HEART Study: Development of the Health Equitability Assessment and Readiness Tool

HEART 研究：健康公平评估和准备工具的开发

• 批准号: 10722851
• 负责人: Whitney Chivonne Irie
• 金额: $ 46.95万
• 依托单位: BOSTON COLLEGE
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-08-10 至 2028-07-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10722851
• 关键词: AIDS prevention; Acceleration; Address; Assessment tool; Award; Biomedical Research; Black Populations; Black race; COVID-19; Child; Client; Clinical; Communicable Diseases; Communities; Complex; Conceptual Domain; Data; Development; Device or Instrument Development; Disease; Disparity; Disparity population; Ensure; Epidemic; Equity; Evaluation; Evidence based intervention; Future; Generations; Geography; HIV; Health Priorities; Health Professional; Health system; Hospitalization; Human Papillomavirus; Incidence; Inequity; Influenza; Intervention; Investments; Link; Longitudinal Studies; Maps; Measurable; Measurement; Measures; Methods; Mission; Monkeypox; Not Hispanic or Latino; Outcome; Pathway interactions; Policy Maker; Positioning Attribute; Prevalence; Prevention; Principal Investigator; Process; Psychometrics; Public Health; Readiness; Reporting; Reproducibility; Research; Research Design; Research Personnel; Resources; Services; Sorting; Structure; Surveys; System; Testing; United States; Vaccination; Vaccines; Validation; Visualization; black men; black women; cognitive interview; concept mapping; coronavirus disease; design; disorder prevention; flu; health equity; health inequalities; implementation evaluation; implementation science; improved; innovation; instrument; outcome disparities; population health; premature; prevent; preventable death; programs; public health priorities; racial disparity; sexual minority; social determinants; tool; usability

PROJECT SUMMARY Even though highly efficacious biomedical prevention and treatment interventions exist for a range of infectious diseases, implementation has been marred by pervasive and unacceptable racialized disparities and led to inequitable population health effects. While public health increasingly recognizes health equity as a priority, at present we lack — and urgently need — a scientifically grounded, empirically supported, tool to assess the equity capacity or equitability of public health programming and implementation. Such an instrument would enable researchers, practitioners, and policymakers to advance equitable outcomes through anticipating gaps before they occur, direct context-specific capacities, target improvements and resources and thereby accelerate progress toward health equity. The Health Equitability Assessment and Readiness Tool (HEART) will address this significant gap by completing the following specific aims 1) use a formal set of mixed method activities to support the conceptual development and concept mapping of equitability into measurable domains, 2) develop the content, structure, and design of the HEART measure and conduct preliminary psychometric analysis to assess validity and internal reliability, and 3) to implement and evaluate HEART in various HIV program settings. The expected outcome is a scientifically validated and practical measure of public health program’s equitability that can be easily integrated in community and clinical settings. The principal investigator is well-positioned to lead the study activities with the support of her established team of collaborators with complementary expertise in infectious disease prevention, health equity, implementation science, and measurement development. The proposed project is in alignment with the New Innovator’s Award’s mission to support “risky…innovative and high impact research concepts that will advance key concepts on broad, important problems in biomedical research.”

项目摘要 尽管对一系列传染性疾病存在高度有效的生物医学预防和治疗干预措施， 由于普遍存在和不可接受的种族主义差异， 不公平的人口健康影响。虽然公共卫生越来越认识到卫生公平是一个优先事项， 目前，我们缺乏--而且迫切需要--一种有科学根据、有经验支持的工具来评估 公共卫生规划和执行的公平能力或公平性。这样一项文书将 使研究人员、从业人员和政策制定者能够通过预测差距来促进公平的结果 在其发生之前，直接针对具体情况的能力，有针对性的改进和资源，从而 加快实现卫生公平。健康公平性评估和准备工具（HEART） 我将通过完成以下具体目标来解决这一重大差距：1）使用一套正式的混合方法 开展活动，支持公平概念的发展和将公平概念映射到可衡量的领域， 2)开发HEART测量的内容、结构和设计，并进行初步的心理测量 分析，以评估有效性和内部可靠性，和3）实施和评估心脏在各种艾滋病毒 程序设置。预期的结果是一个科学验证和实用的公共卫生措施 计划的公平性，可以很容易地在社区和临床环境中整合。主要研究者 在她建立的合作者团队的支持下， 传染病预防、健康公平、实施科学方面的互补专业知识， 测量发展。拟议的项目符合新创新者奖的使命， 支持“风险.创新和高影响力的研究概念， 生物医学研究中的重要问题。”