COmmunity Mistrust and Measures of Institutional Trustworthiness (COMMIT)

社区不信任和机构可信度措施 (COMMIT)

基本信息

批准号：
10447250
负责人：
C. DANIEL MULLINS
金额：
$ 60.49万
依托单位：
UNIVERSITY OF MARYLAND BALTIMORE
依托单位国家：
美国
项目类别：
财政年份：
2022
资助国家：
美国
起止时间：
2022-01-01 至 2023-11-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10447250
关键词：
Address Affect Asthma Baltimore Baptist Church Behavior Behavioral COVID-19 COVID-19 disparity COVID-19 impact COVID-19 morbidity COVID-19 mortality COVID-19 pandemic COVID-19 prevention COVID-19 testing Centers for Disease Control and Prevention (U.S.)Clinical Research Collaborations Communities Contracts Data Reporting Diabetes Mellitus Disasters Discrimination Economics Emotional Ethics Fostering Foundations Funding Future Goals Grant Health Health Care Research Health Disparities Research Healthcare Systems Hypertension Infrastructure Institutes Institution Lead Lebanon Light Maryland Measures Medical Methods Modeling Morbidity - disease rate National Center for Advancing Translational Sciences National Institute on Minority Health and Health Disparities Obesity Outcome Patients Pharmacy Schools Pharmacy facility Plant Roots Population Population Group Predisposition Public Health RADx Underserved Populations Recommendation Research Research Personnel Resource Sharing Risk Running SARS-CoV-2 infection Seminal Testing Time Training Programs Translational Research Treatment Effectiveness Trust Underrepresented Populations Underserved Population United States United States National Institutes of Health Universities Virginia Vulnerable Populations Work Workforce Development base behavior change community engaged research community organizations disparity reduction effectiveness evaluation ethnic minority population fighting financial relationship health care delivery health disparity health equity improved infection rate insight inter-institutional lens medical vulnerability member mortality pandemic disease patient oriented population health preference public health emergency racial bias racial minority racism shared decision making social social health determinants social vulnerability treatment program trustworthiness uptake

项目摘要

PROJECT SUMMARY/ABSTRACT In the United States underserved and socially vulnerable populations have endured higher rates and disparities of COVID-19 infection, morbidity, and mortality. This disproportionate burden has shown the light on the root causes of COVID-19 disparities such as longstanding systemic racial bias in health care delivery, discrimination, and poor social determinants of health that lead to health disparities for medical conditions such as asthma, diabetes, hypertension, and obesity, all of which increase risk and susceptibility to COVID-19 and its sequalae. To address these root causes, academic and other research institutions and health care systems must shift their lens from one that focuses solely on changing behaviors among underserved and vulnerable populations. Behaviors among health care and research institutions must change to breakdown the structural barriers to trust, testing, treatment, and prevention of COVID-19. Prior to asking patients and community members to trust in research and researchers, the focus should be on radical institutional transformation to advance trustworthiness. Trying to address social, ethical, and behavioral issues (SEBI) influencing access acceptability and uptake of COVID-19 testing during a pandemic is extremely challenging, yet achievable when there are existing community-academic partnerships. The distinction between trust and trustworthiness suggests that trustworthiness is an antecedent to trust. Our proposed study will employ a continuous engagement approach to advance institutional trustworthiness and improve the strength of an existing community-engaged research (CEnR) partnership as well as develop recommendations for the formation of similar inter-institutional partnerships with community organizations in underserved populations. In collaboration with community and community-based pharmacy partners, our Aims are: Aim 1: Codesign a sustainable model for trustworthy CEnR partnerships to address SEBI of COVID-19 testing Aim 2: Assess best practices of trustworthy CEnR partnerships to address COVID-19 testing SEBI factors Aim 3: Codevelop an ethically-congruent memorandum of commitment (MOC) template for CEnR partnerships for COVID-19 testing to advance trust through trustworthiness, transparency, and respect

项目摘要/摘要在美国，服务不足和社会脆弱的人口持续了更高的利率 Covid-19感染，发病率和死亡率的差异。这不成比例的负担已经显示了共vid-19差距的根本原因，例如长期的全身性卫生保健提供，歧视和健康决定因素的种族偏见，导致哮喘，糖尿病，高血压和诸如医疗状况的健康差异肥胖，所有这些都会增加对Covid-19及其序列的风险和敏感性。解决这些根本原因，学术和其他研究机构以及医疗保健系统必须改变他们的镜头来自仅关注服务不足和不断变化的行为的镜头脆弱的人群。医疗保健和研究机构之间的行为必须改变为破坏了Covid-19的信任，测试，治疗和预防的结构障碍。事先的要要求患者和社区成员信任研究和研究人员，重点应该进行激进的机构转型以提高信任度。试图解决社会，道德和行为问题（SEBI）影响获得可接受性大流行期间的Covid-19测试的吸收非常具有挑战性，但可以实现当有现有的社区学术伙伴关系时。信任和值得信赖的信任表明，可信度是信任的先例。我们提出的研究将采用持续的参与方法来提高机构的信任度和提高现有社区参与研究（CENR）合作伙伴关系的优势以及为建立类似的机构间合作伙伴关系而制定建议服务不足的人口的社区组织。与社区和基于社区的药房合作伙伴合作，我们的目标是：目标1：编码可信赖的CENR合作伙伴关系的可持续模型，以解决的SEBI Covid-19测试目标2：评估值得信赖的CENR合作伙伴关系的最佳实践，以解决COVID-19测试 SEBI因素 AIM 3：代码开发一份道德与一致的承诺备忘录（MOC）模板 CENR合作伙伴关系用于COVID-19测试，以通过可信赖性提高信任，透明度和尊重