Role of patient-provider communication on clinical outcomes of rehabilitation for chronic spine pain

项目摘要 该提案的特点是一个全面的博士前培训，导师和研究活动计划 这将为我提供必要的支持，知识和技能，以推进我的职业目标，实现 在一个研究密集型学术医学中心的终身教职，并成为一个独立的 研究科学家以及疼痛沟通领域的领导者。培训活动将于 博士生在健康行为轨道的联合博士课程在公共卫生大学 美国加州圣地亚哥大学（UCSD）和圣地亚哥州立大学（SDSU）。总体研究目标是 从我以前在疼痛沟通方面的背景出发，更好地理解沟通实践 影响慢性脊柱疼痛成人物理治疗的疼痛结果。这将是 完成了通过混合方法进行的纵向传播关系研究 实践（移情沟通和预先议程设置），患者-提供者治疗联盟，以及 接受物理治疗的患者的临床结局（疼痛强度和干扰） 慢性脊椎疼痛一个全面的培训计划，包括教学课程和实践研究 经验将使我获得先进的知识和技能，在新兴领域的疼痛沟通， 包括（1）通过直接与物理治疗师和慢性病患者合作进行临床研究和实践 脊柱疼痛，（2）在通信领域的定性研究，包括混合方法的方法， 评估病人的结果，（3）专业的沟通和疼痛管理网络 研究，（4）通过指导研究生和本科生的研究来领导和管理 研究设计与分析、项目管理和研究成果的传播。

PROJECT SUMMARY This proposal features a comprehensive pre-doctoral program of training, mentorship, and research activities that will provide me with the support, knowledge, and skills necessary to advance my career goals of attaining a tenure-track faculty position at a research intensive academic medical center, and becoming an independent research scientist as well as a leader in the field of pain communication. Training activities will be completed as a doctoral student in the Health Behavior Track of the Joint Doctoral Program in Public Health at the University of California San Diego (UCSD) and San Diego State University (SDSU). The overall research objective is to build from my previous background in pain communication to better understand how communication practices influence pain outcomes in the physical therapy management of adults with chronic spine pain. This will be accomplished by conducting a mixed methods, longitudinal study of the relationship between communication practices (empathic communication and up front agenda setting), patient-provider therapeutic alliance, and clinical outcomes (pain intensity and interference) in patients referred to physical therapy for the management of chronic spine pain. A comprehensive training plan that includes didactic coursework and practical research experience will allow me to gain advanced knowledge and skills in the emerging field of pain communication, including (1) clinical research and practice by working directly with physical therapists and patients with chronic spine pain, (2) qualitative research in the field of communication to include mixed-methods approaches in the evaluation of patient outcomes, (3) professional networking in both communication and pain management research, (4) leadership and management by mentoring graduate and undergraduate student research experiences, and (5) study design and analysis, project management, and dissemination of research findings.