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Family Cardiac Caregiver Investigation to Evaluate Outcomes (FIT-O)

家庭心脏护理人员调查以评估结果 (FIT-O)

基本信息

批准号：
7915444
负责人：
LORI J MOSCA
金额：
$ 79.8万
依托单位：
COLUMBIA UNIVERSITY HEALTH SCIENCES
依托单位国家：
美国
项目类别：
财政年份：
2004
资助国家：
美国
起止时间：
2004-08-01 至 2012-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7915444
关键词：
Acute Address Adherence Adverse effects Age Awareness Behavior Behavior Therapy Blood Pressure Boxing Cardiac Cardiac Surgery procedures Cardiovascular Diseases Cardiovascular system Caregivers Catheters Cause of Death Characteristics Clinical Community Healthcare Comorbidity Coronary Coronary heart disease Data Death Rate Demographic Factors Diagnosis Diastolic blood pressure Disease Education Educational Intervention Effectiveness Electronic Mail Enrollment Ensure Ethnic Origin Event Exercise Extended Family Facilities and Administrative Costs Family Family Caregiver Family member Feedback Genealogical Tree Genes Goals Guideline Adherence Guidelines Habits Health Health Benefit Health Personnel Healthcare Healthcare Systems Heart Heart Diseases Hospitalization Hospitals Individual Inpatients Institution Instruction Intake Intervention Intervention Trial Investigation Learning Life Life Style Link Lipids Location Mails Malignant Neoplasms Medical Medical center Mental Depression Mental Health Methodology Morbidity - disease rate Myocardial Infarction National Heart, Lung, and Blood Institute Online Systems Operative Surgical Procedures Outcome Outpatients Paper Patient Care Patient Preferences Patients Performance Persons Pharmaceutical Preparations Physical activity Play Population Prevalence Prevention Prevention Guidelines Prevention approach Prevention therapy Preventive Preventive Intervention Primary Care Physician Procedures Process Professional counselor Protocols documentation Provider Public Health Race Randomized Controlled Trials Recurrence Research Risk Risk Factors Risk Reduction Role Science Screening procedure Secondary Prevention Self Blood Pressure Monitoring Smoking Speed Strategic Planning System Teaching Hospitals Testing Time Translating Translations Weight base blood glucose regulation blood pressure regulation burden of illness cardiovascular disorder prevention cardiovascular disorder risk caregiving cigarette smoking clinical practice compliance behavior cost demographics design diabetic diet and exercise evidence base evidence based guidelines experience follow-up group intervention health care quality high risk improved lifestyle factors lifestyle intervention loved ones medication compliance mortality novel novel strategies outreach pill preference pressure prevent primary outcome programs research to practice saturated fat tool

项目摘要

New approaches to implement proven preventive and lifestyle interventions are needed to reach the NHLBI strategic plan goal to speed the translation of science into practice and reduce the public health burden of cardiovascular disease (CVD). It has been established that cardiac caregivers are a vehicle by which health information can be transmitted, and that caregivers themselves may be at increased CVD risk. Our research will evaluate the potential pool and demographic profile of cardiac caregivers as well as the role(s) they play in improving quality of patient care and to enhance adherence to secondary prevention guidelines post discharge. This research will also provide important information about targeting educational efforts to specific caregivers to enhance the clinical outcomes of hospitalized coronary patients. The purpose of this study is to estimate the prevalence of caregiving in hospitalized cardiac patients by demographic factors such as patient age and race/ethnicity, and to link caregiving to clinical outcomes in cardiac patients. A secondary aim is to collect family tree data which will allow us to estimate the number of first degree family members, their basic demographics, and the distance at which they live from the medical center in order to determine the feasibility and scope of a targeted preventive intervention. The specific aims are to determine: 1) the prevalence and demographic characteristics of primary cardiac caregivers among patients admitted with an acute atherosclerotic coronary event or surgical or catheter-based coronary revascularization procedure during a consecutive 6 month period at a major academic teaching hospital, 2) the relation between having or not having a cardiac caregiver and patient clinical outcomes at 30 days post hospital discharge adjusted for patient demographic characteristics, admitting diagnoses, and co-morbidities, 3) feasibility of an extended family-centered educational and behavioral intervention that will include an outreach to family members of patients hospitalized with CVD to ensure appropriate screening, lifestyle education, and referral of family members for evidence-based risk reduction therapies when appropriate. The significance of this research is that it addresses specific challenges outlined in the recent NHLBI strategic plan to develop and evaluate programs to improve patient, provider, and health care system behavior and performance to enhance quality of care and health outcomes, especially in populations that experience a disproportionate disease burden. Unique information will be obtained about caregivers as a potential intervention to improve preventive care and health outcomes of patients and families that suffer disproportionate CVD burden. Improved adherence to evidence-based preventive therapies could have a substantial public health benefit.

需要采取新的方法来实施经过验证的预防和生活方式干预措施，以实现NHLBI战略计划的目标，加速将科学转化为实践，减少心血管疾病（CVD）的公共卫生负担。已经确定，心脏护理人员是可以传递健康信息的载体，并且护理人员本身可能处于增加的CVD风险中。我们的研究将评估心脏护理人员的潜在人才库和人口统计学特征，以及他们在提高患者护理质量和提高出院后二级预防指南依从性方面所发挥的作用。这项研究还将提供有关针对特定护理人员的教育工作以提高住院冠状动脉患者的临床结局的重要信息。本研究的目的是通过人口统计学因素（如患者年龄和人种/种族）估计住院心脏病患者中的心脏病患病率，并将心脏病患者的心脏病与临床结局联系起来。第二个目的是收集家谱数据，这将使我们能够估计一级家庭成员的数量，他们的基本人口统计数据以及他们居住的距离，以确定有针对性的预防干预的可行性和范围。具体目标是确定：1）在主要学术教学医院连续6个月期间因急性动脉粥样硬化性冠状动脉事件或外科手术或基于导管的冠状动脉血运重建术而入院的患者中主要心脏护理者的患病率和人口统计学特征，2）有或没有心脏护理人员与根据患者人口统计学特征调整的出院后30天的患者临床结果之间的关系，入院诊断和合并症，3）扩展的以家庭为中心的教育和行为干预的可行性，包括对CVD住院患者的家庭成员进行外展，以确保适当的筛查，生活方式教育，并在适当时推荐家庭成员进行循证风险降低治疗。这项研究的意义在于，它解决了最近NHLBI战略计划中概述的具体挑战，以制定和评估改善患者，提供者和医疗保健系统行为和绩效的计划，以提高护理质量和健康结果，特别是在经历不成比例疾病负担的人群中。将获得关于护理人员的独特信息，作为一种潜在的干预措施，以改善患有不成比例的CVD负担的患者和家庭的预防性护理和健康结果。改善对循证预防性治疗的依从性可能会对公共卫生产生重大益处。