Enhancing Environmental Health Literacy and Practice for Healthcare Providers: An Innovative CME Series

提高医疗保健提供者的环境健康素养和实践：创新的 CME 系列

• 批准号: 10525469
• 负责人: Adarsh Char
• 金额: $ 25.94万
• 依托单位: FULL TILT AHEAD, LLC
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-19 至 2023-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10525469
• 关键词: Accreditation; Acute; Address; Adult; Affect; Air Pollution; Attitude; Awareness; Businesses; Categories; Certification; Chemical Exposure; Chemicals; Chronic; Communities; Computer software; Course Content; Data; Development; Diet; Dimensions; Discipline of Nursing; Documentation; Educational Curriculum; Educational Psychology; Educational process of instructing; Endocrine Disruptors; Ensure; Environment; Environmental Exposure; Environmental Health; Environmental Impact; Evaluation; Evidence based practice; Exposure to; Foundations; Future; Grant; Health; Health Personnel; Image; Instruction; Knowledge; Lead; Learning; Medicine; Methods; Military Personnel; Nursing Schools; Occupations; Outcome; Patients; Phase; Process; Protocols documentation; Questionnaires; Reporting; Review Literature; Risk; Scientist; Series; Small Business Innovation Research Grant; Structure; Training; Translating; Visual; Voice; base; climate change; climate-related health; clinical practice; community center; consumer product; continuing medical education; continuing nursing education; design; environmental chemical; evidence base; experience; health literacy; health practice; health training; improved; innovation; medical schools; member; online course; patient oriented; pilot test; provider networks; scaffold; skills; tool; toxicant; usability

Ample evidence demonstrates that toxicants and other environmental exposures lead to both acute and chronic health conditions. This proposal is a direct outgrowth of our experience with a community heavily exposed to chemical toxicants. We have demonstrated significant adverse health outcomes associated with this exposure. However, many community members report a lack of knowledge and skills among their healthcare providers to address their exposure- related health risks. These reports are consistent with documentation that healthcare providers (HCPs) rarely address environmental concerns with patients and report a lack of knowledge and ability regarding these patient concerns. These knowledge and practice gaps are not surprising since few nursing or medical schools include environmental health training in their curricula. As such, there is a critical need to expand healthcare provider training in environmental health. To address this critical need, we will develop an innovative continuing medical education (CME) series. The innovation is two-fold. First, we will partner with impacted community members to develop patient-centered and community-centered material, focusing on lived experiences of community members and their healthcare providers. Second, we will utilize interactive and engaging tools to facilitate learning and integration into practice. The series will be titled “Understanding and mitigating the impact of environmental chemicals on the health of your patients.” We will design CME learning experiences that are both evidence-based and informed by years of online teaching experience. To ensure the relevance of the content to patients and HCPs, members of communities affected by endocrine-disrupting chemicals and HCPs in these communities will be involved throughout the entire cycle of course design, development, piloting, and evaluation. Additionally, their voices and stories will be featured in images, audio, and video assets in the course. This Phase One SBIR grant will develop and design the first module of the CME series titled “How Endocrine Disrupting Chemicals from the Environment act as Uncontrolled Medicine in Your Patients.” We will also develop pocket guides, job aids, and infographics that can be easily downloaded to assist in translating learning to clinical practice. Pilot testing for usability and scalability will also be completed. This project will generate an engaging, easily-accessible, informative course to introduce HCPs to important environmental health concepts related to endocrine-disrupting chemicals, which will provide HCPs with the ability to address patients’ health concerns. If successful, this project will improve health outcomes and save lives by giving healthcare providers the knowledge and tools to protect their patients from preventable impacts of environmental exposures to endocrine-disrupting chemicals.

大量证据表明，毒物和其他环境暴露会导致急性和慢性健康。 条件。这项建议是我们在一个严重暴露于化学品的社区的经验的直接结果 毒药。我们已经证明了与这种暴露相关的重大不良健康后果。然而，许多人 社区成员报告说，他们的医疗保健提供者缺乏知识和技能，无法解决他们的暴露- 相关的健康风险。这些报告与医疗保健提供者(HCP)很少处理的文档一致 患者对环境的关注，并报告缺乏对这些患者关注的知识和能力。这些 知识和实践的差距并不令人惊讶，因为很少有护理或医学院开设环境健康课程 在他们的课程中进行培训。因此，迫切需要扩大医疗保健提供者在环境健康方面的培训。 为了满足这一迫切需求，我们将开发一系列创新的继续医学教育(CME)。创新之处在于 两倍。首先，我们将与受影响的社区成员合作，发展以患者为中心和以社区为中心 材料，重点是社区成员和他们的医疗保健提供者的生活经历。第二，我们将利用 互动和吸引人的工具，以促进学习和融入实践。该系列将被命名为《理解》 并减轻环境化学品对患者健康的影响。我们将设计继续医学教育学习 既有循证的经验，又有多年的在线教学经验。要确保与 对患者和HCP、受内分泌干扰化学品影响的社区成员和HCP的内容 社区将参与课程设计、开发、试验和评估的整个周期。 此外，他们的声音和故事将在课程中的图像、音频和视频资源中亮相。本阶段一 SBIR Grant将开发和设计CME系列的第一个模块，题为“内分泌干扰化学物质如何从 环境在你的病人身上扮演着不受控制的药物的角色。我们还将开发袖珍指南、工作辅助工具和 可轻松下载的信息图表，以帮助将学习转化为临床实践。可用性的试验性测试 并且可伸缩性也将完成。该项目将生成一个引人入胜、易于访问、内容丰富的课程，以 向HCP介绍与内分泌干扰化学品有关的重要环境健康概念，这将提供 有能力解决患者健康问题的初级保健方案。如果成功，该项目将改善健康状况，并 通过向医疗保健提供者提供知识和工具来保护他们的患者免受可预防的 环境暴露于干扰内分泌的化学物质。