Educational-Clinical Linkage to Improve Health Equity for Children with Developmental Delays and Disabilities from Marginalized Communities
教育与临床联系可改善边缘化社区发育迟缓和残疾儿童的健康公平
基本信息
- 批准号:10835586
- 负责人:
- 金额:$ 73.48万
- 依托单位:
- 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:2023-09-19 至 2028-06-30
- 项目状态:未结题
- 来源:
- 关键词:5 year oldAccelerationAddressBlack raceBrainCaregiversCaringCharacteristicsChildChild CareChild RearingChild health equityChildhoodChronic CareCitiesClinicClinicalCommunitiesData CollectionDevelopmentDevelopmental Delay DisordersDevelopmental DisabilitiesDocumentationEconomicsEducationEffectivenessEligibility DeterminationEvaluationFailureFamilyFosteringGuidelinesHealthHealth InsuranceHealth ServicesHispanicImprove AccessIncomeInequityInterventionInterviewKnowledgeLow incomeMeasuresMediatingMediatorMedical EducationMental HealthMethodsModelingMorbidity - disease rateNot Hispanic or LatinoNursery SchoolsOutcomeParentsParticipantPreventive careQuality of lifeRandomizedRecommendationResearchSchool Health ServicesSchool-Age PopulationScientific Advances and AccomplishmentsServicesStressStructural RacismSurveysSystemTestingTherapeuticUnited States Agency for Healthcare Research and QualityWaiting Listsarmcare systemschild servicesclinical carecritical perioddesignearly childhoodeducation accesseffectiveness evaluationeffectiveness testingeffectiveness/implementation hybridevidence basegroup interventionhealth care disparityhealth equity promotionimplementation evaluationimplementation measuresimplementation outcomesimprovedinnovationintervention effectlower income familiesmarginalized communityneighborhood safetynovelpatient centered medical homepeerpilot testprimary outcomeresiliencesecondary outcomeservice deliveryskillssocialsocial health determinantssuccesstreatment as usualvirtual
项目摘要
ABSTRACT
Societal and structural inequities have resulted in longstanding health care disparities among Black, Hispanic,
and low-income preschool-age children with developmental delays and disabilities (PCw/DD) depriving them of
educational and therapeutic services which foster development and improve later academic, economic, and
health outcomes. Studies also indicate when children receive these needed services, their parents benefit with
improvements in mental health, stress, and quality of life. The scientific objectives of this proposal are to 1) test
effective strategies to increase access to ECSE services among PCw/DD from historically marginalized
communities; and 2) characterize potential mechanisms by which such strategies may lead to improved
multilevel health outcomes. Preschool and Me (PreM) is a novel community clinical linkage (CCL) designed for
clinical settings serving historically marginalized communities. Combining key components of CCLs with a
personalized medical-education care plan and remote navigator support, PreM targets different levels of
influence impacting therapeutic access identified in our prior research. In pilot testing, PreM was feasible to
deliver, acceptable to parents, and demonstrated preliminary efficacy on completed ECSE evaluations among
families attending a pediatric clinic serving largely Black and Hispanic families from low-income communities.
Thus, this R01 application proposes to utilize a hybrid effectiveness-implementation approach to test PreM in
two models of real-world service delivery conditions. Participants (n=320) will be randomized to either: 1) 6
months of PreM (intervention group) or 2) a waitlist control arm beginning the intervention after a 6-month
delay. We will follow all participants for 12 months with data collection occurring at 4 timepoints (baseline, 3-,
6- and 12-months). Our specific aims are to test effectiveness of PreM on indicators of ECSE access (primary)
and child-, parent-, family- and health service outcomes (secondary); examine theoretically derived mediators
of intervention effects using a mixed methods approach; and explore social determinants of health as potential
moderators. We will also simultaneously conduct a mixed methods implementation evaluation focusing on
implementation outcomes to serve as indicators for implementation success; measures of implementation
quality; and intermediate outcomes to understand and address successes and failures in relation to clinical
outcomes. The results of this project have the potential to: 1) advance scientific knowledge about how gaps
and delays in educational and therapeutic services impact health outcomes among PCw/DD and their families;
2) identify mechanisms to increase access to ECSE services and address longstanding health care disparities;
and 3) support effective implementation of educational-clinical linkage models within pediatric clinical settings
serving historically marginalized communities which can be utilized to improve health outcomes for families
and their children with a range of health conditions.
