Integration of Hypertension Management into HIV Care in Nigeria: A Task Strengthening Strategy

尼日利亚将高血压管理纳入艾滋病毒护理：任务强化策略

基本信息

批准号：
10365181
负责人：
OLIVER CHUKWUJEKWU EZECHI
金额：
$ 13.59万
依托单位：
NEW YORK UNIVERSITY SCHOOL OF MEDICINE
依托单位国家：
美国
项目类别：
财政年份：
2020
资助国家：
美国
起止时间：
2020-02-15 至 2025-01-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10365181
关键词：
Address Administrative Supplement Adoption Area Bioethics Cardiovascular system Caring Case Study Clinic Clinical effectiveness Committee Members Diffusion Dissemination and Implementation Ensure Ethical Issues Ethics Goals HIV HIV diagnosis Health Health Personnel Hypertension Institutes Instruction Intervention Knowledge Learning Life Modeling Monitor Morbidity - disease rate Nigeria Parents Phase Policies Primary Health Care Procedures Public Health Research Research Ethics Resources Savings Service delivery model Surveys Time blood pressure reduction care delivery data modeling effectiveness evaluation effectiveness implementation trial evidence base experience health care service health care settings health goals hypertension control implementation research implementation strategy member mortality post intervention prevent recruit response routine practice scale up

项目摘要

Abstract The “Integration of Hypertension Management into HIV Care in Nigeria: A Task Strengthening Strategy” (TASSH NIMR) parent study is an ongoing clinical effectiveness implementation trial that evaluates the effectiveness of an implementation strategy to integrate a task-strengthening strategy for hypertension control (TASSH) in HIV clinics in Lagos State (R01HL147811). In response to NOT-OD-21-020, we propose this administrative supplement, “Establishing an Ethics Learning Collaborative for HIV-Hypertension Integration through a TAsk Strengthening Strategy for Hypertension Control in Lagos State, Nigeria” (E-LinC TASSH). E-LinC TASSH will leverage the TASSH NIMR Steering Committee to form an Ethics Learning Collaborative (ELC), which will identify, analyze, and characterize ethical considerations for implementing a practice facilitation–guided task- strengthening approach to couple hypertension and HIV treatment within primary health care centers throughout Lagos State. Additionally, E-LinC TASSH will develop an ethics-informed strategy for scaling up, spreading, and sustaining the TASSH NIMR intervention in HIV clinics throughout Lagos State. To better appreciate an implementation research informed learning collaboratives to advance bioethical considerations in HIV- hypertension integration, this supplement will also evaluate use of an ethics focused learning collaborative. Expansion into this area of bioethics research will allow us to comprehensively understand and contextualize ethical considerations of implementing this treatment and management model. This bioethics research will enable us to develop strategies for managing and solving ethical challenges arising in our implementation research and scale-up of the TASSH NIMR strategy. TASSH NIMR is currently in the pre-implementation or planning phase and will begin recruitment in time for the proposed research to enhance the intervention's impact and to inform the next steps for scaling up, spreading, and sustaining the intervention within the Lagos State primary healthcare network. In addition to engaging in the proposed bioethics research, E-LinC TASSH will build research ethics and bioethics capacity among ELC members through expert-facilitated discussions and activities involved in developing the survey, engaging stakeholders, interpreting findings, and integrating this new knowledge into practical strategies. Per instructions in NOT-OD-21-020, this supplement is specific to bioethics research and capacity building.

抽象的 “将高血压管理整合到尼日利亚的艾滋病毒护理中：一项任务加强策略”（tassh NIMR）父母研究是一项持续的临床实施试验，可评估艾滋病毒中高血压控制（TASSH）的任务加密策略（TASSH）的实施策略拉各斯州的诊所（R01HL147811）。为了响应Not-OD-21-020，我们提出了此管理补充，“通过一项任务建立伦理学学习合作型艾滋病毒 - 亚型融合加强尼日利亚拉各斯州高血压控制的策略”（e-linc tassh）。利用Tassh NIMR指导委员会组成道德学习协作（ELC），该委员会将识别，分析和表征实施实践设施的任务的道德考虑因素 - 加强在整个初级卫生保健中心内的高血压和艾滋病毒治疗的方法拉各斯州。 Exther，e-linc tassh将制定一种知名的伦理策略来扩展，传播和维持整个拉各斯州HIV诊所的TASSH NIMR干预。更好地欣赏实施研究告知学习协作，以促进艾滋病毒的生物伦理考虑因素高血压整合，该补充剂还将评估以道德为中心的学习协作的使用。扩展到这一生物伦理学研究领域将使我们能够全面理解和背景化实施这种治疗和管理模型的道德考虑。这项生物伦理学研究将使我们能够制定管理和解决在实施中引起的道德挑战的策略 TASSH NIMR策略的研究和扩展。 Tassh Nimr目前正在实施前或计划阶段，并将开始及时招募拟议的研究以增强干预的影响并告知下一步以扩大，扩展和维持拉各斯州内的干预措施初级医疗网络。除了从事拟议的生物伦理学研究外，E-Linc Tassh还将建立 ELC成员通过专家的讨论和活动研究伦理和生物伦理学能力参与制定调查，吸引利益相关者，解释发现并整合这一新的调查知识进入实际策略。根据NOT-OD-21-020中的说明，该补充是生物伦理学研究和能力建设的特定的。