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Chicago Chronic Condition Equity Network (C3EN)

芝加哥慢性病股票网络 (C3EN)

基本信息

批准号：
10892590
负责人：
ELBERT S. HUANG
金额：
$ 49.33万
依托单位：
UNIVERSITY OF CHICAGO
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/10892590
关键词：
Address Affect Anxiety Area Arousal Cardiovascular Diseases Caring Cellular Phone Chicago Chronic Clinic Clinic Visits Cognition Coupling Depression screen Diagnosis Disparity population Distress Eligibility Determination Environment Equity Evaluation Evidence based treatment Family health status Federally Qualified Health Center Goals Grant Health High Prevalence Impairment Interview Knowledge Life Managed Care Medical Care Team Mental Depression Mental Health Mental disorders Methods Modeling Moods Multicenter Trials Outcome Patient Care Patient Outcomes Assessments Patients Persons Population Post-Traumatic Stress Disorders Primary Care Process Randomized Randomized, Controlled Trials Recommendation Resources Risk Screening procedure Secure Severities Side Stigmatization Substance Use Disorder Surveys Symptoms Syndrome System Telephone Time Trauma United States Department of Veterans Affairs United States Preventative Services Task Force Work assault behavioral health biopsychosocial factor clinical research site community violence depressive symptoms diagnostic criteria ethnic minority ethnic minority population experience high risk implementation framework implementation/effectiveness improved interest minority patient mortality novel strategies patient portal patient screening patient-clinician communication physical conditioning population health primary care clinic primary care setting primary care team primary care visit primary outcome racial minority racial minority population risk stratification routine screening safety net screening social culture social disparities social stigma socioeconomic disadvantage symptomatic improvement tool trauma exposure traumatic event traumatic stress web site

项目摘要

PROJECT ABSTRACT Traumatic stress and post-traumatic stress disorder (PTSD) are highly prevalent and lead to increases in psychiatric and cardiovascular disease. Racial and ethnic minority people residing in sociocultural environments entrenched in community violence or experiencing assault are at especially high risk of PTSD. However, many people with PTSD are not diagnosed or treated. Current practices for identifying PTSD are subject to bias because diagnosis depends on clinician- or patient-initiated discussion of trauma-related symptoms, and stigma, knowledge, time, and access to resources are often barriers to these discussions. System-level solutions are needed to increase diagnosis and treatment of PTSD. Systematic screening protocols can help address bias in who is screened. A keystone to screening for PTSD could be to screen patients when they are at clinic visits. While no formal recommendation exists for PTSD screening, clinics who serve patients at a high risk for PTSD, for example, the Veterans Affairs, have implemented screening at clinic visits. Use of patient portals may provide another promising strategy to address barriers to PTSD screening. In our previous work, we used a population health approach to screen for and assess depression symptoms, employing the patient portal as a tool to reach out to patients. We found that it resulted in a higher screening rate and identified more patients with moderate-severe depression. After identifying patients with PTSD, the next necessary step is to provide evidence-based treatments, like integrated primary-care behavioral health (PCBH). Integrated primary care-behavioral health (PCBH) is a model of care in which the behavioral health and primary care teams are collocated with the primary care clinic and work together to address the biopsychosocial factors that are affecting a patient’s health. PCBH has been found to be less stigmatizing for patients with PTSD and models of care that are proactive and provide telephonic care management have been found to increase treatment engagement for PTSD. Thus, coupling screening for PTSD with a PCBH model may be a highly effective strategy to improving PTSD outcomes. Therefore, our goal is to implement and evaluate a novel strategy for screening and management of PTSD in a primary care setting with a high prevalence of trauma, specifically the South Side of Chicago. In partnership with Chicago Family Health Center, an FQHC with five clinical sites and PCBH, we aim to 1) Implement a system-level screening and management strategy for PTSD. We will implement a process of clinic visit and population health screening for PTSD leveraging the patient portal with linkage to care within a PCBH model and 2) Evaluate a system-level screening and management strategy for PTSD. With these aims, this grant will lead to increased understanding of the utility and feasibility of screening and managing PTSD in an FQHC that serves a predominantly racial/ethnic minority population with high rates of trauma exposure. If proven effective, we will evaluate this model of care in a multi-center trial of FQHCs.

项目摘要

项目成果

期刊论文数量（2）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Comprehensive geriatric assessment predicts listing for kidney transplant in patients with end-stage renal disease: a retrospective cohort study.

综合老年评估预测终末期肾病患者进行肾移植：一项回顾性队列研究。

DOI：
10.1186/s12877-024-04734-7
发表时间：
2024
期刊：
BMC geriatrics
影响因子：
4.1
作者：
Patel,Jay;Martinchek,Michelle;Mills,Dawson;Hussain,Sheraz;Kyeso,Yousef;Huisingh-Scheetz,Megan;Rubin,Daniel;Landi,AndreaJ;Cimeno,Arielle;Madariaga,MariaLuciaL
通讯作者：
Madariaga,MariaLuciaL

A usability and participatory design study for GeRI, an open-source, remote cancer treatment toxicity and frailty monitoring platform for older adults.

GeRI 的可用性和参与性设计研究，GeRI 是一个针对老年人的开源远程癌症治疗毒性和虚弱监测平台。

DOI：
10.1016/j.jgo.2023.101595
发表时间：
2024
期刊：
Journal of geriatric oncology
影响因子：
3
作者：
Mir,Nabiel;Curry,Gina;Lee,NitaKarnik;Szmulewitz,RussellZelig;Huisingh-Scheetz,Megan
通讯作者：
Huisingh-Scheetz,Megan