Assessing Barriers to Self-Management if Comorbidities

描述(由申请人提供)：应聘者：贝利斯博士是科罗拉多州凯撒永久医院(Kpco)的临床医生研究员和科罗拉多大学健康科学中心助理教授。她是一位经验丰富的家庭医生，并已完成初级保健研究奖学金和MSPH学位。她在多种慢性疾病患者自我护理的障碍以及并存疾病对身体功能的影响方面进行了初步的有希望的工作。她的长期目标是通过以下方式为患有多种慢性疾病的人的护理产生循证建议：确定与护理这一人群的过程相关的问题；设计实用工具和干预措施以改进这一过程；并鼓励提供者和政策制定者调查替代专门使用特定疾病模型的替代方案。环境：贝利斯博士在kpco的临床研究单位(CRU)工作。CRU由90多名工作人员和调查人员组成，致力于进行高质量的研究并将其转化为实践。她的主要导师是拉塞尔·格拉斯哥博士，他是KPCO的高级科学家，也是慢性病自我护理领域的国际专家。她还与她的指导团队中的其他成员建立了牢固的工作关系，这些成员结合了卫生服务研究、调查开发、心理测量学、用药依从性和翻译 实事求是地研究。研究：对患有多种疾病的人的护理是一个关键的国家卫生保健问题，也是AHRQ的优先事项。慢性病患者的成功结果在很大程度上取决于自我管理。这一群体的自我管理障碍没有得到很好的界定。我们正在开发一份问卷，以评估患有多种慢性病的人自我管理的障碍。这项建议的目标是试行测试和验证这份问卷；在可通过kpco获得的5个重要研究人群中管理它；将其修订为实用的、临床有用的工具；并开始在临床领域实施它。评估自我管理障碍的有效和可靠的工具将为临床干预措施消除这些障碍和改善健康结果奠定基础。

DESCRIPTION (provided by the applicant): The candidate: Dr. Bayliss is a Clinician Investigator at Kaiser Permanente, Colorado (KPCO) and Assistant Professor at the University of Colorado Health Sciences Center. She is an experienced family physician and has completed a primary care research fellowship and MSPH degree. She has conducted initial promising work on barriers to self-care for persons with multiple chronic medical conditions, and the impact of comorbid medical conditions on physical functioning. Her long term goals are to generate evidence-based recommendations for the care of persons with multiple chronic medical conditions by: Identifying issues relevant to the process of care for this population; designing practical tools and interventions to improve this process; and encouraging providers and policy makers to investigate alternatives to exclusive use of disease-specific models. The Environment: Dr. Bayliss is based at KPCO in the Clinical Research Unit (CRU). The CRU consists of over 90 staff and investigators devoted to conducting and translating high quality research into practice. Her primary mentor is Dr. Russell Glasgow, a Senior Scientist at KPCO and an international expert in the field of self-care for chronic disease. She has additional strong working relationships with other members of her mentoring team who have combined expertise in health services research, survey development, psychometrics, medication adherence, and translation of research into practice. The Research: The care of persons with multiple medical conditions is a critical national health care issue and an AHRQ priority. Successful outcomes for persons with chronic conditions depend heavily on self-management. Barriers to self-management for this population are not well defined. We are developing a questionnaire to assess barriers to self-management for persons with multiple chronic conditions. The goal of this proposal is to pilot test and validate this questionnaire; administer it in 5 important study populations available through KPCO; revise it into a practical, clinically useful tool; and begin to implement it in the clinical arena. A valid and reliable instrument to assess barriers to self management will lay the groundwork for clinical interventions to address these barriers and improve health outcomes.