Taking Community Action Against Pain

采取社区行动对抗疼痛

• 批准号: 7494151
• 负责人: Manney Carrington Reid
• 金额: $ 19.09万
• 依托单位: WEILL MEDICAL COLL OF CORNELL UNIV
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-09-07 至 2010-09-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7494151
• 关键词: Address; Adherence; Adoption; Adult; African American; Aging; American; Applied Research; Arthritis; Caring; Cities; Client; Communities; Community Actions; Data; Development; Disease; Effectiveness; Elderly; Ensure; Ethnic Origin; Evidence based treatment; Foundations; Funding; Health; Hispanic Americans; Hispanics; Individual; Information Resources; Institutes; Knowledge; Life; Methods; Modification; Morbidity - disease rate; New York City; Not Hispanic or Latino; Outcome; Pain; Pain management; Participant; Personal Satisfaction; Phase; Population; Process; Protocols documentation; Publications; Race; Range; Recommendation; Reporting; Research Personnel; Resources; Self Management; Services; Site; Standards of Weights and Measures; Testing; Translational Research; Translations; Work; age group; aged; base; caucasian American; chronic pain; community based participatory research; community organizations; cysteine rich protein; design; improved; intervention program; member; programs; response; satisfaction; self help

DESCRIPTION (provided by applicant): The proposed project, entitled Taking Community Action Against Pain, addresses the problem of chronic pain (CP) in older persons, which is a highly prevalent, morbid, and costly disorder that is associated with a substantial burden of suffering in this age group. Evidence-based treatments for CP in the form of self- management programs have been developed for use in the community and have demonstrated efficacy, but have not been widely disseminated. Numerous barriers likely exist at the individual, program, and cultural level that have a negative impact on program translation efforts and are in need of characterization. The development of strategies to overcome the barriers is necessary to improve both program reach and program benefits. Using community based participatory research (CBPR), this application seeks to answer the following scientific questions: 1) What are the major barriers to adoption of and adherence to a pain-reduction protocol by seniors with CP?; 2) How can an evidence-based pain protocol be adapted using CBPR to better meet the needs of seniors from three distinct race/ethnicity groups including African American, Hispanic American, and non-Hispanic White Americans?; and 3) What is the effect of using a CBPR-based program versus a conventional CP program on the effectiveness of the pain protocol? The following aims are proposed to address the above questions: 1) Expand and maintain existing community-researcher partnerships, 2) Access local knowledge and resources to design optimal methods for program implementation and possible adaptation; 3) Synthesize findings from these activities to generate pain programs for our senior center partners; 4) Pilot test the new programs; and 5) Compare CBPR program outcomes to those generated via the conventional pain program, i.e., `usual care', and 6) Disseminate project findings and related products. Anticipated products of this project include: 1) Pilot data for use in a subsequent R01 application; 2) New programs are anticipated to emerge as a result of accessing the collective resources and knowledge of our community partners; 3) Knowledge regarding the effects of using CBPR versus `usual care' on the effectiveness of a pain intervention program; and 4) Publication of scholarly articles and reports tailored to a wide range of practitioners. The project will take place in culturally diverse senior centers located throughout New York City, which is appropriate given that 10 million older adults (up to 50% of whom have CP) currently use services provided by over 15,000 senior centers in the U.S. The planned work has significant potential to reduce the substantial morbidity and suffering associated with CP among seniors. This project seeks to improve the health and well being of older adults with chronic pain due to arthritis and/or arthritis-related diseases. The project will develop and test culturally sensitive pain-management programs for use in the community by adults aged 65 and above who belong to one of 3 race/ethnicity groups: African Americans, Hispanic Americans, and non-Hispanic White Americans. To ensure cultural relevance of the programs, the investigators have proposed to partner with diverse community groups to include older adults with chronic pain as well as staff from centers that will ultimately host the programs (e.g., senior centers).

描述（由申请人提供）：拟议的项目题为“采取社区行动抵抗痛苦”，解决了老年人的慢性疼痛（CP）问题，这是一种非常普遍，病态且昂贵的疾病，与该年龄段的痛苦负担相关。以自我管理计划的形式为基于循证的CP治疗已开发出来在社区中使用，并且已经证明了功效，但并未被广泛传播。个人，计划和文化层面可能存在许多障碍，这些障碍对计划翻译工作产生负面影响，并且需要表征。制定克服障碍的策略是为了提高计划覆盖范围和计划收益的必要条件。使用基于社区的参与性研究（CBPR），本申请试图回答以下科学问题：1）CP老年人采用和遵守疼痛减少协议的主要障碍是什么？ 2）如何使用CBPR对基于证据的疼痛协议进行调整，以更好地满足来自三个不同种族/族裔群体的老年人的需求，包括非裔美国人，西班牙裔美国人和非西班牙裔白人美国人？ 3）使用基于CBPR的程序与常规CP程序对疼痛方案的有效性有什么影响？提出了以下目的来解决上述问题：1）扩展和维护现有的社区研究者合作伙伴关系，2）访问本地知识和资源，以设计用于计划实施和可能适应的最佳方法； 3）从这些活动中综合发现，以为我们的高级中心伴侣产生疼痛计划； 4）试点测试新程序； 5）将CBPR计划的结果与传统疼痛计划（即“通常的护理””和6）传播项目发现和相关产品进行比较。该项目的预期产品包括：1）在随后的R01应用程序中使用的试点数据； 2）预计由于获得我们社区合作伙伴的集体资源和知识而出现新计划； 3）有关使用CBPR与“常规护理”对疼痛干预计划有效性的影响的知识； 4）出版了针对各种从业者的学术文章和报告。该项目将在整个纽约市的文化多样化中心中进行，这是适当的，鉴于1000万老年人（其中高达50％的CP）目前使用美国15,000多名高级中心提供的服务，计划中的工作具有降低老年人中与CP相关的实质性发病率和苦难的巨大潜力。 该项目旨在改善因关节炎和/或关节炎相关疾病而导致慢性疼痛的老年人的健康和健康。该项目将开发和测试65岁及以上的成年人在社区中使用的文化敏感疼痛管理计划，这些计划属于3个种族/族裔群体之一：非洲裔美国人，西班牙裔美国人和非西班牙裔美国人。为了确保计划的文化相关性，调查人员建议与各种社区团体合作，包括慢性疼痛的老年人以及最终将主持该计划的中心的员工（例如，高级中心）。