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 即使有高效的生物医学预防和治疗干预措施也存在一系列感染性 疾病，实施已被普遍存在和不可接受的种族分布所破坏，并导致 不平等的人口健康影响。尽管公共卫生越来越多地将健康公平视为优先事项，但 我们缺乏（迫切需要）一种科学扎根，经验支持的工具，可以评估 公共卫生计划和实施的股权或平等。这样的乐器会 使研究人员，从业人员和政策制定者能够通过预期差距来提高公平的结果 在发生之前，直接上下文特定的能力，目标改进和资源，从而 加速朝着健康公平的进步。健康公平性评估和准备就绪工具（心脏） 通过完成以下特定目的来解决这一重大差距1）使用一组正式的混合方法 支持公平概念开发和概念映射到可衡量域的活动， 2）发展心脏测量的内容，结构和设计并进行初步心理测量 分析以评估有效性和内部可靠性，以及3）在各种艾滋病毒中实施和评估心脏 程序设置。预期的结果是对公共卫生的科学验证且实用的测量 可以轻松整合在社区和临床环境中的计划的平等性。首席研究员 在她成立的合作者团队的支持下，有很好的位置，以领导研究活动 完全专业的预防传染病，健康公平，实施科学和 测量开发。拟议的项目与新创新者奖的使命保持一致 支持“有风险的……创新和高影响力的研究概念 生物医学研究中的重要问题。”