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Family Health Histories: Creating a culturally tailored tool to reduce health disparities in the African American Community

家庭健康史：创建适合文化的工具来减少非裔美国人社区的健康差异

基本信息

批准号：
10215709
负责人：
Kent Darnell Key
金额：
$ 12.46万
依托单位：
MICHIGAN STATE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2021
资助国家：
美国
起止时间：
2021-05-01 至 2026-01-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10215709
关键词：
Address African American Area Bacteria Behavior Biometry Cardiovascular Diseases Cessation of life Collaborations Communication Communities Conceptions Confidence Intervals Conscious Data Data Analyses Development Diabetes Mellitus Early Diagnosis Ensure Event Failure Family Family health status Focus Groups Foundations Funding Genealogy General Population Generations Genetic Genomics Goals Grant HIV/STD Health Health Personnel Health Services Needs Heart Diseases Hypertension Individual Inherited Intervention K-Series Research Career Programs Knowledge Lead Length Link Malignant Neoplasms Measures Mentors Methods Mission Modeling Morbidity - disease rate Onset of illness Outcome Participant Phase Pilot Projects Population Positioning Attribute Prevention Preventive measure Preventive screening Primary Care Physician Randomized Recording of previous events Research Research Design Research Personnel Sampling Solid Strategic Planning Stroke Testing Training Translational Research Water Work Writing acceptability and feasibility career development community based participatory research community engaged research design early screening ethnic health disparity evidence base experience family structure health communication health disparity health goals health literacy improved interest lead exposure member minority communities minority health mortality pilot trial preference prevent racial and ethnic racial health disparity randomized trial recruit research and development satisfaction screening therapy design therapy development tool uptake

项目摘要

African Americans (AA) suffer disproportionately across most health disparities (HD). Preventative behaviors including screenings can inform proactive measures to address many HD which include: diabetes, heart disease, high blood pressure, stroke, HIV, STDs/STIs, cancer, and cardiovascular disease, most of which can be prevented.1-3 Evidence suggests that a lack of general health literacy (HL) and racially appropriate health communication strategies may contribute to the consistent high rates of health disparities in the AA community. Family Health Histories (FHH), which describe genetic and other familial contributions to health, have been identified as an effective tool for prevention and early detection and screenings. The underutilization of FHHs in AA communities negatively impacts screening and preventative measures that could prevent the onset of disease, illness and ultimately death.4 Although many FHH toolkits have been created to assist families in gathering FHH information, these tools typically are mostly focused for the general population and do not account for the cultural and ethnic nuances, communication preference and health literacy levels of the African American community.4 The failure to effectively engage AA in the creation and conception of culturally relevant FHH tools and activities to date likely contributes to their underutilization in this population. The objective of this K01 is to develop culturally appropriate FHH tools designed for broad understanding and uptake in AA communities. The central hypothesis of this proposal is that, using a community based participatory research (CBPR) approach, co-development of a culturally appropriate FHH toolkit will increase the utility and engagement of AA families in FHH activities; increase effective health communication within the family structure; and increase the health literacy of participants in a multifaceted effort to reduce and ultimately eliminate racial and ethnic health disparities. Flint is an ideal community in which to conduct this participatory research because the recent events of the Flint Water Crisis have created interest in genetics and FHH in the AA community as a result of community concern around the generational impacts of bacteria and lead exposure on health. Therefore, we will have partners within AA communities in Flint who will be motivated to partner with us to develop these tools for Flint and for other minority communities. This career development award is being submitted by Dr. Kent Key, a candidate with extensive experience in CBPR and a solid foundation in qualitative and health disparities research. To reach his long term goal of becoming an R01-funded researcher in CBPR to reduce health disparities by increasing health literacy and using effective health communication strategies to reduce and ultimately eliminate racial health disparities for African-American populations, this K01 will provide additional training in the following areas: (1) intervention development and design and conduct of randomized trials, (2) health communication models, (3) health literacy promotion, (4) CBPR approaches to Genomics and Genetics, (5) biostatistics, (6) grant-writing.

非裔美国人（AA）在大多数健康差异（HD）中遭受不成比例的痛苦。预防行为