Healthy Together: A self-management and support intervention for low-income African American men with multiple chronic conditions

健康在一起：针对患有多种慢性病的低收入非洲裔美国男性的自我管理和支持干预

• 批准号: 10398396
• 负责人: Evelina Sterling
• 金额: $ 7.9万
• 依托单位: KENNESAW STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-02-01 至 2023-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10398396
• 关键词: Address; Administrative Supplement; Affect; African American; Age; Alcohol consumption; Arthritis; Asthma; Attention; Behavior; Behavior Therapy; Belief; COVID-19; COVID-19 pneumonia; COVID-19 susceptibility; COVID-19 testing; Caring; Chronic; Chronic Disease; Clinical; Communicable Diseases; Communities; Data Collection; Development; Diabetes Mellitus; Diagnosis; Discrimination; Domestic Violence; Drug usage; Educational Curriculum; Ethnic Origin; Face; Funding; Gender; Goals; Grant; HIV; Handwashing; Health; Health Personnel; Health Promotion; Herpes zoster disease; Hygiene; Hypertension; Individual; Inequality; Interdisciplinary Study; Intervention; Interview; Knowledge; Long-Term Care; Low income; Masks; Medical Technology; Medicine; Mental Health; Mental disorders; Methods; Minority; Morbidity - disease rate; Outcome; Participant; Patients; Perception; Policies; Population; Prevention; Psyche structure; Public Policy; Quality of life; Race; Research; Research Personnel; Resistance; Risk; Science; Self Care; Self Management; Sexuality; Social Distance; Socioeconomic Status; Students; Support System; Surveys; Telemedicine; Underserved Population; United States National Institutes of Health; Vaccination; Vaccines; Vulnerable Populations; base; community based participatory research; coping; cultural competence; curriculum development; design; disability; disorder prevention; ethnic minority population; experience; flu; health equity; health inequalities; health knowledge; health management; high risk population; hypercholesterolemia; improved; innovation; member; men; multiple chronic conditions; research study; response; self-management program; skills; social; social stigma; undergraduate research

PROJECT SUMMARY/ABSTRACT: Despite much research in chronic disease self- management, significant gaps in knowledge still exist, especially regarding vulnerable and underserved populations. More specifically, low-income African American men are disproportionately affected by chronic conditions, especially coping with multiple morbidities. Low-income African American men also experience additional burdens to health related to stigma, discrimination, cultural beliefs and practices about health, knowledge and perceptions regarding chronic conditions, and lack of support systems, creating even greater health inequalities. The critical intersections of socioeconomic status, race/ethnicity, gender, sexuality, and multiple diagnoses strongly influence effective self-management skills and access to support systems. Moreover, the current COVID-19 situation has added additional complexities, creating bigger gaps in health equity. The specific aims for this administrative supplement to Healthy Together: A Self-Management and Support Intervention for Low-Income African American Men with Multiple Chronic Conditions” include: AIM 1: Incorporate critical issues related to COVID-19 into the existing chronic disease self-management intervention focusing on low-income African American men. AIM 2: Conduct qualitative interviews with 48-60 African American men who are living with chronic conditions, including HIV, diabetes, hypertension, hypercholesterolemia, asthma, arthritis, and mental illness, and participate in the Healthy Together intervention about their experiences with COVID-19. AIM 3: Based on Aim 2, develop and implement a survey regarding the needs and challenges of managing health and illness (both physical and mental) during COVID-19. The purpose of this study is to carefully examine the implications of COVID-19 on this population, specifically focusing on the needs of African American men within a chronic disease self-management program, including both chronic physical and mental conditions, as well as those who care for them. This innovative study engages the research participants through community based participatory research to address the complexities of related to effectively managing their chronic diseases among African American men, particularly in a post-COVID-19 world. This will advance the science needed to achieve the clinically important outcomes such as minimizing disability, optimizing function, and living well among all patients.

项目总结/摘要：尽管对慢性疾病自身进行了大量研究， 在管理方面，仍然存在重大的知识差距，特别是关于弱势群体和 服务不足的人群。更具体地说，低收入的非洲裔美国人 特别是在应对多种疾病方面。 低收入的非洲裔美国人也经历了与健康有关的额外负担， 关于健康、知识和观念的耻辱、歧视、文化信仰和习俗 关于慢性病，以及缺乏支持系统， 不等式社会经济地位、种族/民族、性别、性取向的关键交叉点， 和多重诊断强烈影响有效的自我管理技能和获得 支持系统。此外，当前的COVID-19形势增加了额外的复杂性， 造成了更大的健康公平差距。这一行政补充的具体目标是 共同健康：对低收入非洲人的自我管理和支持干预 患有多种慢性疾病的美国男性”包括：目标1：纳入关键问题 纳入现有的慢性病自我管理干预措施，重点是 低收入的非裔美国人目标2：对48-60名非洲人进行定性访谈 患有慢性病的美国男性，包括艾滋病、糖尿病、高血压， 高胆固醇血症，哮喘，关节炎和精神疾病，并参加健康 一起干预他们与COVID-19的经历。目标3：基于目标2，开发 并开展一项关于管理健康和疾病的需求和挑战的调查， (both在COVID-19期间的身体和精神）。本研究的目的是仔细检查 COVID-19对这一人群的影响，特别关注非洲人的需求 参与慢性病自我管理计划的美国男性，包括慢性病和 身体和精神状况，以及那些照顾他们的人。这项创新研究 通过基于社区的参与性研究，吸引研究参与者， 在非洲国家中有效管理慢性病的复杂性 美国男性，尤其是在后COVID-19时代。这将推动所需的科学， 实现临床上重要的结果，如最大限度地减少残疾，优化功能， 在所有患者中生活良好。