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The Center for Research, Health, and Social Justice

研究、健康和社会正义中心

基本信息

批准号：
10891955
负责人：
Carol Ellen Cornell
金额：
$ 97万
依托单位：
UNIV OF ARKANSAS FOR MED SCIS
依托单位国家：
美国
项目类别：
财政年份：
2021
资助国家：
美国
起止时间：
2021-09-24 至 2026-06-30
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10891955
关键词：
Address African American African American population Arkansas Black Populations Black race Cardiovascular Diseases Chronic Disease Cigar Cigarette Client Clinical Collaborations Communities County Data Development Discrimination Education Equity Ethnic Population Evidence based intervention Extramural Activities Foundations Funding Generations Goals Health Health Disparities Research Health Knowledge Attitudes Practice Health Personnel Health Professional Heart Diseases Infrastructure Institution Intervention Knowledge Left Life Cycle Stages Life Expectancy Link Malignant Neoplasms Medical Menthol Mentors Methods Modeling Monitor National Institute on Minority Health and Health Disparities Patients Persons Phase Pilot Projects Politics Postdoctoral Fellow Process Provider Randomized Research Research Personnel Research Project Grants Resources Rural Science Smoker Social Justice Standardization Statutes and Laws Structure Surveys System Testing Tobacco Tobacco smoke Tobacco use Training Training Activity Training and Education Training and Infrastructure Translating Trust Underrepresented Populations United States United States National Institutes of Health attributable mortality cancer health disparity cigarette smoking community engagement community partnership concept mapping design disease disparity disorder risk disparity elimination disparity reduction evidence base experience health disparity innovation interdisciplinary collaboration lens lung cancer screening member mortality multidisciplinary novel patient navigator programs racial disparity racial population racism rural area rural dwellers skills smoking cessation social determinants social disparities social structure structural health determinants success training opportunity uptake urban area

项目摘要

PROJECT SUMMARY – PROJECT 4 For decades, Black/African American people have had the highest cigarette smoking-attributable mortality in the United States. Evidence-based interventions that could reduce the mortality burden have been slow to reach Black smokers in the clinical setting. The long-term goal of this study is to increase provider advice to quit smoking tobacco and patient referrals to lung cancer screening, evidence-based clinical interventions that could have a powerful influence on saving the lives of Black people who smoke tobacco. To accomplish this goal, the Black Health Block Quit and Screen Project will engage members of the National Medical Association, the largest organization of Black health care providers in the United States, in a training and education campaign guided by our novel and adapted version of the National Institutes of Minority Health and Health Disparities Research Framework for Tobacco-Related Health Disparities. Our multidisciplinary team will conduct a mixed-methods study (concept mapping and survey) in Phase 1 to better understand health care providers' 1) knowledge, attitudes, and behaviors and 2) perceived political, social, and structural determinants of health that impede Black smokers from quitting tobacco and screening for lung cancer. In Phase 2, our team will use the data from concept mapping and the health care provider survey to develop training modules that help health care providers deal with the unique needs of Black menthol smokers and people with social disadvantage. Our study will examine the feasibility and impact of the Black Health Block Culturally Tailored Training alone versus the Health Disparities and Lung Cancer Screening Training + the Black Health Block Culturally Tailored training modules on changes in knowledge, attitudes, and behavior among health care providers randomly assigned to each condition. In Phase 3, our team will examine the reach of the education campaign that links patients and providers to resources to facilitate quitting smoking and lung cancer screening via a patient navigator. The proposed study takes advantage of a unique and timely opportunity to prepare a national organization of Black health care professionals to help Black smokers quit and screen amid pending federal legislation to ban menthol cigarettes and flavors cigars. If this study is successful, then the data can be used to launch a larger trial that tests the impact of culturally relevant training modules on health care provider uptake of evidence-based clinical interventions and Black smokers' quitting and screening for lung cancer. .

项目概要----项目4 几十年来，黑人/非洲裔美国人的吸烟归因死亡率最高，美国的可以降低死亡率负担的循证干预措施进展缓慢，在临床环境中接触到黑人吸烟者。这项研究的长期目标是增加提供者的建议，戒烟烟草和病人转诊肺癌筛查，循证临床干预，可能对挽救吸烟黑人的生命产生强大的影响。为了实现这一目标，黑人健康街区戒烟和筛查项目将吸引国家医疗机构的成员，协会，美国最大的黑人医疗保健提供者组织，在一个培训和由我们的小说和改编版的国家少数民族健康研究所指导的教育活动，烟草相关健康差异研究框架。我们的多学科团队将在第1阶段进行混合方法研究（概念图和调查），以更好地了解医疗保健提供者的1）知识，态度和行为，2）感知的政治，社会和结构决定因素健康问题阻碍了黑人吸烟者戒烟和肺癌筛查。在第二阶段，我们的团队将使用概念图和卫生保健提供者调查的数据开发培训模块，帮助卫生保健提供者处理黑人薄荷烟吸烟者和社会问题患者的独特需求。劣势我们的研究将探讨黑人健康街区的可行性和影响，单独培训与健康差异和肺癌筛查培训+黑人健康块关于卫生保健领域知识、态度和行为变化的文化定制培训模块随机分配给每个条件的供应商。在第三阶段，我们的团队将检查教育的覆盖范围，将患者和提供者与资源联系起来的活动，以促进戒烟和肺癌筛查通过病人导航仪。拟议的研究利用了一个独特而及时的机会，一个全国性的黑人医疗保健专业人员组织，帮助黑人吸烟者戒烟，联邦立法禁止薄荷香烟和香料雪茄。如果这项研究成功，那么数据可以用于启动一项更大规模的试验，测试与文化相关的培训模块对卫生保健提供者的影响采用循证临床干预措施以及黑人吸烟者戒烟和肺癌筛查。 .