Telephone E-Health Communication for Improving Glaucoma Treatment Compliance

描述(申请人提供)：尽管最近在预防和治疗青光眼方面取得了进展，但许多患者仍然面临青光眼引起的损害的风险，因为他们没有遵守处方药物和治疗方案的其他部分。最近来自健康传播领域的研究表明，通过将信息技术应用于既定的行为改变策略，在改善健康行为方面具有巨大的潜力，例如治疗依从性。通过将最先进的电子健康通信应用于青光眼治疗依从性，我们建议开发、实施和评估从亚特兰大大都会两个眼科诊所招募的250名患者的创新干预措施。我们的“主动”干预将是自动化的、计算机化的、量身定做的、交互式的、语音识别的和赋权的，以便在一个基于电话的干预中全面和同时使用多种电子健康通信策略。干预信息将针对参与者的合规知识、态度和行为；合规的心理社会预测因素；健康素养；种族和文化；以及通话时间表和频率偏好，进行个性化定制。每个干预呼叫还将利用交互式语音识别技术，以促进与呼叫接受者的兴趣、参与和互动。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，所有参与者每6个月进行一次计算机辅助电话采访，为期18个月。治疗依从性的结果衡量标准包括关于处方药更新和预约依从性的行政数据；关于诊断、治疗和状况的医疗记录数据；以及关于依从性知识、态度和行为的自我报告数据。这项研究的发现可以为创新传播努力的发展和广泛传播提供信息，以改善眼睛健康。 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战略来提高面临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。这项研究的发现可以为未来的公共卫生干预提供参考，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.