Personalizing Automated Interactivity between Treatment Providers and Clients

描述（由申请人提供）：互联网通信技术促进了一对一和多对一的社会和专业网络，并验证了支持临床研究和护理的交互式计算机评估，这些技术已经存在多年。这些技术的发展和使用这些患者报告的结果继续扩大和发展迅速。已经证明，使用这些技术可以改善管理和治疗广泛的行为精神健康问题（如抑郁、焦虑、酗酒和其他药物滥用障碍）以及哮喘、高血压、糖尿病和肥胖等慢性健康状况的结果。这些技术在“现实世界”治疗实践中的有限使用可能反映了系统实施的障碍，例如补偿额外时间负担的资源，以及一刀切的“独立”计划与个体治疗提供者的临床风格之间的不匹配。本应用程序旨在通过前瞻性地关注服务提供者使用这些技术定制患者护理的具体需求和愿望，并通过促进系统实施到当前的临床工作流程实践，来解决这些障碍。为了实现这些目标，执业治疗提供者将(1)接受教育，了解当前领先的交互式通信技术，这些技术可以在客户对客户的基础上实现自动化和配置，以促进治疗目标和改善结果；(2)为开发基于网络的应用程序提供功能规范，使临床医生能够轻松有效地创建自动化、个性化、交互式协议；(3)从阿肯色大学医学科学精神病学研究所招募的门诊患者对提供指定功能的原型程序进行实地测试；(4)从治疗提供者和被治疗患者的角度评估系统的可用性和临床实用性。

DESCRIPTION (provided by applicant): Internet communication technologies facilitating one-to-one and many-to-one social and professional networks, and validated interactive computer-based assessments in support of clinical research and care have been available for many years. Development of these technologies and use of such patient-reported outcomes continue to expand and evolve rapidly. Improved outcomes for managing and treating a broad range of behavioral mental health problems (such as depression, anxiety, alcohol and other substance abuse disorders), as well as chronic health conditions such as asthma, hypertension, diabetes, and obesity using these technologies have been demonstrated. Limited use of these technologies in "real world" treatment practices likely reflects system implementation barriers, such as resources to compensate additional time burdens, and mismatched fits between one-size-fits-all "stand alone" programs and the clinical styles of individual treatment providers. This application aims to address these barriers by prospectively focusing on the specific needs and desires of service providers for customizing patient care using these technologies and by facilitating system implementation into current clinical work flow practices. To achieve these aims, practicing treatment providers will (1) be provided education and insight into current, leading-edge interactive communication technologies that can be automated and configured on a client-by- client basis to promote treatment objectives and improve outcomes, (2) provide functional specifications for developing a web-based application that would permit clinicians to easily and efficiently create automated, personalized, interactive protocols, (3) field test a prototyped program that provides the specified functionality with outpatients recruited from the Psychiatric Research Institute at the University of Arkansas for Medical Sciences, and (4) evaluate system usability and clinical utility from the perspectives of both the treatment providers and treated patients. PUBLIC HEALTH RELEVANCE: The promise of current electronic technologies for reducing healthcare costs, lightening treatment provider workload, and improving treatment outcomes can only be realized if the technologies are easy to use and meet the needs of treatment providers and their patients. Assisting providers and patients to use modern telecommunication technologies more effectively and easily in maintaining more frequent and personalized interactions would realize a part of the promise, but only if it were accomplished without significantly increasing treatment provider burden. This is the goal of the product proposed for development in this application.