改善过敏性肺炎患者生活质量和知识的干预措施,临床医生实践和观点调查。

Kerri I. Aronson MD , Nancy Holbrook MD , Armani Edgar BS , Michaela R. Anderson MD , Jamuna K. Krishnan MD , Robert J. Kaner MD , Anna J. Podolanczuk MD , Fernando J. Martinez MD , Jonathan N. Tobin PhD , Monika M. Safford MD
{"title":"改善过敏性肺炎患者生活质量和知识的干预措施,临床医生实践和观点调查。","authors":"Kerri I. Aronson MD ,&nbsp;Nancy Holbrook MD ,&nbsp;Armani Edgar BS ,&nbsp;Michaela R. Anderson MD ,&nbsp;Jamuna K. Krishnan MD ,&nbsp;Robert J. Kaner MD ,&nbsp;Anna J. Podolanczuk MD ,&nbsp;Fernando J. Martinez MD ,&nbsp;Jonathan N. Tobin PhD ,&nbsp;Monika M. Safford MD","doi":"10.1016/j.chpulm.2024.100083","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Behavioral and educational interventions are promising approaches to improve health-related quality of life (HRQOL); however, few have been studied in hypersensitivity pneumonitis (HP) or other interstitial lung diseases (ILDs). The objective of this study was to gather ILD clinicians’ current practices and perspectives on the management of HRQOL and disease-specific education in HP, level of knowledge about, and attitudes toward behavioral and educational interventions and to identify potential clinician-perceived barriers to address during intervention development.</div></div><div><h3>Study Question</h3><div>What are the current practices and perspectives of ILD clinicians regarding the management of HRQOL and disease-specific education, and what is their level of knowledge about and attitude toward a potential virtual behavioral and educational intervention to address HRQOL in HP?</div></div><div><h3>Study Design and Methods</h3><div>An electronic survey was administered to ILD clinicians across the United States. Survey data were analyzed using descriptive statistics, and open-ended questions were analyzed using qualitative content analysis.</div></div><div><h3>Results</h3><div>Seventy-four clinicians responded to the survey, of whom 93% identified as physicians. All respondents (100%) indicated that offering an intervention to improve HRQOL in their patients with HP is either very important or absolutely essential. Only 5% of clinicians reported currently using a validated assessment tool to measure HRQOL. When asked about specific behavioral intervention techniques, most clinicians (92%) reported possessing a small amount of or zero knowledge about peer coaching interventions and a small amount of or zero knowledge (69%) about cognitive behavioral therapy principles. Despite this, most clinicians (68%) desire the ability to educate their patients about these potentially effective behavioral interventions, and most clinicians (67%) indicated the desire to reinforce the principles of an intervention after completion. Perceived barriers to referring patients to a virtually delivered behavioral intervention included time constraints, availability and access for all patients, cost and reimbursement, and difficulty with technology.</div></div><div><h3>Interpretation</h3><div>Clinicians in this survey unanimously agree that interventions to improve HRQOL and knowledge are needed for people living with HP. Clinicians’ desire for involvement in education, referral, and reinforcement of these interventions will require clinician education in behavioral strategies and implementation-related strategies early in the development process.</div></div>","PeriodicalId":94286,"journal":{"name":"CHEST pulmonary","volume":"2 4","pages":"Article 100083"},"PeriodicalIF":0.0000,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Interventions to Improve Quality of Life and Knowledge in Hypersensitivity Pneumonitis\",\"authors\":\"Kerri I. Aronson MD ,&nbsp;Nancy Holbrook MD ,&nbsp;Armani Edgar BS ,&nbsp;Michaela R. Anderson MD ,&nbsp;Jamuna K. Krishnan MD ,&nbsp;Robert J. Kaner MD ,&nbsp;Anna J. Podolanczuk MD ,&nbsp;Fernando J. Martinez MD ,&nbsp;Jonathan N. Tobin PhD ,&nbsp;Monika M. Safford MD\",\"doi\":\"10.1016/j.chpulm.2024.100083\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><div>Behavioral and educational interventions are promising approaches to improve health-related quality of life (HRQOL); however, few have been studied in hypersensitivity pneumonitis (HP) or other interstitial lung diseases (ILDs). The objective of this study was to gather ILD clinicians’ current practices and perspectives on the management of HRQOL and disease-specific education in HP, level of knowledge about, and attitudes toward behavioral and educational interventions and to identify potential clinician-perceived barriers to address during intervention development.</div></div><div><h3>Study Question</h3><div>What are the current practices and perspectives of ILD clinicians regarding the management of HRQOL and disease-specific education, and what is their level of knowledge about and attitude toward a potential virtual behavioral and educational intervention to address HRQOL in HP?</div></div><div><h3>Study Design and Methods</h3><div>An electronic survey was administered to ILD clinicians across the United States. Survey data were analyzed using descriptive statistics, and open-ended questions were analyzed using qualitative content analysis.</div></div><div><h3>Results</h3><div>Seventy-four clinicians responded to the survey, of whom 93% identified as physicians. All respondents (100%) indicated that offering an intervention to improve HRQOL in their patients with HP is either very important or absolutely essential. Only 5% of clinicians reported currently using a validated assessment tool to measure HRQOL. When asked about specific behavioral intervention techniques, most clinicians (92%) reported possessing a small amount of or zero knowledge about peer coaching interventions and a small amount of or zero knowledge (69%) about cognitive behavioral therapy principles. Despite this, most clinicians (68%) desire the ability to educate their patients about these potentially effective behavioral interventions, and most clinicians (67%) indicated the desire to reinforce the principles of an intervention after completion. Perceived barriers to referring patients to a virtually delivered behavioral intervention included time constraints, availability and access for all patients, cost and reimbursement, and difficulty with technology.</div></div><div><h3>Interpretation</h3><div>Clinicians in this survey unanimously agree that interventions to improve HRQOL and knowledge are needed for people living with HP. Clinicians’ desire for involvement in education, referral, and reinforcement of these interventions will require clinician education in behavioral strategies and implementation-related strategies early in the development process.</div></div>\",\"PeriodicalId\":94286,\"journal\":{\"name\":\"CHEST pulmonary\",\"volume\":\"2 4\",\"pages\":\"Article 100083\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-12-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"CHEST pulmonary\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2949789224000497\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"CHEST pulmonary","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2949789224000497","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