摘要
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 }}
Reshma Shah其他文献
Reshma Shah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('Reshma Shah', 18)}}的其他基金
Promoting Early Child Development in Primary Care for Low-Income Families
促进低收入家庭初级保健中的早期儿童发展
- 批准号:
9750044 - 财政年份:2016
- 资助金额:
$ 73.48万 - 项目类别:
Promoting Early Child Development in Primary Care for Low-Income Families
促进低收入家庭初级保健中的早期儿童发展
- 批准号:
9179941 - 财政年份:2016
- 资助金额:
$ 73.48万 - 项目类别:
相似海外基金
EXCESS: The role of excess topography and peak ground acceleration on earthquake-preconditioning of landslides
过量:过量地形和峰值地面加速度对滑坡地震预处理的作用
- 批准号:
NE/Y000080/1 - 财政年份:2024
- 资助金额:
$ 73.48万 - 项目类别:
Research Grant
Collaborative Research: FuSe: R3AP: Retunable, Reconfigurable, Racetrack-Memory Acceleration Platform
合作研究:FuSe:R3AP:可重调、可重新配置、赛道内存加速平台
- 批准号:
2328975 - 财政年份:2024
- 资助金额:
$ 73.48万 - 项目类别:
Continuing Grant
SHINE: Origin and Evolution of Compressible Fluctuations in the Solar Wind and Their Role in Solar Wind Heating and Acceleration
SHINE:太阳风可压缩脉动的起源和演化及其在太阳风加热和加速中的作用
- 批准号:
2400967 - 财政年份:2024
- 资助金额:
$ 73.48万 - 项目类别:
Standard Grant
Market Entry Acceleration of the Murb Wind Turbine into Remote Telecoms Power
默布风力涡轮机加速进入远程电信电力市场
- 批准号:
10112700 - 财政年份:2024
- 资助金额:
$ 73.48万 - 项目类别:
Collaborative R&D
Collaborative Research: FuSe: R3AP: Retunable, Reconfigurable, Racetrack-Memory Acceleration Platform
合作研究:FuSe:R3AP:可重调、可重新配置、赛道内存加速平台
- 批准号:
2328973 - 财政年份:2024
- 资助金额:
$ 73.48万 - 项目类别:
Continuing Grant
Collaborative Research: FuSe: R3AP: Retunable, Reconfigurable, Racetrack-Memory Acceleration Platform
合作研究:FuSe:R3AP:可重调、可重新配置、赛道内存加速平台
- 批准号:
2328972 - 财政年份:2024
- 资助金额:
$ 73.48万 - 项目类别:
Continuing Grant
Collaborative Research: A new understanding of droplet breakup: hydrodynamic instability under complex acceleration
合作研究:对液滴破碎的新认识:复杂加速下的流体动力学不稳定性
- 批准号:
2332916 - 财政年份:2024
- 资助金额:
$ 73.48万 - 项目类别:
Standard Grant
Collaborative Research: A new understanding of droplet breakup: hydrodynamic instability under complex acceleration
合作研究:对液滴破碎的新认识:复杂加速下的流体动力学不稳定性
- 批准号:
2332917 - 财政年份:2024
- 资助金额:
$ 73.48万 - 项目类别:
Standard Grant
Collaborative Research: FuSe: R3AP: Retunable, Reconfigurable, Racetrack-Memory Acceleration Platform
合作研究:FuSe:R3AP:可重调、可重新配置、赛道内存加速平台
- 批准号:
2328974 - 财政年份:2024
- 资助金额:
$ 73.48万 - 项目类别:
Continuing Grant
Study of the Particle Acceleration and Transport in PWN through X-ray Spectro-polarimetry and GeV Gamma-ray Observtions
通过 X 射线光谱偏振法和 GeV 伽马射线观测研究 PWN 中的粒子加速和输运
- 批准号:
23H01186 - 财政年份:2023
- 资助金额:
$ 73.48万 - 项目类别:
Grant-in-Aid for Scientific Research (B)














{{item.name}}会员




