Automated CVD Lifestyle Guidance for Medical Encounters

描述（由申请人提供）：在美国，饮食和身体活动模式已成为导致过早死亡的主要因素。大多数初级保健从业人员认识到营养、身体活动和健康之间的重要关系。很少有人将饮食或体育活动咨询纳入日常实践。缺乏自我效能感是这种咨询的常见原因之一。拟议的项目遵循成功的第一阶段项目，并将开发一种名为“解决治疗性生活方式改变的医疗遭遇自动指导工具”（AuGMEnT）的工具。AUGMENT将依靠交互式技术自动管理、收集和分析饮食和身体活动问卷；并根据患者的独特需求提供指导咨询和资源。AUGMENT结合了营养和身体活动评估。在医生的办公室里，病人将回答带有触摸屏的掌上电脑上的问卷提示。软件会将这些反应分类为行为模型，并根据患者的需求做出评估和建议。生成评估营养和健康状况的报告，以及基于障碍分析器（一种新的行为改变结构）的治疗建议的“准备改变”评分。该项目将开发评估和咨询工具，以补充医生的评估和治疗计划。该项目将建立一个自动化系统的效用，以加强在标准初级保健背景下提供量身定制的饮食和体育活动咨询。如果成功实施，该提案具有巨大的潜力，可以“增强”针对体重控制和慢性疾病预防的生活方式咨询，实现2010年健康人的目标1-3a、1-3b和19-17。纳入AUGMENT的技术和科学进步同样为新的商业机会和实现重要公共卫生目标的进展带来了巨大的希望。

DESCRIPTION (provided by applicant): Dietary and physical activity patterns are poised to become leading contributors to premature death in the US. Most primary healthcare practitioners recognize the important relationship among nutrition, physical activity and health. Few incorporate either dietary or physical activity counseling into routine practice. Lack of self-efficacy for such counseling is among the commonly cited reasons. The proposed project follows the successful Phase I project, and will develop a tool called Automated Guidance tool for Medical Encounters addressing Therapeutic Lifestyle Changes (AuGMEnT). AUGMENT will rely on interactive technology to automate the administration, collection, and analysis of dietary and physical activity questionnaires; and guide counseling and resources tailored to the patient's unique needs. AUGMENT combines nutrition and physical activity assessments. The patient will respond to questionnaire prompts on a handheld computer with a touch-sensitive screen in the physician's office. Software will classify those responses into behavior models, and generate assessments and recommendations tailored to the needs of the patient. Reports evaluating nutrition and fitness status and a "readiness to change" score with treatment recommendations based on an impediment profiler (a novel behavior change construct)'are generated. This project will develop assessment and counseling tools that will complement the physician's assessment and treatment plan. This project will establish the utility of an automated system to enhance the delivery of individually tailored diet and physical activity counseling in the context of standard primary care. Conducted to a successful conclusion, the proposal has tremendous potential to "augment" the delivery of lifestyle counseling directed toward weight control, and the prevention of chronic disease, addressing objectives 1-3a, 1-3b and 19-17 of Healthy People 2010. The technological and scientific advances incorporated into AUGMENT represent equally great promise for new business opportunities and progress toward vital public health goals.