Community Health Worker-Led Church-Based Intervention for Eliminating Cardiovascular Health Disparities in African Americans
社区卫生工作者主导的教会干预措施,旨在消除非裔美国人的心血管健康差异
基本信息
- 批准号:10414464
- 负责人:
- 金额:$ 19.81万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2020
- 资助国家:美国
- 起止时间:2020-09-10 至 2023-08-31
- 项目状态:已结题
- 来源:
- 关键词:AddressAdherenceAdministrative SupplementAfrican AmericanAppointmentChurchCommunitiesCommunity Health AidesCommunity Health SystemsDataDevelopmentEffectiveness of InterventionsFocus GroupsGuidelinesHealth PersonnelInterventionLouisianaMeasurementMeasuresPatientsPhasePhysiciansPrimary PreventionProcessProviderRandomizedRecommendationResearchResearch PersonnelReview LiteratureRisk FactorsRoleSociologyTestingTimeTrustUnderserved PopulationVisitbasecardiometabolic riskcardiovascular disorder preventioncardiovascular healthclinical carecontrol trialeffectiveness evaluationhealth disparityimplementation strategyimprovedmemberpsychologicsystematic reviewtherapy designtooltrustworthiness
项目摘要
PROJECT SUMMARY
The “Community Health Worker-Led (CHW) Church-Based Intervention for Eliminating Cardiovascular Health
Disparities in African Americans” (CHERISH) study is a clustered randomized control trial to test whether a
community health worker-led church-based multifaceted implementation strategy for applying the 2019
ACC/AHA Guidelines on the Primary Prevention of Cardiovascular Disease will reduce cardiovascular health
disparities in African Americans in New Orleans and Bogalusa, Louisiana. However, low levels of trust in
doctors and researchers among African Americans is often a barrier to participation in research and clinical
care. CHWs offer an opportunity to understand how trust is built between communities and health systems, but
there is little empirical evidence. The process by which CHWs engender trust among community members is
largely anecdotal and theoretical. It is unknown how trust-building occurs, develops, grows, or terminates over
time, particularly in interventions to address CVD disparities. Research is needed to understand how CHWs
build trust among African Americans and other underserved groups to maximize the effectiveness of
interventions to reduce cardiometabolic risk factors for CVD. The purpose of this PA-21-071 Administrative
Supplement is to leverage the planning phase of the CHERISH study to identify the role of CHWs in
developing trust in providers and researchers. Our central hypothesis is that CHWs can be used to improve
trust in providers and researchers. The rationale for the proposed research is that CHWs act as trust
intermediaries that increase the likelihood of cooperation (e.g., adherence to physician visit appointments and
treatment recommendations) between African Americans and their providers. To test our central hypothesis
and, thereby, attain the overall objective, we will pursue the following objectives in parallel with the UH3
planning phase of the CHERISH study: (1) Identify community health worker-led trust-building interventions
through a systematic review of the literature. (2) Identify the factors that influence the perceived trustworthiness
of community health workers through CHERISH study focus groups. (3) Develop a measurement tool to
assess the level of trust between patients and community health workers. The project will provide preliminary
data for an application for an R01 to assess the effectiveness of a CHW-led trust-building intervention among
African Americans with risk factors for CVD. The design of the intervention will be informed by the systematic
review of the literature, focus groups, and the CHW trust measure.
