COVID-19 Impact on Pain management: Highlighting, Explaining, and Realigning services (CIPHER)

COVID-19 对疼痛管理的影响:突出显示、解释和重新调整服务 (CIPHER)

基本信息

  • 批准号:
    10673419
  • 负责人:
  • 金额:
    --
  • 依托单位:
  • 依托单位国家:
    美国
  • 项目类别:
  • 财政年份:
    2022
  • 资助国家:
    美国
  • 起止时间:
    2022-10-01 至 2024-09-30
  • 项目状态:
    已结题

项目摘要

Background: Transgender and gender diverse (TGD) Veterans are a priority population at greater risk of harm following disruptions in chronic pain care, with higher rates of chronic pain conditions and of physical and mental health comorbidities associated with prescription opioid use and overdose risk. Moreover, TGD Veterans avoid medical care due to negative experiences rooted in stigma, reporting “insensitivity, harassment, and violence” and “a general lack of knowledge about transgender patients and care among providers.” Significance: Both the higher rates of chronic pain conditions and the increased prevalence of SUD and overdose risk underscore that consistent chronic pain care and close oversight of care plans are essential for TGD Veterans, and interruptions may have dire consequences. The need to better understand and develop strategies to improve chronic pain care for TGD Veterans is critical and urgent to support wellbeing, manage pain, ameliorate discriminatory treatment rooted in provider biases, and prevent opioid-related crises. Innovation and Impact: Identity Development Evaluation and Sharing (IDEAS) is an innovative, evidence- supported methodology in which qualitative data are presented via theatricalized, filmed monologues. Studies have shown that viewing an IDEAS performance significantly reduces stigma beliefs, and literature suggests IDEAS may facilitate translation of qualitative findings into actionable recommendations for optimizing future care because data are presented in deeply contextualized ways – embedded in Veterans’ life experiences. Specific Aims: The proposed work will supplement an existing VA-funded study, CIPHER, which focuses on 1) understanding changes in Veterans’ chronic low-back pain care after COVID-19 and their associated impacts; and 2) using these data to develop strategies to optimize future delivery of VA pain services. Aim 1 of the proposed work will enhance CIPHER by elucidating chronic pain care experiences of a high priority population, TGD Veterans. In aim 2 of the proposed work we will apply findings from Aim 1 to develop a novel, interactive intervention to support equitable TGD Veteran care, advancing CIPHER’s aim of developing short and long-term strategies to optimize equitable delivery of pain management services post-COVID-19. Methodology: In aim 1 we will purposefully sample TGD Veterans from CIPHER’s cohort of Veterans with chronic low back pain use ICD-10 Gender Identity Disorder codes. We will conduct narrative interviews to learn about TGD Veterans’ chronic pain care experiences prior to and following the onset of the pandemic. We will identify key messages via thematic analysis of interview transcripts, focusing especially on areas for future care optimization. In aim 2 we will apply IDEAS to produce a 25-minute film with professional actors portraying key messages from aim 1 findings. We will share the film with CIPHER stakeholders and primary care providers during a 1-hour meeting in which TGD Veteran panelists join for a 15-minute PI-moderated post-film panel conversation. Stakeholders and providers will complete a pre/post Acceptance and Action Questionnaire – Stigma, which provides a composite score with lower scores indicating reduced enacted stigma. An unadjusted two sample paired t-test will be used to assess the difference in matched pre-post AAQ-S survey scores. To assess whether IDEAS feasibly and acceptably shares qualitative data to facilitate actionable change, we will distribute the Acceptability of Intervention Measure (AIM) and the Feasibility of Intervention Measure (FIM) anonymously via an online survey that will include space for open-ended responses with each item, asking respondents to describe if/how IDEAS facilitates actionable change. We will use explanatory sequential mixed methods to expand quantitative AIM/FIM findings with qualitative feedback. Next steps/Implementation: The proposed work will result in an IDEAS film depicting chronic pain care experiences of TGD Veterans that can be disseminated by CIPHER stakeholders, as well as data on pre/post change in provider stigma and stakeholders’ perceptions of IDEAS feasibility and acceptability.
背景:跨性别和性别多样化(TGD)退伍军人是受伤害风险较大的优先人群

