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Mentoring in Community-engaged Research to Promote Health Equity for Latinos

指导社区参与的研究，以促进拉丁裔的健康公平

基本信息

批准号：
10708867
负责人：
Kathleen R Page
金额：
$ 19.39万
依托单位：
JOHNS HOPKINS UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2022
资助国家：
美国
起止时间：
2022-09-22 至 2027-07-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10708867
关键词：
Address Adoption Applied Skills Award Behavioral COVID-19 COVID-19 pandemic Caring Classification Clinic Communicable Diseases Communities Community Health Aides Consolidated Framework for Implementation Research Data Aggregation Data Collection Dedications Discrimination Economics Electronics Ensure Environment Epidemiology Ethnic Origin Ethnic Population Evaluation Exclusion Faculty Family Fostering Friends Funding Future Generations Goals Health Health Insurance Health Services Health Services Accessibility Health system Healthcare Healthcare promotion Hospitalization Hotlines Hybrids Immigration Improve Access Incentives Inequity Infrastructure Institution Intervention Interview Knowledge Language Latino Latino Population Leadership Learning Skill Limited English Proficiency Linguistics Low income Maintenance Medical Medicine Mentors Methodology Methods Migrant Modeling Motivation Not Hispanic or Latino Online Systems Outcome Pathway Analysis Persons Policies Population Poverty Public Health RADx Underserved Populations Race Reduce health disparities Research Research Personnel Resources SARS-CoV-2 exposure Sampling Science Scientific Advances and Accomplishments Social Network Specialist Structure Students Surveys Technology Testing Text Messaging Time Touch sensation Training Trust Underserved Population United States National Institutes of Health Vaccinated Vaccination Vulnerable Populations Work behavior change bilingualism career clinical care community based research community building community engaged research community engagement digital disorder risk effectiveness research equity, diversity, and inclusion evidence base experience health disparity health equity health equity promotion health literacy high risk implementation determinants implementation evaluation implementation outcomes implementation research implementation science improved innovation interest mHealth marginalized population mid-career faculty migration pandemic disease peer programs public health research recruit reinforced behavior research study skills social social stigma socioeconomics stressor success theories training opportunity uptake

项目摘要

Dr. Page is an Associate Professor of Medicine and infectious disease specialist engaged in clinical care, and public health research with a focus on expanding access to care for marginalized populations through community-engaged program building and evaluation. Over the last 15 years, her research has focused on: 1) Elucidating the impact on health of stressors associated with migration and poverty; 2) Implementing and evaluating culturally and linguistically adapted interventions to improve access to care and utilization among underserved populations; and 3) Bridging the gap between scientific advances and real-world implementation to reach communities at highest risk of disease. She is the co-founder of Centro SOL (Center for Salud & Opportunities for Latinos), and has established a community coalition that has developed culturally and linguistically appropriate interventions to reduce health disparities among low-income limited Englih proficiency Latino communities. The objectives of this application are to support a program for mentoring junior investigators interested in health disparities, and to foster innovative epidemiology and implementation science research through interdisciplinary and community-engaged approaches. The research strategy proposed in this award capitalizes on existing multi-stakeholder community-academic-public health partnerships, as well as the infrastructure of Centro SOL and multiple independently funded research studies. This Mid-Career award explores the multi-level barriers and facilitators of engagement in healthcare and research through peers and technology (hybrid methods) that leverage social networks, mobile health (mHealth) and trusted community health workers. Informed by the Information-Motivation-Behavioral Skills model (IMB) and Social Network Theory, Aim 1 will determine the efficiency and acceptability of hybrid methods to promote healthcare engagement among low income LEP Latinos. In Aim 2, the study will determine the efficiency and acceptability of using hybrid methods for recruitment, data collection, and research engagement among Latinos by comparing traditional convenience sampling approaches to sampling using technology-based methods. Using the Consolidated Framework for Implementation Research (CFIR) and Research Effectiveness-Adoption Implementation Maintenance (RE-AIM) framework, semi-structured interviews will be conducted with key stakeholders to assess and inform implementation determinants and outcomes of hybrid methods to inform future broad scale implementation (Aim 3). This proposal creates a platform for trainees to learn and apply skills in community-based research, implementation science, mHealth, network analysis, epidemiology, and health disparities. This work also seeks to improve diversity, equity, and inclusion in research by prioritizing community engagement and training opportunities for early-stage investigators who are under-represented in medicine and health-related sciences

佩奇博士是医学副教授和从事临床护理的传染病专家，公共卫生研究，重点是扩大边缘化人口获得护理的机会，社区参与的项目建设和评估。在过去的15年里，她的研究主要集中在：1）阐明与移徙和贫穷有关的压力因素对健康的影响; 2）执行和评估适应文化和语言的干预措施，以改善儿童获得护理的机会和利用率，服务不足的人群; 3）弥合科学进步与现实世界实施之间的差距以到达疾病风险最高的社区。她是Centro SOL（健康中心）的联合创始人，拉丁裔的机会），并建立了一个在文化和语言上适当的干预措施，以减少低收入有限的英语水平之间的健康差距拉丁裔社区。此应用程序的目标是支持一个指导初级对健康差异感兴趣的调查人员，并促进创新的流行病学和实施科学通过跨学科和社区参与的方法进行研究。中提出的研究战略该奖项利用了现有的多利益相关者社区-学术-公共卫生伙伴关系，以及 Centro SOL的基础设施和多项独立资助的研究。职业生涯中期奖探讨了通过同行参与医疗保健和研究的多层次障碍和促进因素，利用社交网络、移动的健康（mHealth）和可信社区的技术（混合方法）卫生工作者。信息-动机-行为技能模型（IMB）和社会网络理论上，目标1将决定混合方法促进医疗保健的效率和可接受性低收入的拉丁美洲人之间的联系。在目标2中，该研究将确定效率和可接受性在拉丁美洲人中使用混合方法进行招聘，数据收集和研究参与，将传统的便利抽样方法与使用基于技术的方法进行抽样进行比较。使用实施研究的综合框架（CFIR）和研究的可行性-采用实施维护（RE-AIM）框架，半结构化访谈将进行关键利益攸关方评估和通报混合方法的执行决定因素和成果，未来大规模实施（目标3）。这一建议为学员创造了一个学习和应用的平台在社区为基础的研究，实施科学，mHealth，网络分析，流行病学，健康差距。这项工作还旨在通过优先考虑以下问题来改善研究的多样性，公平性和包容性社区参与和培训机会的早期阶段的调查人员谁是代表不足，医学和与健康有关的科学