项目摘要
社区卫生工作者主导的(CHW)基于教会的干预措施,以消除心血管健康
非裔美国人的差异”(CHERISH)研究是一项群集随机对照试验,旨在测试
社区卫生工作者领导的基于教会的多方面实施战略,以应用2019年
ACC/AHA心血管疾病一级预防指南将降低心血管健康
新奥尔良和路易斯安那州的博加卢萨的非裔美国人中的差异。然而,低水平的信任
非裔美国人中的医生和研究人员往往是参与研究和临床的障碍,
在乎社区卫生工作者提供了一个了解社区和卫生系统之间如何建立信任的机会,
几乎没有经验证据。社区工作者在社区成员中建立信任的过程是
主要是传闻和理论。不知道信任的建立是如何发生、发展、增长或终止的。
时间,特别是在干预措施,以解决心血管疾病的差距。需要研究来了解CHW如何
在非裔美国人和其他服务不足的群体之间建立信任,以最大限度地提高
干预措施,以减少心血管疾病的心脏代谢危险因素。本PA-21-071管理的目的
补充是利用CHERISH研究的规划阶段,确定CHW在以下方面的作用:
培养对供应商和研究人员的信任。我们的中心假设是,CHW可用于改善
信任供应商和研究人员。建议研究的基本原理是,CHW充当信任
增加合作可能性的中介(例如,遵守医生访视预约,
治疗建议)之间的非裔美国人和他们的供应商。为了验证我们的核心假设
为达致整体目标,我们会与UH 3同时达致以下目标
CHERISH研究的计划阶段:(1)确定社区卫生工作者领导的信任建立干预措施
通过对文献的系统回顾。(2)确定影响感知可信度的因素
社区卫生工作者通过CHERISH研究焦点小组。(3)开发测量工具,
评估患者与社区卫生工作者之间的信任程度。该项目将提供初步
R 01申请的数据,以评估CHW领导的建立信任干预措施的有效性,
有CVD危险因素的非裔美国人。干预措施的设计将通过系统的
文献回顾,焦点小组,和CHW信任措施。
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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{{ truncateString('Jiang He', 18)}}的其他基金
Implementing and Scaling Up a Team-based Care Strategy for Hypertension Control in Colombia and Jamaica
在哥伦比亚和牙买加实施和扩大基于团队的高血压控制护理策略
- 批准号:
9974773 - 财政年份:2020
- 资助金额:
$ 19.81万 - 项目类别:
Community Health Worker-Led Church-Based Intervention for Eliminating Cardiovascular Health Disparities in African Americans
社区卫生工作者主导的基于教会的干预措施,旨在消除非裔美国人的心血管健康差异
- 批准号:
10683043 - 财政年份:2020
- 资助金额:
$ 19.81万 - 项目类别:
Implementing and Scaling Up a Team-based Care Strategy for Hypertension Control in Colombia and Jamaica
在哥伦比亚和牙买加实施和扩大基于团队的高血压控制护理策略
- 批准号:
10514987 - 财政年份:2020
- 资助金额:
$ 19.81万 - 项目类别:
Community Health Worker-Led Church-Based Intervention for Eliminating Cardiovascular Health Disparities in African Americans
社区卫生工作者主导的基于教会的干预措施,旨在消除非裔美国人的心血管健康差异
- 批准号:
10685827 - 财政年份:2020
- 资助金额:
$ 19.81万 - 项目类别:
Implementing and Scaling Up a Team-based Care Strategy for Hypertension Control in Colombia and Jamaica
在哥伦比亚和牙买加实施和扩大基于团队的高血压控制护理策略
- 批准号:
10260388 - 财政年份:2020
- 资助金额:
$ 19.81万 - 项目类别:
Community Health Worker-Led Church-Based Intervention for Eliminating Cardiovascular Health Disparities in African Americans
社区卫生工作者主导的基于教会的干预措施,旨在消除非裔美国人的心血管健康差异
- 批准号:
10477390 - 财政年份:2020
- 资助金额:
$ 19.81万 - 项目类别:
Effectiveness of Implementing an Intensive Blood Pressure Reduction Intervention on Cognitive Decline in Low-income and Minority Hypertensive Patients
实施强化降压干预措施对低收入和少数民族高血压患者认知功能下降的有效性
- 批准号:
10450252 - 财政年份:2020
- 资助金额:
$ 19.81万 - 项目类别:
Effectiveness of Implementing an Intensive Blood Pressure Reduction Intervention on Cognitive Decline in Low-income and Minority Hypertensive Patients
实施强化降压干预措施对低收入和少数民族高血压患者认知功能下降的有效性
- 批准号:
10684023 - 财政年份:2020
- 资助金额:
$ 19.81万 - 项目类别:
Effectiveness of Implementing an Intensive Blood Pressure Reduction Intervention on Cognitive Decline in Low-income and Minority Hypertensive Patients
实施强化降压干预措施对低收入和少数民族高血压患者认知功能下降的有效性
- 批准号:
10045826 - 财政年份:2020
- 资助金额:
$ 19.81万 - 项目类别:
Effectiveness of Implementing an Intensive Blood Pressure Reduction Intervention on Cognitive Decline in Low-income and Minority Hypertensive Patients
实施强化降压干预措施对低收入和少数民族高血压患者认知功能下降的有效性
- 批准号:
10467065 - 财政年份:2020
- 资助金额:
$ 19.81万 - 项目类别:
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