Impact of perceptions on choice of kidney transplant in rural Appalachia

阿巴拉契亚农村地区观念对肾移植选择的影响

• 批准号: 8299131
• 负责人: Nasrollah Ghahramani
• 金额: $ 18.03万
• 依托单位: PENNSYLVANIA STATE UNIV HERSHEY MED CTR
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-09-15 至 2014-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8299131
• 关键词: Alabama; Appalachian Region; Area; Attitude; Caring; Cessation of life; Characteristics; Clinical; Clinical Investigator; Clinical Research Curriculum Award; Commit; Communication; Communities; Country; County; Data; Data Analyses; Demography; Development; Development Plans; Diabetes Mellitus; Dialysis procedure; Education; End stage renal failure; Epidemiology; Ethnic Origin; Evaluation; Faculty; Focus Groups; Funding; Goals; Grant; Hares; Health; Healthcare; Healthy People 2010; Inequality; Institution; Intervention; Kentucky; Kidney Transplantation; Knowledge; Lead; Life; Life Expectancy; Living Donors; Maryland; Master of Science; Mentored Patient-Oriented Research Career Development Award; Mentors; Mentorship; Mississippi; Modeling; National Institute of Diabetes and Digestive and Kidney Diseases; Nephrology; New York; Ohio; Outcome; Patient Care; Patient Education; Patients; Pennsylvania; Perception; Physician-Patient Relations; Physicians; Population; Population Research; Positioning Attribute; Prevalence; Principal Investigator; Process; Program Development; Qualitative Research; Quality of life; Questionnaires; Race; Research; Research Institute; Research Personnel; Research Project Grants; Research Proposals; Research Training; Resources; Rural; Science; Social Psychology; Surveys; Tennessee; Therapeutic; Training; Training Programs; Transplant Recipients; Transplantation; United States National Institutes of Health; Variant; Virginia; Waiting Lists; West Virginia; Work; aging population; career; career development; cost; demographics; design; experience; field survey; geographic difference; improved; innovation; patient oriented research; programs; residence; rural area; skills; socioeconomics; statistics; success; urban area

DESCRIPTION (provided by applicant): Dr. Ghahramani is an academic transplant nephrologist with Master of Sciences in Health Evaluation Sciences. His immediate goal during the proposed grant period is to conduct research to further understand the impact of physician-specific and patient-specific processes that contribute to geographic differences in the choice of kidney transplantation as a treatment option. The aims of the research project are: 1) to compare perceptions of patient suitability for transplant by nephrologists in rural Appalachia with urban areas and to quantify the effect of these differences on referral of patients for transplant; 2) to understand the impact of differences in perceptions of patients in rural Appalachia and urban areas on choosing transplant as a treatment option. These aims will be achieved through analysis of survey data and focus group studies. The candidate's long-term career goal is to lead interdisciplinary patient-oriented research to improve delivery of transplantation care. The proposed career development plan will provide an in-depth research and training experience enabling him to attain this goal. The institution is committed to the candidate's success and has enormous research strengths in the area of the proposed research. The candidate will utilize the resources of the Penn State Population Research Institute and the Survey Research Center, both of which are among the most outstanding research and training programs in the country. His mentors have expertise in survey research, demography, social psychology, healthcare disparities and longitudinal data analysis. He has developed a training program that will supplement his previous coursework through directed study with his mentors, additional formal course work, seminars, and the conduct of the research plan. The candidate has demonstrated commitment to a career in research and professional development. He has completed the NIH-funded K30-MS program and the one-year Junior Faculty Development Program. His clinical expertise relating to nephrology and transplantation, combined with the knowledge and skills he has gained from the K30 program and the formal training in statistics, epidemiology, and survey design have laid the groundwork toward his success as an independent investigator. PUBLIC HEALTH RELEVANCE: This research seeks to improve identification of factors that impact transplant rates. The findings are expected to result in proposals for innovative, culturally tailored interventions to improve physician and patient perceptions about transplantation. This is expected to lead to improved outcomes, and reduced disparities in transplantation, a goal consistent with the priorities of The NIDDK Healthy People 2010.

描述（由申请人提供）： Ghahramani 博士是一位学术移植肾脏病学家，拥有健康评估科学硕士学位。在拟议的资助期内，他的近期目标是进行研究，以进一步了解医生特定和患者特定流程的影响，这些流程导致选择肾移植作为治疗方案时存在地域差异。该研究项目的目的是： 1) 比较阿巴拉契亚农村地区和城市地区肾病专家对患者是否适合移植的看法，并量化这些差异对患者转诊进行移植的影响； 2) 了解阿巴拉契亚农村地区和城市地区患者观念差异对选择移植作为治疗方案的影响。这些目标将通过调查数据分析和焦点小组研究来实现。候选人的长期职业目标是领导以患者为导向的跨学科研究，以改善移植护理的提供。拟议的职业发展计划将提供深入的研究和培训经验，使他能够实现这一目标。该机构致力于候选人的成功，并在拟议研究领域拥有巨大的研究实力。候选人将利用宾夕法尼亚州立大学人口研究所和调查研究中心的资源，这两个机构都是美国最优秀的研究和培训项目之一。他的导师在调查研究、人口统计学、社会心理学、医疗保健差异和纵向数据分析方面拥有专业知识。他制定了一个培训计划，通过与导师的指导学习、额外的正式课程作业、研讨会和研究计划的实施来补充他之前的课程作业。候选人表现出对研究和专业发展职业的承诺。他已完成 NIH 资助的 K30-MS 项目和为期一年的初级教师发展项目。他在肾病学和移植方面的临床专业知识，结合他从 K30 项目中获得的知识和技能以及统计学、流行病学和调查设计方面的正式培训，为他作为独立研究者的成功奠定了基础。 公共卫生相关性：本研究旨在更好地识别影响移植率的因素。研究结果预计将提出创新的、针对文化的干预措施的建议，以改善医生和患者对移植的看法。预计这将改善结果并减少移植方面的差异，这一目标与 NIDDK 健康人群 2010 年的优先事项一致。