An Automated, Tailored Information Application for Medication Health Literacy

自动化、定制的药物健康素养信息应用程序

• 批准号: 7932823
• 负责人: RAYMOND L OWNBY
• 金额: $ 15.19万
• 依托单位: NOVA SOUTHEASTERN UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-09-16 至 2011-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7932823
• 关键词: Address; Adherence; Adverse effects; Affect; Anti-Retroviral Agents; Awareness; Behavior; Behavioral; Caring; Clinic; Computers; Data; Development; Disease; Education; Educational Intervention; Educational process of instructing; Effectiveness; Effectiveness of Interventions; Elements; Ensure; Follow-Up Studies; Funding; HIV; HIV Infections; Health; Health Promotion; Health Status; Individual; Information Technology; Instruction; Internet; Intervention; Knowledge; Maintenance; Medical; Modeling; Monitor; Motivation; Multimedia; Outcome; Outcome Study; Participant; Patient Education; Patient Self-Report; Patients; Persons; Pharmaceutical Preparations; Phase; Pilot Projects; Principal Investigator; Problem Solving; Public Health; Recruitment Activity; Regimen; Research; Resources; Risk; Specific qualifier value; Study Section; Technology; Testing; Wolves; base; behavior change; computerized; coping; cost; cost effective; disorder prevention; effective intervention; ethnic minority population; experience; harman; health application; health disparity; health literacy; improved; innovation; literacy; medication compliance; member; novel; pill; programs; public health relevance; skills; success; touchscreen; treatment response; usability; user-friendly

DESCRIPTION (provided by applicant): Health literacy is a critically important problem in improving the health outcomes in patients with HIV infection. Patient behaviors essential to the successful treatment of HIV infection, such as high levels of medication adherence, may depend on patients' understanding how to take medication, how to solve medication-related problems, and how to cope with medication side effects. Addressing the problem of low health literacy in individuals affected by HIV infection may thus be an important way of improving their health status. It is unclear, however, exactly how to improve health literacy in persons with HIV infection and the extent to which improving it might affect important variables such as medication adherence and health outcomes. A related problem in developing interventions to improve health literacy in any patient group is how to provide the intervention in a cost effective manner. Medical care for individuals with low levels of health literacy is often provided in clinics in limited-resource settings or in the offices of busy private practitioners who have little opportunity to provide or support for additional interventions. A promising strategy for providing health literacy interventions in busy or limited-resource setting is to provide them through automated computer-based applications. Information technology-based interventions to promote health literacy have the potential for being readily available on desktop computers or over the Internet. E-health applications may be an important strategy for addressing health disparities (Office of Disease Prevention and Health Promotion, 2006). Once created, costs for their continued maintenance and deployment can be low. They could thus be a cost-effective strategy for addressing health literacy issues in persons with HIV infection (Brown, Vanable, & Eriksen, 2008), but have not been widely developed or validated. As one group (Wolf et al., 2007a) has suggested, "New advances in multimedia technology could be used to better disseminate patient education . . ." (p. 259). The purpose of the study proposed in this application is to create a computer-based and automated application that will provide individually-tailored health literacy education to persons with HIV infection. After development this application will be tested with 100 persons currently on antiretroviral treatment who will be recruited from a local clinic. They will participate in three sessions at four week intervals during the study. The effectiveness of the intervention will be assessed by examining participants' medication and disease-related knowledge and awareness of problem solving skills before and after the training intervention and four weeks later. Self-report and electronically-monitored adherence in the four weeks before and after the intervention will also be assessed. The outcome of this study will be an automated tailored information application to improve health literacy in those coping with HIV infection. PHS 398/2590 (Rev. 11/07) Page Continuation Format Page PUBLIC HEALTH RELEVANCE: Health literacy is a critically important public health problem related to treatment success in HIV+ persons. The application proposed in this application will address this problem by creating a computer-based health literacy teaching application that can readily be deployed on the Internet. PHS 398/2590 (Rev. 11/07) Page Continuation Format Page

