisfaction; Clinical; Colonoscopy; Colorectal Cancer; Data; Effectiveness; Fatigue; Foundations; Frequencies; Guidelines; Health; Health Personnel; Health Planning; Healthcare; Hybrids; Individual; Information Systems; Institute of Medicine (U.S.); Internet; Interview; Knowledge Management; Long-Term Care; Malignant Neoplasms; Measurement; Measures; Medical; Mental Depression; Methods; Online Systems; Outcome; Pain; Participant; Patient Outcomes Assessments; Patients; Pattern; Personal Health Records; Physicians; Population Study; Prevention; Preventive; Preventive care; Primary Care; Primary Prevention; Process; Quantitative Evaluations; Randomized; Recommendation; Recurrent Malignant Neoplasm; Reporting; Research; Research Design; Role; Self Management; Severities; Sleep; Software Tools; Structure; Symptoms; Technology; Testing; Twin Multiple Birth; United States Preventative Services Task Force; Visit; X-Ray Computed Tomography; cancer care; cancer recurrence; cancer therapy; cancer type; care delivery; care systems; contextual factors; cost; design; effectiveness clinical trial; effectiveness/implementation trial; follow-up; health information technology; health record; implementation barriers; implementation science; implementation strategy; implementation study; implementation trial; improved; indexing; neoplasm registry; patient engagement; patient oriented; population based; process evaluation; recruit; reduce symptoms; screening; survivorship; symptom management; systematic review; tool; treatment as usual; usability; web site

PROJECT SUMMARY/ABSTRACT The Institute of Medicine recommends that each cancer patient receive a survivorship care plan that summarizes information important to the individual’s long-term care, including the following: (1) cancer type and treatments, (2) their potential consequences, (3) recommendations regarding preventive practices, and (4) specific information about recommended follow-up. Despite their clinical importance, gaps in CRC surveillance care and preventive care exist among CRC survivors. Unmet symptom needs are also prevalent and undertreated. We propose to evaluate the capacity of an interactive survivorship care plan (SCP) delivered through an Internet-based personal health record (PHR) to meet the needs of CRC survivors. PHRs combine health information and medical data with knowledge management and software tools to potentially enable patients to become active participants in their own care. A SCP delivered via an appropriately designed PHR may promote increased concordance with CRC surveillance and preventive care guidelines through the exchange of health information between CRC survivors and health care providers. A survivorship care plan-personal health record (SCP-PHR) may also improve care for symptoms through the combination of longitudinal PHR- based symptom measurement and tailored self-management tools. To understand the effectiveness of the SCP-PHR, we will conduct a randomized clinical effectiveness trial at the patient level. We will assess impact of the SCP-PHR across a variety of measures and outcomes, including CRC surveillance, preventive care receipt, patient symptoms, and patient-centered quality. To simultaneously understand the effectiveness and implementation of the SCP-PHR, we will conduct a hybrid type I effectiveness-implementation trial consisting of the following components: (A) a randomized clinical effectiveness trial at the patient level, and (B) a mixed methods implementation study. The mixed methods portion of the study will consist of a quantitative evaluation of patient attitudes toward technology associated with the frequency and patterns of SCP-PHR use, as well as a qualitative process evaluation using semi- structured interviews to assess facilitators and barriers to implementation of the SCP-PHR among key stakeholders: patients, health care providers, and organizational leaders. This study design will enable us to meet the simultaneous needs of understanding the effectiveness and the health care context of SCP implementation.

项目总结/摘要 医学研究所建议每个癌症患者接受生存护理计划， 总结了对个人长期护理重要的信息，包括以下内容：（1）癌症类型 （2）其潜在后果，（3）关于预防措施的建议，以及（4） 关于建议的后续行动的具体信息。尽管其临床重要性，CRC监测的差距 《儿童权利公约》幸存者可获得护理和预防性护理。未满足的症状需求也很普遍， 治疗不足 我们建议评估能力的互动生存护理计划（SCP）提供通过一个 基于互联网的个人健康记录（PHR），以满足CRC幸存者的需求。PHRs联合收割机 知识管理和软件工具，使患者能够 积极参与自己的护理。通过适当设计的PHR递送的SCP可以 通过交流促进与CRC监测和预防护理指南的一致性 CRC幸存者和卫生保健提供者之间的健康信息。生存护理计划-个人 健康记录（SCP-PHR）也可以通过纵向PHR- 基于症状测量和定制的自我管理工具。为了了解 SCP-PHR，我们将在患者层面进行随机临床有效性试验。我们将评估影响 SCP-PHR在各种措施和结果中的作用，包括CRC监测，预防性护理 收据、患者症状和以患者为中心的质量。 为了同时了解SCP-PHR的有效性和实施情况，我们将进行一次混合 I型有效性实施试验，包括以下部分：（A）随机临床试验 患者水平的有效性试验，以及（B）混合方法实施研究。混合方法 研究的一部分将包括定量评估患者对技术相关的态度， 使用SCP-PHR的频率和模式，以及使用半定量分析的定性过程评估， 结构化访谈，以评估促进者和障碍，以执行SCP-PHR的关键 利益相关者：患者、医疗保健提供者和组织领导者。这项研究设计将使我们能够 满足理解SCP的有效性和医疗保健背景的同时需求 实施.