权益分类	功能权益	普通用户	{{item.name}}会员
{{category.name}}	{{benefitItem.name}}

Social Networks and Pathways to Transplant Parity for Black Hemodialysis Patients

黑人血液透析患者移植平价的社交网络和途径

基本信息

批准号：
7938359
负责人：
Teri Marie Browne
金额：
$ 42.11万
依托单位：
UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA
依托单位国家：
美国
项目类别：
财政年份：
2010
资助国家：
美国
起止时间：
2010-05-27 至 2013-04-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7938359
关键词：
Academic Research Enhancement Awards Address Age Caring Chronic Disease Collaborations Collection Cross-Sectional Studies Data Dialysis patients Dialysis procedure Diffusion Discipline End stage renal failure Environment Faculty Funding Future Goals Graduate Education Health Hemodialysis Incidence Institution Intervention Investigation Kidney Diseases Kidney Transplantation Knowledge Measures Medicare Mentorship Modeling Outcome Pathway interactions Patient Care Patients Principal Investigator Process Public Health Publications Quality of life Research Research Design Research Personnel Research Project Grants Role Social Network Social Work Social Workers South Carolina Students Suggestion Training Transplant Recipients Transplantation United States Universities Waiting Lists Work career college cost graduate student improved innovation insight meetings member novel parity peer professor programs public health relevance research study social sound theories

项目摘要

DESCRIPTION (provided by applicant): The proposed research seeks to address critical gaps in the scientific knowledge on kidney transplant disparity in the United States, and establish a program of meritorious research related to this public health problem at the University of South Carolina College of Social Work. Research has shown that black End Stage Renal Disease patients are significantly less likely than their white peers to be evaluated and listed for a kidney transplant, and a significant portion of this disparity remains unexplained. This project will explore the hypothesis that black hemodialysis patients' lack of access to social contacts with useful information about kidney transplantation may hinder information transaction regarding the benefits of, and pathway to, kidney transplantation. To answer the research questions a) What is the role of the various types of social networks in providing information about kidney transplantation to black hemodialysis patients?, and b) What is the relationship between this information transaction and a patient's likelihood of being placed on a kidney transplant waiting list?, the proposal will meet the following aims: 1) To describe black hemodialysis patients' knowledge about how to get a kidney transplant, and 2) To determine the association between black hemodialysis patients' knowledge and understanding about how to get a kidney transplant, black hemodialysis patients' social network composition, and the likelihood that these patients are listed for a kidney transplant. As this proposal meets the goals of the AREA research program to support meritorious research, strengthen the institution's research environment, and expose students to research, the final aim of this research will be 3) To further undergraduate and graduate education at the University of South Carolina College of Social Work by establishing a funded program of meritorious research on the pathways to kidney transplant parity and including students in all aspects of the research. The project aims will be achieved through a cross-sectional survey of black hemodialysis patients age 18-65 within 90 miles of Columbia, SC. The proposed study is novel because it uses a unique conceptual model involving the social network relationships of black hemodialysis patients to explain a portion of kidney transplant disparity. The project is also significant because the knowledge gained can provide suggestions for subsequent interventions that aim to ameloriate the public health problem of kidney transplant disparity. Furthermore, this project will provide a unique training environment for undergraduate and graduate students to advance their careers in health research. This project can provide information to dialysis teams and other researchers that can be used to improve interdisciplinary patient care mandated by the Medicare Conditions for Coverage. The results of this project will be disseminated broadly through publications and presentations, both locally and nationally, that involve the participation of the undergraduate and graduate student assistants. PUBLIC HEALTH RELEVANCE: In the United States, black hemodialysis patients are significantly less likely than white patients to be evaluated and listed for a kidney transplant. Using a unique conceptual model, this project will explore the role of black hemodialysis patients' social relationships in providing patients with information about how to get a kidney transplant. The results from this study can help practitioners improve the care they provide to help black hemodialysis patients get kidney transplants, and can suggest future research that studies related interventions that can help address this public health problem.

描述（由申请人提供）：拟议的研究旨在解决美国肾移植差异科学知识中的关键差距，并在南卡罗来纳大学社会工作学院建立与这一公共卫生问题相关的有价值的研究计划。研究表明，黑人终末期肾病患者接受评估和列入肾移植名单的可能性明显低于白人患者，而且这种差异的很大一部分仍然无法解释。该项目将探讨以下假设：黑人血液透析患者缺乏获得有关肾移植的有用信息的社会联系可能会阻碍有关肾移植的益处和途径的信息交易。为了回答以下研究问题：a) 各种类型的社交网络在向黑人血液透析患者提供有关肾移植的信息方面发挥什么作用？以及 b) 此信息交易与患者被列入肾移植等候名单的可能性之间有什么关系？，该提案将实现以下目标：1) 描述黑人血液透析患者对如何获得肾移植的了解，以及 2) 确定两者之间的关联黑人血液透析患者对如何获得肾移植的知识和理解、黑人血液透析患者的社交网络构成以及这些患者被列入肾移植名单的可能性。由于该提案符合 AREA 研究计划的目标，即支持优秀研究、加强机构的研究环境并让学生参与研究，因此本研究的最终目标将是 3) 通过建立一个关于肾移植均等途径的优秀研究资助计划并使学生参与研究的各个方面，进一步推进南卡罗来纳大学社会工作学院的本科生和研究生教育。该项目的目标将通过对南卡罗来纳州哥伦比亚 90 英里范围内 18-65 岁的黑人血液透析患者进行横断面调查来实现。拟议的研究很新颖，因为它使用了涉及黑人血液透析患者的社交网络关系的独特概念模型来解释部分肾移植差异。该项目还具有重要意义，因为所获得的知识可以为旨在改善肾移植差异的公共卫生问题的后续干预措施提供建议。此外，该项目将为本科生和研究生提供独特的培训环境，以促进他们在健康研究领域的职业发展。该项目可以向透析团队和其他研究人员提供信息，这些信息可用于改善医疗保险承保条件规定的跨学科患者护理。该项目的结果将通过本地和全国的出版物和演示文稿广泛传播，其中本科生和研究生助理都会参与其中。公共健康相关性：在美国，黑人血液透析患者接受评估和列入肾移植名单的可能性明显低于白人患者。该项目将使用独特的概念模型，探讨黑人血液透析患者的社会关系在为患者提供有关如何进行肾移植的信息方面的作用。这项研究的结果可以帮助从业者改善他们提供的护理，以帮助黑人血液透析患者进行肾移植，并可以为未来研究相关干预措施的研究提供建议，以帮助解决这一公共卫生问题。