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

项目摘要 这种多样性补充将为Deborah Onakomaiya女士提供宝贵的指导，培训， 先进的研究经验，通过最近资助的行动，以减少风险和从事差异 BP控制共享支持（ADDRESS-BP）资助（#HL 151310）。本增刊的研究部分 旨在利用混合混合方法对初级保健设施（PCF）进行环境扫描 评估障碍、促进者和这些实践参与母研究的准备程度的方法 （ADDRESS-BP）对20个纽约市PCF的干预。第一步需要成功地 实施循证干预（EBI）是检查实施现场的背景，即 了解可能阻碍或促进在诊所环境中实施EBI的因素， 初级保健设施或社区组织，其中EBI将实施。一种实现 这是通过使用环境扫描。环境扫描是一种结构化的实践能力评估 将定性（观察、关键知情人访谈）和定量（调查）数据收集相结合 方法，以发展对影响一个国家的内部条件和外部因素的深刻理解。 organization.拟议的多样性补充将利用环境扫描工具包， 执行情况研究综合框架，以评估和记录 CFIR的内部和外部设置域可能影响PCF实施循证医学的能力 对黑人患者的高血压控制进行干预。环境扫描的结果将是 有助于了解实施环境是否准备好接受干预，提供关键领域 在向PCF交付干预措施之前进行修改，与医务人员建立关键关系 和PCF的工人，并最终形成对项目角色和责任的共同理解， 在介入分娩之前。在这份多样性补充材料中，Onakomaiya女士的目标是：1）通过 环境扫描的实践因素和特点，这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中的文化、态度和信仰 关于ADDRESS-BP的实施。这两个目标的结果将结合起来， 确定调整和定制干预措施和实践促进的最佳方法 在母研究的UH 3实施阶段之前，参与PCF的实施策略。

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.