Disseminating Evidence-Based Clinical Guidelines through Integrated Technologies

描述(由申请人提供)：向医疗保健提供者传播循证临床实践指南(CPGs)是将医学知识转化为患者护理的关键一步。为了满足传播艾滋病毒/艾滋病临床证据的迫切需要，并建立一个可持续的基础设施来支持这一努力，我们提出了一个具有以下目标的项目：(1)与纽约州的多个利益攸关方和网络建立伙伴关系，通过整合各种信息技术和社会应用背景，向医疗保健提供者传播循证艾滋病毒/艾滋病CPG；(2)通过多学科合作进行研究，将原始文本指南转变为用户友好的在线指南 (3)建立艾滋病毒/艾滋病信息产品的在线资料库，以解决特定的临床问题，针对不同的受众，并通过网络、移动设备、社交网络、专业教育计划和质量改进系统等多个平台提供信息；(4)评估创新信息产品的可用性和使用情况，并在个人护理提供者、医疗保健组织和特定用户社区层面评估其对知识翻译、医疗保健流程和临床结果的影响。拟议的研究将首次使用主题、关键字、术语和本体来创建多种类型的信息资源之间的语义联系，包括CPG、多媒体学习模块、患者模拟/临床决策工具和质量改进信息系统。这也是首次尝试将CPG表示模型与可用性设计和移动计算相结合。由于拟议的研究和开发是由社区的特定需求驱动的，并建立在现有的基础设施上，因此该项目开发的信息产品很有可能被艾滋病毒/艾滋病医疗保健提供者使用，并改进艾滋病毒知识翻译、医疗保健流程和临床结果。

DESCRIPTION (provided by the applicant): Disseminating evidence-based clinical practice guidelines (CPGs) to healthcare providers is a critical step to translate medical knowledge into patient care. To address the urgent needs in disseminating HIV/AIDS clinical evidences and to build a sustainable infrastructure to support this effort, we propose a project with the following aims: (1) develop a partnership with multiple stakeholders and networks in New York State to disseminate evidence-based HIV/AIDS CPGs to healthcare providers through integrating various information technologies and social application contexts; (2) conduct research through multi-disciplinary collaborations to transform the original text guidelines to user-friendly online resources, multimedia learning modules, interactive patient simulation and clinical decision tools, as well as technology-mediated behavioral interventions for knowledge dissemination tailored to individual, organization, and community needs and preferences; (3) build an online repository of HIV/AIDS information products to address specific clinical problems, to target to different audiences, and to deliver information through multiple platforms such as web, mobile devices, social networks, professional education programs, and quality improvement systems; and (4) assess the usability and usage of innovative information products and evaluate their impact on knowledge translations, healthcare processes, and clinical outcomes at the levels of individual care providers, healthcare organizations, and specific user communities. The proposed research will for the first time employ subjects, keywords, terms, and ontologies to create semantic linkages among multiple types of information resources, including CPGs, multimedia learning modules, patient simulation/clinical decision tools, and quality improvement information systems. It is also the first attempt to integrate a CPG representation model with usability design and mobile computing. Since the proposed research and development is driven by the specific needs from the community and built on the established infrastructure, there is a great potential that the information products developed from this project will be used by HIV/AIDS healthcare providers and improve HIV knowledge translation, healthcare processes, and clinical outcomes.