Enhancing patient and organizational readiness for cardiovascular risk reduction among ethnic minority patients living with HIV

加强患者和组织为降低少数族裔艾滋病毒感染者的心血管风险做好准备

基本信息

  • 批准号:
    10424753
  • 负责人:
  • 金额:
    $ 5.01万
  • 依托单位:
  • 依托单位国家:
    美国
  • 项目类别:
  • 财政年份:
    2018
  • 资助国家:
    美国
  • 起止时间:
    2018-08-15 至 2021-08-29
  • 项目状态:
    已结题

项目摘要

Abstract/Project Summary Cardiovascular disease (CVD) has emerged as an increasingly important cause of morbidity and mortality among people living with HIV (PLWHIV). Now that HIV is considered a manageable chronic disease, the identification and treatment of comorbid medical conditions including CVD are increasingly the focus of research and clinical attention. What is missing, however, is yet another critical component of care for PLWHIV: integrated care for histories of trauma. Experiences of trauma increase the likelihood of HIV infection as well as CVD risk, yet health care for PLWHIV is rarely coordinated to address these three intersecting issues of HIV, CVD, and trauma, particularly among those disproportionately affected by HIV, i.e., ethnic minority patients. Histories of trauma among PLWHIV are associated with inconsistent treatment adherence and non-adherence, and trauma history alone is associated with poor CVD outcomes. Failure to address trauma poses significant barriers to the adoption of CVD risk strategies among PLWHIV. Health systems that coordinate and integrate care across HIV and chronic conditions such as CVD may provide the infrastructure needed to address the complex interplay of these conditions and their therapies. We have designed a novel blended, culturally-congruent, evidence-informed care model, “Healing our Minds and Bodies” (HMB), to address patients' trauma histories and barriers to care, and to prepare patients to engage in CVD risk reduction. Recognizing the need to ensure that PLWHIV receive CVD guideline-concordant care, we have also identified implementation strategies to prepare providers and clinics for addressing CVD risk among their HIV-positive patients. Therefore, using a hybrid type II effectiveness/implementation study design, the goal of this study is to increase both patient and organizational readiness to address trauma and CVD risk among PLWHIV. The Specific Aims are: (1) to assess and enhance organizational readiness for addressing trauma and CVD risk among ethnic minority PLWHIV; specifically, a phased approach will drive the use of implementation strategies designed to educate, monitor, and support providers and staff in adhering to CVD care guidelines; (2) u sing mixed methods, to (a) evaluate the use and effectiveness of implementation strategies over time, and (b) identify barriers and facilitators to organizational adoption of guidelines, provider adherence to guidelines, feasibility, and sustainability; and (3) to evaluate the effect of HMB on cognitive-behavioral, emotional, and physical outcomes among 260 PLWHIV, specifically patient activation, engagement in care, knowledge of CVD risk, adherence to clinicians' recommendations, cardiovascular health, mental health symptoms, and satisfaction with care. W e will use the RE-AIM framework to guide the evaluation and the Replicating Effective Programs (REP) Framework to guide the use of implementation strategies and the tailoring of the care model within our participating implementation settings.
抽象/项目总结

项目成果

期刊论文数量(9)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
Racial/ethnic discrimination: Dimensions and relation to mental health symptoms in a marginalized urban American population.
  • DOI:
    10.1037/ort0000481
  • 发表时间:
    2020
  • 期刊:
  • 影响因子:
    0
  • 作者:
    Chin D;Loeb TB;Zhang M;Liu H;Cooley-Strickland M;Wyatt GE
  • 通讯作者:
    Wyatt GE
Derivation and Application of a Tool to Estimate Benefits From Multiple Therapies That Reduce Recurrent Stroke Risk.
推导和应用一种工具来估计降低复发性中风风险的多种疗法的益处。
  • DOI:
    10.1161/strokeaha.119.027160
  • 发表时间:
    2020
  • 期刊:
  • 影响因子:
    8.3
  • 作者:
    Richards,Adam;Jackson,NicholasJ;Cheng,EricM;Bryg,RobertJ;Brown,Arleen;Towfighi,Amytis;Sanossian,Nerses;Barry,Frances;Li,Ning;Vickrey,BarbaraG
  • 通讯作者:
    Vickrey,BarbaraG
Achieving Health Equity and Continuity of Care for Black and Latinx People Living With HIV.
为黑人和拉丁裔艾滋病毒感染者实现健康公平和持续护理。
  • DOI:
    10.2105/ajph.2023.307222
  • 发表时间:
    2023
  • 期刊:
  • 影响因子:
    12.7
  • 作者:
    Loeb,TamraBurns;Banks,Devin;Ramm,Kate;Viducich,Isabella;Beasley,Quonta;Barron,Juan;Chen,ElizabethLee;Norwood-Scott,Enricka;Fuentes,Kimberly;Zhang,Muyu;Brown,ArleenF;Wyatt,GailE;Hamilton,AlisonB
  • 通讯作者:
    Hamilton,AlisonB
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ARLEEN F. BROWN其他文献

