Testing a video to improve provider-patient interaction

描述（由申请人提供）：为了控制螺旋上升的医疗保健费用，慢性病患者必须能够与他们的医生合作，制定个性化的健康计划，直接护理威胁他们健康的特定风险因素。为了在预防性保健、避免昂贵的程序和长期护理管理方面发挥更积极的作用，必须更好地告知患者他们的保健需求，并培训他们与保健提供者就制定保健计划进行有意义的对话，以改善他们的健康。因此，必须制定干预措施，提高卫生知识的普及程度。研究的具体目标是：制定和测试一项措施，以评估多文化、低识字率人口中与风险相关的健康知识;测试旨在提高患者与风险相关的健康知识的视频的功效。健康素养测量工具将以行为变化和沟通理论为理论基础，将包括评估健康素养所需的全部技能和知识，包括听力和口语，并将处理影响健康素养的特定背景的文化和概念因素。它将具有高质量工具的八个属性：概念模型化、可靠有效、响应性强、可由预期应答者解释、应答负担低、能够以适合于可能使用它的不同人群的替代形式开发，并适当地适应文化和语言考虑。我们将利用迭代的仪器开发过程，在设计过程中整合定性，认知和心理测量方法。评估工作将计算机化，并将利用“会说话的触摸屏”编程，以提高识字率低的人口的利用率。该视频将在新墨西哥州大学的多文化患者人群中使用随机对照设计进行测试。这项研究涉及PAR-04-117号公告“了解和促进健康素养”的优先事项。"

DESCRIPTION (provided by applicant): In order to control the spiraling costs of health care, persons with chronic diseases must be able to develop, in collaboration with their physicians, personalized health plans that direct care to the specific risk factors that threaten their health. To take a more active role in preventive health care, avoidance of costly procedures and management of long-term care, patients must be better informed about their health care needs and trained to engage in meaningful dialogue with care providers about the development of care plans to improve their health. Therefore, interventions to improve health literacy must be developed. The Specific Aims of the research are: to develop and test a measure to assess risk-related health literacy in a multicultural, low literacy population; and to test the efficacy of a video for patients designed to increase their risk-related health literacy. The health literacy measurement tool will be theoretically grounded in behavior change arid communication theory, and will include assessment of the full range of skills and knowledge needed for health literacy, including listening and speaking, and will address the context-specific cultural and conceptual factors that affect health literacy. It will have the eight attributes of a quality instrument: conceptually modeled, reliable and valid, responsive, interpretable by the intended respondents, of low respondent burden, able to be developed in alternative forms appropriate for different populations in which it might be used, and appropriately adapted for cultural and language considerations. We will utilize an iterative instrument development process integrating qualitative, cognitive and psychometric methods in the design process. The assessment will be computerized and will utilize "Talking Touch Screen" programming to enhance utilization among low-literate populations. The video will be tested using a randomized control design among a multi-cultural patient population at the University of New Mexico. This research addresses the priorities of announcement PAR-04-117 "Understanding and Promoting Health Literacy."