Telephone E-Health Communication for Improving Glaucoma Treatment Compliance

描述（由申请人提供）：尽管最近在青光眼的预防和治疗方面取得了进展，但许多患者仍然存在青光眼诱导损害的风险，因为他们未能遵守处方药物和治疗方案的其他组成部分。健康传播领域的最新研究表明，通过将信息技术应用于完善的行为改变策略，在改善健康行为（如治疗依从性）方面具有巨大潜力。通过应用最先进的电子健康通信青光眼治疗依从性，我们建议开发，实施和评估从亚特兰大市的两个眼科诊所招募的250名患者中的创新干预。我们的“主动”干预将是自动化的、计算机化的、量身定制的、互动的、语音识别的和授权的，以便在一个基于电话的干预中全面和同时使用多种电子卫生通信策略。干预信息将根据参与者的依从性知识、态度和行为;依从性的社会心理预测因素;健康素养;种族和文化;以及呼叫时间表和频率偏好进行个性化定制。每个干预电话还将利用交互式语音识别技术，以促进兴趣，参与和与呼叫接收者的互动。我们将在一项随机对照试验中评估我们为期12个月的干预措施，该试验每6个月对所有参与者进行一次计算机辅助电话访谈，为期18个月。治疗依从性的结果指标包括处方药更新和预约依从性的管理数据;诊断、治疗和病情的病历数据;以及依从性知识、态度和行为的自我报告数据。这项研究的结果可以为改善眼睛健康的创新沟通努力的发展和广泛传播提供信息。 拟议的研究可以通过展示一种可推广和负担得起的健康促进和疾病预防策略来提高有疾病相关损害风险的患者的治疗依从性，从而对公共卫生产生重大影响。这项研究的结果可以为未来的公共卫生干预提供信息，以提高视力健康和其他需要遵守药物和其他治疗的慢性疾病的治疗依从性。

DESCRIPTION (provided by applicant): Despite recent advancements in the prevention and treatment of glaucoma, many patients remain at risk for glaucoma-induced impairment because they fail to comply with prescribed medications and other components of their treatment regimen. Recent research from the field of health communication has shown great potential for improving health behaviors, such as treatment compliance, by applying information technology to well-established behavioral change strategies. By applying the state-of-the-art in e-health communication to glaucoma treatment compliance, we propose to develop, implement, and evaluate an innovative intervention among 250 patients recruited from two eye clinics in metro-Atlanta. Our "ACTIVE" Intervention will be Automated, Computerized, Tailored, Interactive, Voice-recognizing, and Empowering, to comprehensively and simultaneously use multiple e-health communication strategies in one telephone based intervention. Intervention messages will be individually-tailored to participants' compliance knowledge, attitudes, and behaviors; psychosocial predictors of compliance; health literacy; race and culture; and call schedule and frequency preferences. Each intervention call also will utilize interactive voice recognition technology to facilitate interest, participation, and interaction with call recipients. We will evaluate our 12-month intervention in a randomized controlled trial with computer-assisted telephone interviews administered to all participants every six months for 18 months. Outcome measures of treatment compliance include administrative data on prescription drug renewals and appointment compliance; medical record data on diagnosis, treatment, and condition; and self-report data on compliance knowledge, attitudes, and behaviors. Findings from this study can inform the development and widespread dissemination of innovative communication efforts to improve eye health. The proposed research can have a significant impact on public health by demonstrating a generalizable and affordable health promotion and disease prevention strategy to increase treatment compliance among patients at risk for disease-related impairment. The findings from this study can inform future public health interventions for improving treatment compliance in vision health and other chronic conditions that require compliance with medication and other treatments.