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)

数据更新时间:{{ journalArticles.updateTime }}

{{ item.title }}
{{ item.translation_title }}
  • DOI:
    {{ item.doi }}
  • 发表时间:
    {{ item.publish_year }}
  • 期刊:
  • 影响因子:
    {{ item.factor }}
  • 作者:
    {{ item.authors }}
  • 通讯作者:
    {{ item.author }}

数据更新时间:{{ journalArticles.updateTime }}

{{ item.title }}
  • 作者:
    {{ item.author }}

数据更新时间:{{ monograph.updateTime }}

{{ item.title }}
  • 作者:
    {{ item.author }}

数据更新时间:{{ sciAawards.updateTime }}

{{ item.title }}
  • 作者:
    {{ item.author }}

数据更新时间:{{ conferencePapers.updateTime }}

{{ item.title }}
  • 作者:
    {{ item.author }}

数据更新时间:{{ patent.updateTime }}

Marianne Matthias其他文献

Marianne Matthias的其他文献

{{ item.title }}
{{ item.translation_title }}
  • DOI:
    {{ item.doi }}
  • 发表时间:
    {{ item.publish_year }}
  • 期刊:
  • 影响因子:
    {{ item.factor }}
  • 作者:
    {{ item.authors }}
  • 通讯作者:
    {{ item.author }}

{{ truncateString('Marianne Matthias', 18)}}的其他基金

HSR&D Research Career Scientist Award
高铁
  • 批准号:
    10698477
  • 财政年份:
    2023
  • 资助金额:
    --
  • 项目类别:
COVID-19 Impact on Pain management: Highlighting, Explaining, and Realigning services (CIPHER)
COVID-19 对疼痛管理的影响:突出显示、解释和重新调整服务 (CIPHER)
  • 批准号:
    10595645
  • 财政年份:
    2022
  • 资助金额:
    --
  • 项目类别:
COVID-19 Impact on Pain management: Highlighting, Explaining, and Realigning services (CIPHER)
COVID-19 对疼痛管理的影响:突出显示、解释和重新调整服务 (CIPHER)
  • 批准号:
    10412749
  • 财政年份:
    2022
  • 资助金额:
    --
  • 项目类别:
Options for Pain Management using Nonpharmacological Strategies (OPTIONS)
使用非药物策略的疼痛管理选项(选项)
  • 批准号:
    10534972
  • 财政年份:
    2022
  • 资助金额:
    --
  • 项目类别:
Equity Using Interventions for Pain and Depression (EQUIPD)
公平使用疼痛和抑郁干预措施 (EQUIPD)
  • 批准号:
    10595133
  • 财政年份:
    2022
  • 资助金额:
    --
  • 项目类别:
Communication and Activation in Pain to Enhance Relationships and Treat Pain with Equity (COOPERATE)
疼痛中的沟通和激活,以增强关系并公平地治疗疼痛(合作)
  • 批准号:
    9502687
  • 财政年份:
    2018
  • 资助金额:
    --
  • 项目类别:
Communication and Activation in Pain to Enhance Relationships and Treat Pain with Equity (COOPERATE)
疼痛中的沟通和激活,以加强关系并公平地治疗疼痛(合作)
  • 批准号:
    10159110
  • 财政年份:
    2018
  • 资助金额:
    --
  • 项目类别:
Communication and Activation in Pain to Enhance Relationships and Treat Pain with Equity (COOPERATE)
疼痛中的沟通和激活,以加强关系并公平地治疗疼痛(合作)
  • 批准号:
    10213832
  • 财政年份:
    2018
  • 资助金额:
    --
  • 项目类别:
Communication and Activation in Pain to Enhance Relationships and Treat Pain with Equity (COOPERATE)
疼痛中的沟通和激活,以加强关系并公平地治疗疼痛(合作)
  • 批准号:
    9927912
  • 财政年份:
    2018
  • 资助金额:
    --
  • 项目类别:
Evaluation of peer Coach-Led Intervention to improve Pain Symptoms (ECLIPSE)
对同伴教练主导的改善疼痛症状干预的评估 (ECLIPSE)
  • 批准号:
    9145524
  • 财政年份:
    2015
  • 资助金额:
    --
  • 项目类别:

相似海外基金

STTR Phase I: A Reliable and Efficient New Method for Satellite Attitude Control
STTR第一阶段:可靠、高效的卫星姿态控制新方法
  • 批准号:
    2310323
  • 财政年份:
    2024
  • 资助金额:
    --
  • 项目类别:
    Standard Grant
BCSER - PVEST: A Dynamic Framework for Investigating STEM Interest, Attitude and Identity Among African American Middle School Students
BCSER - PVEST:调查非裔美国中学生 STEM 兴趣、态度和身份的动态框架
  • 批准号:
    2327055
  • 财政年份:
    2023
  • 资助金额:
    --
  • 项目类别:
    Standard Grant
The hidden power of grammar: a mixed-methods study of media discourses on climate change protests and their effects on audience attitude.
语法的隐藏力量:气候变化抗议媒体话语及其对受众态度影响的混合方法研究。
  • 批准号:
    2881735
  • 财政年份:
    2023
  • 资助金额:
    --
  • 项目类别:
    Studentship
Development of Psychological Approach to Improve Intergroup Attitude and Behavior and Exploration of Its Application
改善群际态度和行为的心理学方法的发展及其应用探索
  • 批准号:
    23K12855
  • 财政年份:
    2023
  • 资助金额:
    --
  • 项目类别:
    Grant-in-Aid for Early-Career Scientists
Attitude and Identity in Wales' Primary and Secondary Schools
威尔士中小学的态度和认同
  • 批准号:
    2876788
  • 财政年份:
    2023
  • 资助金额:
    --
  • 项目类别:
    Studentship
Attitude and Shape Estimation of an Unknown Object Using Light Curves
使用光曲线估计未知物体的姿态和形状
  • 批准号:
    23K04232
  • 财政年份:
    2023
  • 资助金额:
    --
  • 项目类别:
    Grant-in-Aid for Scientific Research (C)
Examining the relationship between death attitude and AD completion and attitude among older Chinese Americans
研究老年华裔美国人的死亡态度与 AD 完成度和态度之间的关系
  • 批准号:
    10575699
  • 财政年份:
    2023
  • 资助金额:
    --
  • 项目类别:
Insect flight mechanisms in high flight attitude
高飞行姿态下昆虫的飞行机制
  • 批准号:
    22H01397
  • 财政年份:
    2022
  • 资助金额:
    --
  • 项目类别:
    Grant-in-Aid for Scientific Research (B)
High-accurate relative position and rotation control of multiple satellites considering orbit-attitude coupled dynamics for space interferometry
空间干涉测量中考虑轨道姿态耦合动力学的多卫星高精度相对位置和旋转控制
  • 批准号:
    22K18856
  • 财政年份:
    2022
  • 资助金额:
    --
  • 项目类别:
    Grant-in-Aid for Challenging Research (Exploratory)
Solar Sailing: Attitude, Orbit, and Shape Control
太阳航行:姿态、轨道和形状控制
  • 批准号:
    RGPIN-2020-04037
  • 财政年份:
    2022
  • 资助金额:
    --
  • 项目类别:
    Discovery Grants Program - Individual
{{ showInfoDetail.title }}

作者:{{ showInfoDetail.author }}

知道了