描述（由申请人提供）：健康素养是改善艾滋病毒感染患者健康结果的一个至关重要的问题。患者行为对HIV感染的成功治疗至关重要，如高水平的药物依从性，可能取决于患者对如何服药、如何解决药物相关问题以及如何应对药物副作用的理解。因此，解决受艾滋病毒感染的个人卫生知识普及程度低的问题可能是改善其健康状况的一个重要途径。然而，目前尚不清楚究竟如何提高艾滋病毒感染者的卫生知识素养，以及提高卫生知识素养可能在多大程度上影响药物依从性和健康结果等重要变量。在制定干预措施以提高任何患者群体的卫生知识素养方面，一个相关问题是如何以具有成本效益的方式提供干预措施。卫生知识水平低的个人通常在资源有限的诊所或忙碌的私人医生的办公室提供医疗服务，这些医生几乎没有机会提供或支持额外的干预措施。在繁忙或资源有限的环境中提供卫生扫盲干预措施的一个有前途的战略是通过基于计算机的自动化应用程序提供这些干预措施。以信息技术为基础的促进卫生知识普及的干预措施有可能在台式电脑或互联网上随时可用。电子保健应用可能是解决保健差距的一项重要战略（疾病预防和健康促进办公室，2006年）。一旦创建，它们的持续维护和部署成本就会很低。因此，它们可能是解决艾滋病毒感染者健康素养问题的一种具有成本效益的策略（Brown, Vanable, & Eriksen, 2008），但尚未得到广泛开发或验证。正如一个小组（Wolf et al., 2007a）所建议的那样，“多媒体技术的新进展可以用来更好地传播患者教育……”(p。259)。本申请中提出的研究目的是创建一个基于计算机的自动化应用程序，为艾滋病毒感染者提供量身定制的健康素养教育。开发完成后，该应用程序将在100名目前正在接受抗逆转录病毒治疗的人中进行测试，这些人将从当地诊所招募。他们将在研究期间每隔四周参加三次会议。在培训干预前后和四周后，将通过检查参与者的药物和疾病相关知识以及对解决问题技能的认识来评估干预的有效性。干预前后四周的自我报告和电子监测依从性也将被评估。这项研究的结果将是一个自动化的定制信息应用程序，以提高那些应对艾滋病毒感染的人的健康素养。公共卫生相关性：卫生素养是一个极其重要的公共卫生问题，与艾滋病毒感染者的治疗成功有关。本应用程序中提出的应用程序将通过创建一个基于计算机的健康素养教学应用程序来解决这个问题，这个应用程序可以很容易地部署在互联网上。小灵通398/2590 （Rev. 11/07）页延续格式页

项目成果

Cost effectiveness of a computer-delivered intervention to improve HIV medication adherence.

计算机提供的干预措施以提高HIV药物依从性的成本效益。

• DOI: 10.1186/1472-6947-13-29
• 发表时间: 2013-02-28
• 期刊: BMC medical informatics and decision making
• 影响因子: 3.5
• 作者: Ownby RL;Waldrop-Valverde D;Jacobs RJ;Acevedo A;Caballero J
• 通讯作者: Caballero J

Development and validation of a brief computer-administered HIV-Related Health Literacy Scale (HIV-HL).

• DOI: 10.1007/s10461-012-0301-3
• 发表时间: 2013-02
• 期刊: AIDS AND BEHAVIOR
• 影响因子: 4.4
• 作者: Ownby, Raymond L.;Waldrop-Valverde, Drenna;Hardigan, Patrick;Caballero, Joshua;Jacobs, Robin;Acevedo, Amarilis
• 通讯作者: Acevedo, Amarilis

Baseline medication adherence and response to an electronically delivered health literacy intervention targeting adherence.

基线药物依从性和对以依从性为目标的电子健康素养干预措施的反应。

• DOI: 10.2147/nbhiv.s36549
• 发表时间: 2012
• 期刊: Neurobehavioral HIV medicine
• 作者: Ownby,RaymondL;Waldrop-Valverde,Drenna;Caballero,Joshua;Jacobs,RobinJ
• 通讯作者: Jacobs,RobinJ