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Patient Referral and Education Program prior to Renal Replacement Therapy (PREP RRT) - Resubmission 01

肾脏替代治疗 (PREP RRT) 之前的患者转诊和教育计划 - 重新提交 01

基本信息

批准号：
9115607
负责人：
MILDA Renne SAUNDERS
金额：
$ 17.68万
依托单位：
UNIVERSITY OF CHICAGO
依托单位国家：
美国
项目类别：
财政年份：
2015
资助国家：
美国
起止时间：
2015-07-24 至 2018-04-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9115607
关键词：
Address Advisory Committees Affect African American Ambulatory Care Arteriovenous fistula Behavior Therapy Caring Catheters Chicago Chronic Chronic Kidney Failure Clinical Communication Communities Data Development Dialysis patients Dialysis procedure Education Educational Intervention End stage renal failure Evaluation Face Fistula Future Glean Goals Guidelines Health Health Care Costs Health education Hemodialysis Home Hemodialysis Hospitalization Hospitals Illinois Improve Access Inpatients Institution Insurance Intervention Interview K-Series Research Career Programs Kidney Kidney Transplantation Knowledge Lead Link Medical Medicare Mentors Mentorship Minority Misinformation Modality Morbidity - disease rate Neighborhoods Nephrology Operative Surgical Procedures Outcome Patient Education Patients Peritoneal Dialysis Persons Procedures Provider Public Health Public Health Schools Qualitative Methods Qualitative Research Quality of Care Quality of life Renal Replacement Therapy Research Self Care Site Sociology Structure Surveys Survival Rate System Transplant Recipients Transplantation Transportation United States Universities Venous Work base behavior change common treatment cost cost effectiveness design disparity reduction education planning effective therapy experience health care service utilization health disparity health literacy improved minority-serving hospitals mortality motivated behavior novel patient oriented preference primary outcome programs public health relevance skills theories uptake

项目摘要

DESCRIPTION (provided by applicant): Patient Referral and Education Program prior to Renal Replacement Therapy (PREP RRT) Patient education prior to renal replacement therapy (RRT) leads to reduced central venous catheter use, improved access to self-care dialysis such as peritoneal dialysis, and increased access to transplantation. Each of these modalities has been shown to reduce morbidity and mortality and to improve quality of life for patients with end-stage renal disease (ESRD). African Americans are less likely than their White counterparts to receive nephrology care prior to dialysis initiation. African Americans are also less likely to hav a fistula for dialysis, to select peritoneal dialysis, and to appear on the renal transplant waitlit. Hospitalization may represent a "missed opportunity" to provide RRT education and planning to help patients make informed choices about their care that align with their preferences. Many patients are hospitalized within three months of dialysis initiation. The hospital may also capture patients who are not otherwise well-linked to the medical system. In addition, culturally-tailoring of health education messages through patient narratives has been found to be an effective means of increasing knowledge and motivating behavior change in African American patients. Therefore, I aim to develop, implement, and evaluate a patient-centered referral and education program for RRT (PREP RRT) that incorporates in- person education with a video of culturally-tailored patient narratives for hospitalized African American patients with advanced chronic kidney disease. To effectively implement these goals, I will develop expertise in qualitative research, health education design and behavioral interventions through coursework and mentorship. I have assembled a mentorship and research committee with expertise in reducing health disparities, qualitative methods, hospital-based interventions, multi-media education interventions and chronic kidney disease. I also will complete coursework in the Departments of Health Studies, Sociology and at the University of Illinois School of Public Health related to Survey Research, Qualitative Analysis and Behavior Change Interventions. Through successful implementation of this project, we aim to reduce health disparities and to decrease morbidity, mortality and health care utilization in patients with ESRD.