Actions to Decrease Disparities in Risk and Engage in Shared Support for Blood Pressure Control (ADDRESS-BP) in Blacks

减少黑人风险差异并共同支持血压控制 (ADDRESS-BP) 的行动

• 批准号: 10290435
• 负责人: NADIA S ISLAM
• 金额: $ 6.63万
• 依托单位: NEW YORK UNIVERSITY SCHOOL OF MEDICINE
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-09-10 至 2023-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10290435
• 关键词: Address; Affect; African; Area; Attitude; Award; Belief; Cardiovascular Diseases; Characteristics; Clinic; Clinical; Communities; Consolidated Framework for Implementation Research; Doctor' s Degree; Environment; Evidence based intervention; Funding; Goals; Grant; Health care facility; Intervention; Interview; Leadership; Medical Staff; Mentorship; Methods; Modification; New York City; Parents; Phase; Population; Primary Health Care; Process; Questionnaires; Readiness; Research; Research Personnel; Research Training; Risk; Risk Factors; Role; Scanning; Self Administration; Site; Site Visit; Structure; Surveys; Training; acceptability and feasibility; base; black patient; blood pressure regulation; career; community based participatory research; community engagement; community organizations; data collection methodology; design; evidence base; experience; hypertension control; implementation facilitation; implementation framework; implementation intervention; implementation research; implementation science; implementation strategy; informant; interest; meetings; practice factors; pragmatic trial; research study; skills; tool; virtual

Project Summary Abstract This diversity supplement will provide Ms. Deborah Onakomaiya with invaluable mentorship, training, and advanced research experience via the recently funded Actions to Decrease Disparities in Risk and Engage in Shared Support for BP Control (ADDRESS-BP) grant (#HL151310). The research portion of this supplement aims to conduct an environmental scan of primary care facilities (PCFs) utilizing a mixed-mixed methods approach to evaluate barriers, facilitators, and readiness of these practices to participate in the parent study’s (ADDRESS-BP) intervention across 20 New York City-based PCFs. The first step needed to successfully implement an evidence-based intervention (EBI) is examining the context of the implementation site i.e. understanding factors that might hinder or facilitate the implementation of the EBIs within the context of a clinic, primary care facilities, or community organization, in which the EBI will be implemented. One way to achieve this is by using an environmental scan. An environmental scan is a structured practice capacity assessment that combines qualitative (observations, key informant interviews) and quantitative (surveys) data collection methodologies to develop a robust understanding of the internal conditions and external factors that affect an organization. The proposed diversity supplement will utilize an environmental scan toolkit guided by the Consolidated Framework for Implementation Research (CFIR) to assess and document factors related to the inner and outer setting domains of CFIR that might influence PCFs capacity to implement evidence-based interventions for hypertension control among Black patients. Findings from the environmental scan will be useful for understanding the implementation setting’s readiness to receive the intervention, providing key areas of modification for the intervention before it is delivered at PCFs, building key relationships with medical staff and workers at PCFs, and finally developing a shared understanding of project roles and responsibilities, before intervention delivery. In this diversity supplement, Ms. Onakomaiya aims to: 1) evaluate through an environmental scan the practice factors and characteristics, which may influence the feasibility and acceptability of implementing ADDRESS-BP in the PCFs. 2) assess culture, attitudes, and beliefs among PCF staff regarding the Implementation of ADDRESS-BP. The combinations of findings from both aims will determine the best approach for adapting and tailoring the intervention and the practice facilitation Implementation strategy at participating PCFs before the UH3 Implementation Phase of the parent study.

项目摘要摘要 这一多样性补充将为Deborah Onakomaiya女士提供宝贵的指导、培训和 通过最近资助的行动获得先进的研究经验，以减少风险差异并参与 共享支持BP控制(地址BP)拨款(#HL151310)。本附录的研究部分 旨在使用混合-混合方法对初级保健设施(PCF)进行环境扫描 评估参与家长研究的障碍、促进者和这些实践的准备情况的方法 (地址-BP)对20个总部位于纽约市的PCF进行干预。成功完成的第一步 实施循证干预(EBI)是检查实施地点的背景，即 了解可能阻碍或促进在诊所范围内实施EBIS的因素； 将在其中实施EBI的初级保健设施或社区组织。实现目标的一种方法 这是通过使用环境扫描实现的。环境扫描是一种结构化的实践能力评估 它结合了定性(观察、关键线人访谈)和定量(调查)数据收集 方法，以深入了解影响企业发展的内部条件和外部因素 组织。拟议的多样性补充方案将利用环境扫描工具包，由 执行研究综合框架(CFIR)，以评估和记录与 CFIR内部和外部设置域可能影响PCF实施循证能力 黑人患者高血压控制的干预措施。环境扫描的结果将是 有助于了解实施环境接受干预的准备情况，提供关键领域 在PCFS交付之前对干预进行修改，与医务人员建立关键关系 和PCF的工作人员，最终形成对项目角色和责任的共同理解， 在实施干预之前。在这份多样性补充资料中，Onakomaiya女士旨在：1)通过 环境扫描的实践因素和特点，可能会影响可行性和 在PCF中实施Address-BP的可接受性。2)评估PCF的文化、态度和信仰 关于实施Address-BP的工作人员。来自两个AIMS的发现的组合将 确定适应和调整干预措施和实践促进的最佳方法 在母公司研究的UH3实施阶段之前，参与项目组合框架的实施战略。