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Information about ongoing health services research and public health projects
| The impact of trending HIV symptoms on patient outcomes.
(Archived Project) |
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|---|---|
| Investigator (PI): | Reilly, Cheryl Anne |
| Performing Organization (PO): |
(Current): University of California, San Francisco, School of Nursing |
| Supporting Agency (SA): | Agency for Healthcare Research and Quality (AHRQ) |
| Initial Year: | 1995 |
| Final Year: | 1997 |
| Record Source/Award ID: | CRISP/R03HS08950 |
| Funding: | Total Award Amount: $21,113 |
| Award Type: | Grant |
| Award Information: | Reports resulting from this project |
| Abstract: | The primary aim of this study is to determine whether or not the routine assessment and ending of symptom status contributes to variations in the treatment and outcomes of patients with HIV disease. A quasi-experimental design, the untreated control group design with separate pretest and posttest samples, will be used to address the research questions. Persons hospitalized with HIV disease will be enrolled in the treatment or the control group and will document symptom status with a pen-based computer. The treatment group will document symptom status on a daily basis and reports of trended symptoms status will be placed in the patient record and with flow sheets. The control group will document symptom status at admission and discharge. The proposed study provides a mechanism for capturing the symptom experience from the perspective of the patient and examines the effect of this data on both the processes and outcomes of patient care. The Model for Symptom Management provides the conceptual framework on which this study is based and consists of three interrelated dimensions: the symptom experience, symptom management strategies, and symptom outcomes. In the proposed study, the symptom experience is assessed via the self-report method with a pen-based computer. Patients who identify symptoms will evaluate the intensity, duration, and frequency of symptoms and the degree of distress caused by symptoms. Symptom management strategies documented in the patient record by health care providers will be abstracted from the medical record. Symptom status at discharge and patient satisfaction are the primary outcomes of interest. A secondary aim of this study is to evaluate the pen-based computer as method of capturing patients self-reported symptom status and to evaluate the importance of obtaining and trending symptom data. As symptom management and the evaluation of symptom management strategies are dependent on the accurate assessment of symptom status, the need for tools which capture patients perception of their symptom experience are fundamental to the symptom management process. The reliable and valid measurement of symptoms provides valuable data which may be used in the planning and implementation of interventions aimed at symptom control and for evaluating the effectiveness of symptom management strategies. |
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| Country: | United States |
| State: | California |
| Zip Code: | 94143 |
| UI: | 95403520 |
| Project Status: | Archived |
