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Patient-centered communication in pediatric emergency medicine: A foundational investigation of physician behaviors

Award Number: K23MD018639
ORGANIZATION: NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: TRAINING/TRAINEESHIP
PERIOD OF PERFORMANCE START DATE: 08/11/2023
PERIOD OF PERFORMANCE END DATE: 02/29/2028

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Patient-centered communication in pediatric emergency medicine: A foundational investigation of physician behaviors - PROJECT SUMMARY Patient-centered communication improves health outcomes, yet is under-utilized in the pediatric emergency department (PED). The PED is a high-stress environment in which physicians and families quickly establish rapport and exchange information in brief, fragmented interactions despite never having met previously, while PED physicians engage in complex decision making with high levels of uncertainty for multiple patients concurrently. This creates barriers to patient-centered communication, which may negatively impact the quality of care provided to acutely ill and injured children. Dr. Colleen Gutman is an Assistant Professor of Pediatric Emergency Medicine at the University of Florida. Her long-term goal is to become an independently funded physician-scientist with a focus on investigating and implementing strategies to promote patient-centered pediatric emergency care. Through the support of a KL2 award, Dr. Gutman gained introductory skills in multi-center research, qualitative analysis, and health communication science. To achieve a successful transition to research independence, Dr. Gutman and her multidisciplinary mentorship team devised a career development plan that builds from that foundation. With this K23 award, Dr. Gutman will develop advanced skills in 1) the conduct of parent-engaged research, 2) the science of patient-centered communication, 3) advanced mixed methods, 4) academic leadership, and 5) scientific writing. The career development plan will be complemented by mentored research experiences. Using the NIMHD Research Framework, the proposed research seeks to define elements of the physician-parent interaction that contribute to child health outcomes. The objective is to define factors that influence the use of patient-centered communication behaviors in the PED. This is a necessary first step that will inform targeted interventions aimed at improving the health of all acutely ill and injured children. In Aim 1, Dr. Gutman will use a parent-engaged modified Delphi approach to establish physician behaviors (e.g., assumptions about parent characteristics and access to resources; communication with parents) that are critical for patient-centered communication in PED care. In Aim 2, she will collect paired questionnaires from PED physicians and parents. She will analyze physician-parent response concordance on items evaluating parent characteristics and access to resources. Through this analysis, she will assess for clinical and patient-level factors that are associated with the accuracy of physician assumptions. In Aim 3, she will video-record PED encounters to analyze the relationship between clinical and patient-level factors and physician communication. The findings will inform a multicenter R01 proposal that is fully powered to conduct a mediation analysis assessing the relative importance of the defined factors and behaviors on patient-centered health outcomes. Long term, this research will inform targeted interventions to promote patient-centered communication and improve the health of acutely ill and injured children.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2026 ( Subtotal = $155,388 )
2026	2026	UNIVERSITY OF FLORIDA	1523 UNION RD RM 207	GAINESVILLE	FL	32611	ALACHUA	USA	Minority Health and Health Disparities Research	000	4	4/27/2026	NON-COMPETING CONTINUATION	$155,388
														Subtotal = $155,388

Issue Date FY: 2025 ( Subtotal = $154,081 )
2025	2025	UNIVERSITY OF FLORIDA	1523 UNION RD RM 207	GAINESVILLE	FL	32611	ALACHUA	USA	Minority Health and Health Disparities Research	001	3	7/31/2025	NON-COMPETING CONTINUATION	$15,407
2025	2025	UNIVERSITY OF FLORIDA	1523 UNION RD RM 207	GAINESVILLE	FL	32611	ALACHUA	USA	Minority Health and Health Disparities Research	000	3	2/18/2025	NON-COMPETING CONTINUATION	$138,674
														Subtotal = $154,081

Issue Date FY: 2024 ( Subtotal = $155,431 )
2024	2024	UNIVERSITY OF FLORIDA	1523 UNION RD RM 207	GAINESVILLE	FL	32611	ALACHUA	USA	Minority Health and Health Disparities Research	001	2	5/29/2024	NON-COMPETING CONTINUATION	$15,542
2024	2024	UNIVERSITY OF FLORIDA	1523 UNION RD RM 207	GAINESVILLE	FL	32611	ALACHUA	USA	Minority Health and Health Disparities Research	000	2	2/29/2024	NON-COMPETING CONTINUATION	$139,889
														Subtotal = $155,431

Issue Date FY: 2023 ( Subtotal = $155,626 )
2023	2023	UNIVERSITY OF FLORIDA	1523 UNION RD RM 207	GAINESVILLE	FL	32611	ALACHUA	USA	Minority Health and Health Disparities Research	000	1	8/11/2023	NEW	$155,626
														Subtotal = $155,626

Grand Total All Awards = $620,526

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Patient-centered communication in pediatric emergency medicine: A foundational investigation of physician behaviors

Award Number: K23MD018639

ORGANIZATION: NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: TRAINING/TRAINEESHIP

PERIOD OF PERFORMANCE START DATE: 08/11/2023

PERIOD OF PERFORMANCE END DATE: 02/29/2028

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