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

• 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
• 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

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 健康的社会决定因素（SDoH）与健康结果不佳和健康差距有关。的 美国国家科学、工程和医学院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， 会影响健康功能和生活质量虽然有大量的知识库， 儿童哮喘的SDoH，在以学校为基础的健康中心（SBHC）的SDoH筛查存在差距。 SBHC照顾幼儿园前至18岁的儿童，与学校护士合作， 促进所有青年的健康和福祉。虽然SBHC可以获得个人层面的健康， 有关儿童的信息，SBHC提供者无法轻松访问SDoH信息， 邻里和社区层面。以系统的方式筛查儿童家庭的SDoH可以促进 连接相关资源。然而，缺乏关于SDoH筛查的信息， SBHC在儿科SDoH干预中的作用。该项目的重点是确定 SBHC中SDoH信息收集行为的促进因素和障碍。通过一个探索性的序列 设计，该项目将包括开发一个信息资源，提供SDoH信息， SBHC供应商。哮喘将作为这项新工作的第一个临床条件。调查人员将 具体目标有三个：目标1。描述SDoH和哮喘的信息收集行为 由以学校为基础的健康提供者进行（即，执业护士、医师、医师助理）， 预防性哮喘护理，以及信息收集存在哪些障碍。目标二。制定和评估 信息资源，提供与预防性管理相关的可操作的SDoH信息， 哮喘目标3：评估在校本教育中使用包含自定义卫生的信息资源的可行性 健康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。培训目标将侧重于获得 生物医学信息学、研究方法、定性焦点小组、SDoH的知识和技能， 负责任地进行研究。经验丰富的导师团队将提供支持， 在以学校为基础的健康研究中，继续朝着独立的方向发展 中心，其中该项目是一个关键组成部分。在成功完成拟议的研究后， 预计这些贡献将填补一个关键的知识空白，并提供支持SDoH筛查的证据， 以学校为基础的健康服务提供者。这些捐款将是重要的，因为预计它们将提供一个 实施SDoH的方法，以预防哮喘恶化，并解决改善生活的社会需求 学龄儿童。拟议的研究支持NINR的使命，通过调查，解决两个 SDoH和健康公平的研究镜头在学校为基础的健康中心的独特设置。