Bridging the evidence-to-practice gap: Evaluating practice facilitation as a strategy to accelerate translation of a systems-level adherence intervention into safety net practices

弥合证据与实践之间的差距：评估实践促进作为加速将系统级依从性干预转化为安全网实践的策略

• 批准号: 10403758
• 负责人: OLUGBENGA G. OGEDEGBE
• 金额: $ 30万
• 依托单位: NEW YORK UNIVERSITY SCHOOL OF MEDICINE
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-04-09 至 2023-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10403758
• 关键词: AIDS/HIV problem; Address; Adherence; Administrative Supplement; Adopted; Advisory Committees; Award; Awareness; Behavior; Behavioral; COVID testing; COVID-19; COVID-19 disparity; COVID-19 test; COVID-19 testing; COVID-19 vaccination; COVID-19 vaccine; Caribbean region; Caring; Centers for Disease Control and Prevention (U.S.); Clinical; Clinical Trials; Communication; Communication Tools; Communications Media; Communities; Costs and Benefits; Coupled; Data; Data Collection; Data Sources; Databases; Development; Discrimination; Disease; Dose; Education and Outreach; Educational Intervention; Effectiveness; Electronic Health Record; Enrollment; Epidemic; Ethical Issues; Ethics; Ethnography; Family health status; Federally Qualified Health Center; Film; Focus Groups; Fostering; Fright; Funding; Future; Goals; Guidelines; Haitian; Health; Health Personnel; Health system; Healthcare; Herd Immunity; Immigration; Individual; Infrastructure; Intervention; Knowledge; Language; Latinx; Light; Linguistics; Low income; Measures; Medical; Methods; Misinformation; New York City; Outcome Measure; Parents; Patient Representative; Patient Self-Report; Patients; Perception; Phase; PhenX Toolkit; Predisposition; Process; RADx Underserved Populations; Research; Research Personnel; Resources; Sampling; Source; Speed; Structure; Surveys; Syphilis; System; Testing; Translations; Trust; Underserved Population; United States National Institutes of Health; Vaccinated; Vaccination; Vaccine Research; Vaccines; Vulnerable Populations; behavior influence; brief intervention; community engagement; contextual factors; data privacy; design; digital; distrust; ethnic diversity; experience; follow-up; health care service utilization; health literacy; high risk; implementation strategy; improved; member; novel; outreach; parent grant; patient population; primary outcome; racial diversity; response; safety net; secondary outcome; side effect; social; social norm; social stigma; sociodemographics; success; systematic review; testing uptake; tool; uptake; vaccine acceptance; vaccine access; vaccine efficacy; vaccine hesitancy; vaccine safety

Summary of the Funded Parent Award Project EVIDENCE (pErception of coVID tEsting aNd vaccine) was funded through the Social, Ethical, and Behavioral Implications (SEBI) Research on COVID-19 Testing among Underserved and/or Vulnerable Populations initiative. Project EVIDENCE leverages the infrastructure of a NIMHD-funded project in the Family Health Centers (FHCs) of NYU Langone Health, a network of federally qualified health centers (FQHC) in NYC that serves over 125,000 low-income and racially and ethnically diverse patients. Project EVIDENCE is a three-phase community-engaged study that uses a multipronged, sequential mixed methods design to gain a comprehensive understanding of the multilevel factors that drive uptake of testing and vaccination for COVID- 19 of Black and Latinx patients (primary outcome), and participation in follow-up care offered by safety-net health systems. Phase 1 is utilizing the FHC electronic health record (EHR) database to quantitatively examine individual-level sociodemographic, clinical, and healthcare utilization factors associated with receiving a PCR test for COVID-19 among 400 Black and Latinx patients who receive care at the FHCs. This phase will also capture the community- and structural-level determinants of testing using validated self-report measures (NIH PhenX Toolkit) among the same patients (Aim 1). In Phase 2 the data sources from Phase 1 are being coupled with qualitative data (e.g., focus groups, ethnographic observation, document analysis) to capture organizational and ethical issues to shed light on important social, cultural, and contextual factors associated with uptake of COVID-19 testing and potential vaccine (Aim 2). In partnership with our Community Oversight Task Force (COTF), in Phase 3, we will integrate Phase 1 and 2 data to refine, test, and disseminate tailored toolkits and ethical governance guidelines (e.g. clinical trials transparency and data privacy) (Aim 3). These toolkits will be designed to increase knowledge and awareness of COVID-19 testing and vaccine research and will be widely disseminated among the FHCs, local community, NYULH, and the RADx UP Coordination and Data Collection Center.

资助父母奖的摘要 通过社会，道德和 在服务不足和/或脆弱的情况下，对COVID-19测试的行为影响（SEBI）研究 人口倡议。项目证据利用了家庭中NIMHD资助的项目的基础设施 NYU Langone Health的健康中心（FHCS），该网络是联邦资格卫生中心（FQHC）的网络 纽约市为超过125,000个低收入以及种族和种族多样的患者提供服务。项目证据是 一项三相社区参与研究的研究，使用多收益，连续的混合方法设计来获得 全面了解可用于吸收测试和疫苗接种的多层次因素 19例黑人和拉丁裔患者（主要结果），并参与安全网提供的后续护理 卫生系统。第1阶段正在利用FHC电子健康记录（EHR）数据库进行定量检查 与接收PCR相关的个人级社会人口统计学，临床和医疗保健利用因素 在400名在FHCS接受护理的黑人和拉丁裔患者中测试COVID-19。这个阶段也将 使用经过验证的自我报告措施捕获测试的社区和结构级别的决定因素 （NIH苯克信箱）在同一患者中（AIM 1）。在第2阶段中，第1阶段的数据源正在 再加上定性数据（例如焦点小组，人种学观察，文档分析），以捕获 组织和道德问题，以阐明重要的社会，文化和背景因素相关 随着Covid-19测试和潜在疫苗的摄取（AIM 2）。与我们的社区监督合作 特遣部队（COTF），在第3阶段，我们将集成第1阶段和2个数据以完善，测试和传播量身定制的 工具包和道德治理指南（例如临床试验透明度和数据隐私）（AIM 3）。这些 工具包将旨在提高COVID-19测试和疫苗研究的知识和认识，以及 将在FHC，当地社区，NYULH和RADX UP协调中广泛传播 数据收集中心。