ARLEEN F. BROWN的其他文献

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{{ truncateString('ARLEEN F. BROWN', 18)}}的其他基金

Stakeholder Engagement Studio Core
利益相关者参与工作室核心
  • 批准号:
    10731259
  • 财政年份:
    2023
  • 资助金额:
    $ 5.01万
  • 项目类别:
National Center for Engagement in Diabetes Equity Research: National CEDER
国家参与糖尿病公平研究中心:国家 CEDER
  • 批准号:
    10731257
  • 财政年份:
    2023
  • 资助金额:
    $ 5.01万
  • 项目类别:
Multi-ethnic Multi-level Strategies and Behavioral Economics to Eliminate Hypertension Disparities in LA County.
消除洛杉矶县高血压差异的多种族多层次策略和行为经济学。
  • 批准号:
    10477370
  • 财政年份:
    2020
  • 资助金额:
    $ 5.01万
  • 项目类别:
Multi-ethnic Multi-level Strategies and Behavioral Economics to Eliminate Hypertension Disparities in LA County.
消除洛杉矶县高血压差异的多种族多层次策略和行为经济学。
  • 批准号:
    10723249
  • 财政年份:
    2020
  • 资助金额:
    $ 5.01万
  • 项目类别:
Multi-ethnic Multi-level Strategies and Behavioral Economics to Eliminate Hypertension Disparities in LA County.
消除洛杉矶县高血压差异的多种族多层次策略和行为经济学。
  • 批准号:
    10254412
  • 财政年份:
    2020
  • 资助金额:
    $ 5.01万
  • 项目类别:
Multi-ethnic Multi-level Strategies and Behavioral Economics to Eliminate Hypertension Disparities in LA County.
消除洛杉矶县高血压差异的多种族多层次策略和行为经济学。
  • 批准号:
    10064593
  • 财政年份:
    2020
  • 资助金额:
    $ 5.01万
  • 项目类别:
Enhancing patient and organizational readiness for cardiovascular risk reduction among ethnic minority patients living with HIV
加强患者和组织为降低少数族裔艾滋病毒感染者的心血管风险做好准备
  • 批准号:
    9762974
  • 财政年份:
    2018
  • 资助金额:
    $ 5.01万
  • 项目类别:
The Development and Implementation of a Culturally-Congruent Educational Film designed for PLWHIV to Address Patients' Trauma Histories, Barriers to Care, and CVD Risk Reduction
开发和实施专为艾滋病毒携带者设计的文化一致性教育电影,以解决患者的创伤史、护理障碍和降低心血管疾病风险
  • 批准号:
    10019763
  • 财政年份:
    2018
  • 资助金额:
    $ 5.01万
  • 项目类别:
Enhancing patient and organizational readiness for cardiovascular risk reduction among ethnic minority patients living with HIV
加强患者和组织为降低少数族裔艾滋病毒感染者的心血管风险做好准备
  • 批准号:
    10367750
  • 财政年份:
    2018
  • 资助金额:
    $ 5.01万
  • 项目类别:
Enhancing patient and organizational readiness for cardiovascular risk reduction among ethnic minority patients living with HIV
加强患者和组织为降低少数族裔艾滋病毒感染者的心血管风险做好准备
  • 批准号:
    10171414
  • 财政年份:
    2018
  • 资助金额:
    $ 5.01万
  • 项目类别:

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无创冠状动脉血栓显像可明确急性心肌梗塞的病因
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开发血液中的多 RNA 特征以进行快速诊断测试,以强有力地区分急性心肌梗死患者
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