摘要

行为和教育干预是改善健康相关生活质量(HRQOL)的有希望的方法;然而,很少有研究在过敏性肺炎(HP)或其他间质性肺疾病(ild)。本研究的目的是收集ILD临床医生目前对HRQOL管理和HP疾病特异性教育的实践和观点,对行为和教育干预的知识水平和态度,并确定临床医生认为在干预发展过程中需要解决的潜在障碍。研究问题:ILD临床医生目前对HRQOL管理和疾病特异性教育的做法和观点是什么?他们对解决HP患者HRQOL的潜在虚拟行为和教育干预的知识水平和态度是什么?研究设计和方法对全美国的ILD临床医生进行电子调查。调查数据采用描述性统计分析,开放式问题采用定性内容分析分析。结果74名临床医生参与了调查,其中93%为内科医生。所有受访者(100%)都表示,提供干预措施以改善HP患者的HRQOL要么非常重要,要么绝对必要。只有5%的临床医生报告目前使用有效的评估工具来测量HRQOL。当被问及具体的行为干预技术时,大多数临床医生(92%)报告对同伴指导干预知之甚少或一无所知,对认知行为治疗原理知之甚少或一无所知(69%)。尽管如此,大多数临床医生(68%)希望有能力教育他们的患者这些潜在有效的行为干预措施,大多数临床医生(67%)表示希望在完成干预后加强干预原则。将患者转介到虚拟交付行为干预的障碍包括时间限制、所有患者的可用性和访问、成本和报销以及技术困难。本调查的临床医生一致认为,改善HP患者的HRQOL和知识的干预措施是必要的。临床医生希望参与教育、转诊和加强这些干预措施,因此需要在发展过程的早期对临床医生进行行为策略和实施相关策略的教育。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Interventions to Improve Quality of Life and Knowledge in Hypersensitivity Pneumonitis

Background

Behavioral and educational interventions are promising approaches to improve health-related quality of life (HRQOL); however, few have been studied in hypersensitivity pneumonitis (HP) or other interstitial lung diseases (ILDs). The objective of this study was to gather ILD clinicians’ current practices and perspectives on the management of HRQOL and disease-specific education in HP, level of knowledge about, and attitudes toward behavioral and educational interventions and to identify potential clinician-perceived barriers to address during intervention development.

Study Question

What are the current practices and perspectives of ILD clinicians regarding the management of HRQOL and disease-specific education, and what is their level of knowledge about and attitude toward a potential virtual behavioral and educational intervention to address HRQOL in HP?

Study Design and Methods

An electronic survey was administered to ILD clinicians across the United States. Survey data were analyzed using descriptive statistics, and open-ended questions were analyzed using qualitative content analysis.

Results

Seventy-four clinicians responded to the survey, of whom 93% identified as physicians. All respondents (100%) indicated that offering an intervention to improve HRQOL in their patients with HP is either very important or absolutely essential. Only 5% of clinicians reported currently using a validated assessment tool to measure HRQOL. When asked about specific behavioral intervention techniques, most clinicians (92%) reported possessing a small amount of or zero knowledge about peer coaching interventions and a small amount of or zero knowledge (69%) about cognitive behavioral therapy principles. Despite this, most clinicians (68%) desire the ability to educate their patients about these potentially effective behavioral interventions, and most clinicians (67%) indicated the desire to reinforce the principles of an intervention after completion. Perceived barriers to referring patients to a virtually delivered behavioral intervention included time constraints, availability and access for all patients, cost and reimbursement, and difficulty with technology.

Interpretation

Clinicians in this survey unanimously agree that interventions to improve HRQOL and knowledge are needed for people living with HP. Clinicians’ desire for involvement in education, referral, and reinforcement of these interventions will require clinician education in behavioral strategies and implementation-related strategies early in the development process.
求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信