Informatics Resources for Social Determinants of Health in School-Based Health Centers

学校健康中心健康社会决定因素的信息学资源

基本信息

批准号：
10678064
负责人：
Vera Borkowski
金额：
$ 4.32万
依托单位：
VANDERBILT UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2023
资助国家：
美国
起止时间：
2023-09-08 至 2026-09-07
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10678064
关键词：
18 year old Academy Address Affect Air Asthma Awareness Behavior Caring Child Child Care Childhood Childhood Asthma Chronic Clinical Communities Data Detection Development Discipline of Nursing Economics Education Effectiveness Engineering Environment Expenditure Family Feedback Fellowship Focus Groups Funding Future Geographic Locations Goals Health Health Personnel Health Status Individual Informatics Intervention Interview Knowledge Knowledge acquisition Learning Link Low Income Population Machine Learning Medical Medicine Mentors Mentorship Minority Mission Modeling National Institute of Nursing Research Neighborhoods Nurse Practitioners Nursery Schools Online Systems Outcome Participant Personal Satisfaction Persons Physician Assistants Physicians Play Policies Postdoctoral Fellow Poverty Prevention Preventive care Provider Quality of life Recommendation Reporting Research Research Methodology Research Personnel Research Training Resource Informatics Resources Role School Nursing School-Age Population Schools Secure Social Behavior Strategic Planning Structure Technical Expertise Techniques Testing Training United States National Academy of Sciences Universities Visualization Work Youth asthma exacerbation asthma prevention asthmatic patient biomedical informatics cost dashboard design digital empowerment experience food security health care service health data health disparity health equity health inequalities health knowledge health outcome disparity health service use housing instability implementation intervention improved information gathering lens novel poor health outcome prevent programs research study responsible research conduct school based health center school health screening skills social social health determinants social influence tool usability virtual walkability

项目摘要

PROJECT SUMMARY Social determinants of health (SDoH) are associated with poor health outcomes and health disparities. The National Academies of Sciences, Engineering, and Medicine’s Future of Nursing Report encourages clinicians to address SDoH, which are the environmental conditions in which people live, learn, work, play, and worship, that can affect health, functioning, and quality-of-life. While there is a large corpus of knowledge associating SDoH with childhood asthma, a gap exists on screening of SDoH in school-based health centers (SBHCs). SBHCs care for children pre-kindergarten to 18 years of age, working collaboratively with the school nurse to advance the health and well-being of all youth. Although SBHCs have access to individual-level health information about the child, SBHC providers do not have easy access to SDoH information at the neighborhood and community level. Screening pediatric families for SDoH in a systematic way can facilitate connection to pertinent resources. However, there is a dearth of information regarding SDoH screening and the role of SBHCs in pediatric SDoH interventions. This project focuses on the critical need to identify the facilitators and barriers of SDoH information gathering behaviors in SBHCs. Through an exploratory sequential design, the project will include the development of an informatics resource providing SDoH information to SBHC providers. Asthma will serve as the first clinical condition for this novel work. The investigators will address three specific aims: Aim 1. Describe the information gathering behaviors for SDoH and asthma performed by school-based health providers (i.e., nurse practitioners, physicians, physician assistants) for preventative asthma care, and what barriers exist for information gathering. Aim 2. Develop and evaluate an informatics resource that provides actionable SDoH information related to the preventative management of asthma. Aim 3: Evaluate the feasibility of an informatics resource comprising SDoH among school-based health providers for use in the preventative management of asthma. The PI will receive research training through the rich scientific environment of Vanderbilt University. Training goals will focus on acquiring knowledge and skills in biomedical informatics, research methodology, qualitative focus groups, SDoH, and responsible conduct of research. The highly experienced mentorship team will provide support to make continued progress toward independence in a program of research focused on SDoH in school-based health centers, of which this project is a key component. Upon successful completion of the proposed study, contributions are expected to fill a critical knowledge gap with evidence that supports screening for SDoH by school-based health providers. These contributions will be significant because they are expected to provide a way to operationalize SDoH, to prevent asthma exacerbations, and address social needs to improve the lives of school-age children. The proposed study supports the mission of NINR through inquiry that addresses both the SDoH and Health Equity research lenses in the unique setting of school-based health centers.

项目摘要卫生的社会决定者（SDOH）与健康结果和健康差异不佳有关。国家科学，工程和医学的护理未来报告鼓励临床医生解决SDOH，这是人们生活，学习，工作，娱乐和崇拜的环境条件，这会影响健康，功能和生活质量。虽然有大量的知识相关 SDOH患有童年哮喘，在筛查SDOH在学校的卫生中心（SBHC）中存在差距。 SBHCS护理儿童幼儿园前至18岁，与学校护士合作提高所有青年的健康和福祉。尽管SBHC可以访问个人级健康有关孩子的信息，SBHC提供商不容易访问SDOH信息社区和社区层面。以系统的方式筛查SDOH的小儿家庭可以促进与相关资源的联系。但是，有关SDOH筛查和 SBHC在小儿SDOH干预措施中的作用。该项目着重于确定的关键需求 SBHCS中SDOH信息收集行为的促进者和障碍。通过探索性顺序设计，该项目将包括提供信息资源的开发，以提供SDOH信息 SBHC提供商。哮喘将成为这项新工作的第一个临床状况。调查人员会解决三个具体目标：目标1。描述SDOH和哮喘的信息收集行为由学校的卫生提供者（即护士从业者，医师，医师助理）进行的预防性哮喘护理以及信息收集的障碍。目标2。开发和评估提供与可行的SDOH信息有关的信息资源哮喘。 AIM 3：评估基于学校的信息资源完成SDOH的可行性卫生提供者用于哮喘的预防性管理。 PI将接受研究培训通过范德比尔特大学丰富的科学环境。培训目标将重点放在生物医学信息，研究方法，定性焦点小组，SDOH和负责任的研究。经验丰富的精神训练团队将提供支持在一项针对SDOH的研究计划中，持续取得了独立的进步中心，该项目是关键组成部分。成功完成拟议的研究后，预计贡献将填补关键的知识差距，并支持支持SDOH筛选的证据以学校为基础的健康提供者。这些贡献将是重要的，因为它们应提供操作SDOH，防止哮喘加剧并满足社会需求以改善生活的方法学龄儿童。拟议的研究通过询问来支持NINR的使命，这两者都解决 SDOH和健康公平研究镜头以学校为基础的卫生中心的独特环境。