Chicago Initiative to Raise Asthma Health Equity

芝加哥提高哮喘健康公平倡议

• 批准号: 7668125
• 负责人: laura sadowski
• 金额: $ 6.8万
• 依托单位: HEKTOEN INSTITUTE FOR MEDICAL RESEARCH
• 依托单位国家: 美国
• 财政年份: 2002
• 资助国家: 美国
• 起止时间: 2002-09-30 至 2009-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7668125
• 关键词: Adult; African; African American; American; Asthma; Awareness; Behavior; Chicago; Child; Chronic Disease; Clinical Investigator; Communities; Complex; Condition; Coping Skills; County Hospitals; Data Collection; Discipline of Nursing; Economics; Education; Ensure; Goals; Grant; Health; Health Status; Health behavior; Income; Individual; Influentials; Institution; Intervention; Level of Evidence; Life Stress; Living Wills; Low Income Population; Measurement; Measures; Mediating; Mediator of activation protein; Mental Health; Mentors; Minority-Serving Institution; Modeling; Morbidity - disease rate; Nurses; Outcome; Persons; Population; Psychometrics; Psychosocial Factor; Purpose; Quality of life; Race; Research; Research Training; Risk; Sampling; Scientist; Self Efficacy; Self Management; Social Work; Social Workers; Social support; Socioeconomic Status; Stress; Stress and Coping; Structure; Testing; Time; Training; Training Programs; Universities; Variant; Writing; base; behavioral health; community intervention; cooking; coping; design; improved; instrument; interest; literacy; medical schools; mortality; peer; programs; psychosocial; response; skills; social; social stress; success

DESCRIPTION (provided by applicant): Over the past decade there has been a heightened awareness of the disproportionate impact of asthma morbidity and mortality among African Americans and persons of lower social economic status. The causes underlying this disparity have not been fully elucidated. However, there is strong evidence that the level of social stress imposed by this condition and the degree of coping and self-management skills present are factors that may be particularly important in explaining these disparities. The purpose of this project is to develop a collaborative research program between Northwestern University Feinberg School of Medicine and Cook County Hospital to fully characterize the relationship of social stress, coping, and self-regulatory health behaviors in the context of asthma disparities among African American and low income populations. Once characterized, the project will then develop and test an intervention strategy to reduce asthma disparities in high-risk populations based on evidence-based models that have demonstrated success in social work, nursing, and community interventions. There are four research aims for this proposed Center of Excellence. (1) To develop and validate culturally appropriate psychosocial instruments related to the underlying causes of disparity in asthma morbidity (2) To identify the structural relationships of psychosocial factors to other known influential factors related to disparities in asthma outcomes. (3) To study the changes in structural relationship among influential factors in asthma disparity over time as related to changes in health status. (4) To develop, pilot test, and field test a community-based asthma team (peer coach, asthma nurse, and social worker) intervention to enhance individuals ability to cope with chronic illness and improve asthma-related behaviors. A second major goal of this Center will be to train and mentor new clinical investigators and social scientists to be able to conduct research in this field of interest.

描述（由申请人提供）： 在过去的十年中，人们对非裔美国人哮喘发病率和死亡率和社会经济状况较低的人的哮喘发病率和死亡率的不成比例有所提高。这种差异的原因尚未完全阐明。但是，有充分的证据表明，这种情况所施加的社会压力水平以及所面临的应对和自我管理技能的程度是在解释这些差异时尤其重要的因素。该项目的目的是在西北大学费恩伯格医学院和库克县医院之间制定一项合作研究计划，以充分表征非裔美国人和低收入人群哮喘差异的背景下的社会压力，应对和自我监管健康行为的关系。一旦表征，该项目将制定并测试一种干预策略，以减少基于证据的模型，在社会工作，护理和社区干预方面取得成功的高风险人群中的哮喘差异。这个拟议的卓越中心有四个研究目标。 （1）开发和验证与哮喘发病率的基本原因有关的文化适当的社会心理工具（2），以确定心理社会因素与与哮喘结局中与异差相关的其他已知影响因素的结构关系。 （3）研究与健康状况变化有关的哮喘差异中影响因素之间结构关系的变化。 （4）开发，试点测试和现场测试一个基于社区的哮喘小组（同伴教练，哮喘护士和社会工作者）干预，以增强个人应对慢性病并改善与哮喘相关的行为的能力。该中心的第二个主要目标是培训和指导新的临床研究人员和社会科学家，以便能够在这一感兴趣的领域进行研究。