Addressing HIV Tx Disparities Through Patient Empowerment
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 360
- 试验地点
- 4
- 主要终点
- Change in Patient Activation Measure (PAM)
研究概览
简要总结
The purpose of this study is to rigorously assess a program designed to empower patient living with HIV, to improve their health care and health, and to reduce disparities.
详细描述
Our project has four major aims:
- Assess improvement in patient empowerment
- Assess improvement in patients' receipt of evidence-based care
- Assess improvement in patients' health
- Assess reduction in disparities in empowerment
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •age18 years or older,
- •confirmed HIV diagnosis
- •receipt of care within a participating site.
排除标准
- •inability to provide informed consent
- •limited English proficiency (Trainings and Personal Health Record are currently only available in English)
研究组 & 干预措施
patient activation training
Patient activation training involves six, 90-minute, group (8-12 person) training sessions facilitated by trained peers and training staff and one (20-30 minute) pre-visit coaching session conducted by staff. The hands on group training includes: 1) HIV education; 2) use of a handheld smart device; 3) use of an HIV electronic personal health record app that runs on the smart device; 4) identification of patients' visit need priorities and skills for communicating with their HIV provider. The pre-visit coaching includes identification patient concerns and patient behavioral rehearsal for asking about these concerns.
干预措施: patient activation training (Behavioral)
Usual Care
Usual care for HIV
干预措施: Usual care (Other)
结局指标
主要结局
Change in Patient Activation Measure (PAM)
时间窗: Baseline and 1 year
Our primary outcome measure is patient empowerment based on changes in the Patient Activation Measure or PAM. The Patient Activation Measure (PAM) is a 13-item measure that assesses patient knowledge, skill, and confidence for self-management. People who score high on the PAM normally understand the importance of taking an active role in managing their health and have the skills and confidence to do so.The scores for the 13-item measure range in value from 0-100, with higher scores indicating greater activation. LEVEL 1 (0-47): May not yet believe that the patient role is important LEVEL 2 (47.1 - 55.1): Lacks confidence and knowledge to take action LEVEL 3 (55.2 - 67.0): Beginning to take action LEVEL 4 (67.1 - 100): Adapting new behaviors, but may have difficulty maintaining over time
次要结局
- Change in Instrument on Doctor Patient Communication Skills (IDPCS)(Baseline and 1 year)
- Change in Undetectable Viral Load(Baseline and 1 year)
- Change in eHealth Literacy Scale (eHEALS)(Baseline and 1 year)
- Change in Decisional Self-Efficacy Scale (DSES)(Baseline and 1 year)
- Change in Self-Reported Adherence(Baseline and 1 year)
- Change in Evidence-based Preventative Care(Baseline and 1 year)
- Change in Short Form Health Survey: [Mental Health] (SF12)(Baseline and 1 year)
- Change in Perceived Involvement in Care Scale (PICS)(Baseline and 1 year)
- Change in HIV Adherence Self-Efficacy Scale (ASES)(Baseline and 1 year)
- Change in Short Form Health Survey: [Physical Health] (SF12)(Baseline and 1 year)
研究者
Kevin Fiscella
MD, MPH
University of Rochester