P-KIDs CARE: An Intervention to Address Health Systems Delays to Care for Injured Children in Tanzania

P-KIDs CARE：解决坦桑尼亚卫生系统延误照顾受伤儿童的干预措施

基本信息

批准号：
10722628
负责人：
Elizabeth Marie Keating
金额：
$ 17.5万
依托单位：
UNIVERSITY OF UTAH
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：
2023-09-01 至 2028-08-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10722628
关键词：
Address Affect Africa South of the Sahara Assessment tool Award Caring Cessation of life Child Childhood Childhood Injury Clinical Investigator Clinical Trials Clinical Trials Design Communities Complex Consolidated Framework for Implementation Research Data Dedications District Hospitals Educational workshop Effectiveness Emergency Medicine Emergency Situation Ensure Evaluation Evaluation Research Feedback Fellowship Focus Groups Foundations Future Goals Health Health Personnel Health Services Accessibility Health care facility Health system Hospital Referrals Hour Infrastructure Injury Interdisciplinary Study International Intervention Interview K-Series Research Career Programs Knowledge Medical Medical center Mentors Mentorship Methods Morbidity - disease rate National Institute of Child Health and Human Development Outcome Patients Physicians Positioning Attribute Prevention Process Public Health Qualitative Methods Quality of Care Registries Research Research Personnel Resource-limited setting Risk Assessment Scientist Site Strategic Planning System Tanzania Techniques Time Training Trauma Trauma Research Traumatic injury Triage United States National Institutes of Health Work acceptability and feasibility career career development disability evidence base experience formative assessment global health implementation context implementation evaluation implementation framework implementation intervention implementation outcomes implementation science improved improved outcome injured innovation intervention refinement low and middle-income countries mortality multi-component intervention multidisciplinary novel pediatric emergency pediatric patients pediatric trauma pilot test responsible research conduct skills success therapy development tool

项目摘要

PROJECT SUMMARY/ABSTRACT Every day, 1900 children die from an injury. More than 95% of these pediatric injury deaths occur in low- and middle-income countries (LMICs), with children in sub-Saharan Africa disproportionately affected. In sub- Saharan Africa, pediatric morbidity and mortality could be minimized if children with serious injuries received timely quality care. The objective of the proposed research is to develop and pilot a locally-relevant, multicomponent intervention to streamline the triage process (e.g. patient assessment, stabilization, and disposition) for pediatric injury patients in Tanzania. This health systems intervention will work at the first level of medical contact (e.g., health center and district hospital), in order to facilitate timely disposition and referrals, and subsequently decrease time to definitive care. The proposed study has three aims: 1) With a mixed methods approach, describe the barriers to pediatric injury care at the first medical contact; 2) Iteratively develop the P-KIDs CARE intervention using a nominal group technique and conduct a pre-implementation assessment and refinement; 3) Pilot the P-KIDs CARE intervention and perform an implementation-focused formative evaluation. This career development award is being proposed by Dr. Elizabeth Keating, a Pediatric Emergency Medicine physician-scientist focused on resource-limited settings like Tanzania. During the award period, the candidate will gain the training and mentorship to become an independent clinical investigator focused on developing novel, scalable health systems interventions in resource-limited settings. Along with developing this innovative intervention, the candidate will gain skills in implementation science, health systems intervention development, global clinical trial design, and the responsible conduct of research. The candidate’s career development will be guided by an impressive multi-disciplinary and international team of experienced mentors with extensive expertise in health systems intervention development, global clinical trials, and trauma management. This proposal speaks to NIH’s strategic goals by building capacity for systems-level trauma research in LMICs. By the end of this project, Dr. Keating will have a unique combination of research expertise and will be prepared to submit an R01 proposal that has the potential to improve outcomes for injured children in sub-Saharan Africa.

项目摘要/摘要每天，1900名儿童因受伤而死亡。这些小儿损伤死亡中有95％以上发生在低 - 和中等收入国家（LMIC），撒哈拉以南非洲的儿童受到了不成比例的影响。在子中如果受伤的儿童受伤，撒哈拉非洲，小儿发病率和死亡率可能会最小化及时的优质护理。拟议的研究的目的是开发和飞行与本地相关的，多组分干预以简化分类过程（例如，患者评估，稳定和坦桑尼亚小儿损伤患者的处置。这种卫生系统干预将在第一级起作用医疗接触（例如卫生中心和地区医院），以促进及时的处置和转诊随后减少了确定护理的时间。拟议的研究具有三个目的：1）混合方法方法，描述第一次医疗接触时小儿损伤护理的障碍； 2）迭代使用名义组技术开发P-KID护理干预措施并进行预实评估和改进； 3）驾驶P-KIDS护理干预措施并执行以实施为中心的形成性评估。这项职业发展奖由小儿伊丽莎白·基廷（Elizabeth Keating）博士提出急诊医学身体科学家专注于坦桑尼亚等资源有限的环境。在奖励期间时期，候选人将获得培训和心态，成为一名独立的临床研究者专注于在资源有限的设置中开发新颖的可扩展卫生系统干预措施。以及制定这种创新的干预措施，候选人将获得实施科学，卫生系统的技能干预开发，全球临床试验设计以及负责任的研究行为。候选人的职业发展将受到令人印象深刻的多学科和国际经验团队的指导卫生系统干预开发，全球临床试验和创伤方面具有广泛专业知识的导师管理。该提案通过建立系统级创伤的能力来表达NIH的战略目标 LMICS研究。到该项目结束时，基廷博士将拥有独特的研究专业知识组合并准备提交一项R01提案，该提案有可能改善受伤儿童的预后在撒哈拉以南非洲。