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

项目总结 这项提案的特点是一个全面的博士前培训、指导和研究活动计划。 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 在研究密集型学术医学中心担任终身教职，并成为一名独立的 他是一位研究科学家，也是疼痛交流领域的领导者。培训活动将按如下方式完成 大学公共卫生联合博士项目健康行为跟踪的一名博士生 加州大学圣地亚哥分校(UCSD)和圣地亚哥州立大学(SDSU)。总体研究目标是 以我以前的痛苦沟通背景为基础，更好地理解沟通实践 在成人慢性脊椎疼痛的物理治疗管理中影响疼痛结果。这将是 通过进行混合的方法实现，纵向研究沟通之间的关系 实践(移情沟通和预先议程设置)、患者-提供者治疗联盟，以及 转诊为物理治疗的患者的临床结果(疼痛强度和干预) 慢性脊椎疼痛。包括教学课程和实践研究在内的全面培训计划 经验将使我在新兴的疼痛交流领域获得先进的知识和技能， 包括(1)通过直接与物理治疗师和慢性阻塞性肺病患者合作进行临床研究和实践 脊椎疼痛，(2)沟通领域的定性研究，将混合方法纳入 评估患者结果，(3)沟通和疼痛管理方面的专业网络 研究，(4)通过指导研究生和本科生的研究来领导和管理 经验，以及(5)研究设计和分析、项目管理和研究结果的传播。

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.