Partners IN CONTROL: Using Remote MonitorINg teChnology with cOmmuNity healTh woRkers to support hypertensiOn management for Latinx patients
控制合作伙伴:与社区卫生工作者一起使用远程监测技术来支持拉丁裔患者的高血压管理
基本信息
- 批准号:10669469
- 负责人:
- 金额:$ 70.02万
- 依托单位:
- 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:2023-07-21 至 2028-01-31
- 项目状态:未结题
- 来源:
- 关键词:AddressAdoptionAdultBlood PressureBlood Pressure MonitorsCardiovascular DiseasesCaringChild CareCommunitiesCommunity Health AidesCompetenceComplexConsensusDataData AnalyticsDecision MakingDevicesDisparityEffectivenessElectronic Health RecordEnvironmentEquityExposure toFaceGoalsHealthHealth Disparities ResearchHealth Services AccessibilityHealth TechnologyHealth systemHealthcareHypertensionImprove AccessIndividualInequityInformaticsInfrastructureInterventionInterviewLanguageLatinxMethodsModelingNeighborhood Health CenterOffice VisitsOutcomePatient CarePatientsPopulationPopulation HeterogeneityProctor frameworkProviderResearchResearch DesignResourcesRiskServicesSurveysSystemTechnologyTrainingTraining ActivityTransportationUnited StatesWorkaccess disparitiesblood pressure reductioncatalystclinical practicecostdesigndigitaldigital healthdigital tooldisparity reductioneffectiveness evaluationempowermentexperiencehealth care disparityhealth care settingshealth determinantshealth disparityhealth equityhealth literacyhealth managementhypertension controlimplementation evaluationimplementation facilitationimplementation outcomesimplementation/effectivenessimprovedinsightmembernew technologynovelpatient navigatorpatient populationprimary care teamprimary outcomeremote monitoringremote patient monitoringsocialsocial determinantsstandard of carestructural health determinantssupport toolstechnique developmenttechnology validationtheoriestooluser centered design
项目摘要
Latinx adults experience a disproportionate burden of cardiovascular disease in the United States, driven in part
by structural barriers to accessing and utilizing care. Latinx patients are at risk for hypertension (HTN), and are
less likely to be able to access necessary care to manage this condition. Digital health tools such as remote
patient monitoring (RPM) have potential to improve the care of Latinx patients with HTN by enabling more
frequent and tailored monitoring of blood pressure, providing additional health information, empowering patients,
and enhancing care decision-making without disrupting patients’ daily lives. However, there are significant
disparities in the access and use of these digital tools, as well as challenges to equitable and sustainable
implementation. To mitigate these disparities, there is urgent need to identify methods to equip and facilitate the
implementation of RPM for diverse populations and address social, structural, and digital determinants of health
to make RPM care more appropriate for diverse patient needs. Community health workers (CHWs) are
specifically trained to address social and structural determinants of health to help patients manage health
conditions, provide culturally and contextually competent support, and navigate complex health systems; “tech-
enabled” CHWs have potential to be catalysts for improved RPM use for Latinx patients. Our team – comprised
of leaders of RPM implementation and infrastructure, CHW training, informatics, digital health, quantitative and
qualitative study design, data analytics, and health disparities research – seeks to determine if the addition of
RPM-enabled CHWs provided with specific training and EHR support tools can improve HTN control and reduce
inequities among Latinx patients with uncontrolled HTN. Specifically, we seek to: 1) develop adapted community
health worker remote patient monitoring training modules (“CHW RPM”) and electronic health record support
tools (“CHW RPM-EHR") guided by the CFIR model to enhance the management of hypertension in Latinx
patients; 2) evaluate the effectiveness of RPM-enabled CHWs compared to standard of care RPM hypertension
management on blood pressure reduction among 300 Latinx patients with uncontrolled hypertension; and 3)
apply Proctor’s Implementation Outcomes Framework (IOF) to evaluate the implementation of the RPM-enabled
CHWs for HTN management, and examine adoption, acceptability, fidelity, cost, sustainability, and equity as
mechanisms of implementation effectiveness. The primary outcome will be improvements in HTN management
at 12 months. We will utilize a mixed methods approach – including EHR-based data review, patient surveys, in-
depth interviews with PCPs, RNS, CHWs, and patients – novel consensus-building, user-centered design and
agile development techniques, and theory-driven implementation assessment frameworks to assess the
intervention. This research will help inform RPM implementation for our diverse patient population, as well as
offer larger insights into to the opportunities and challenges of using CHWs to expand access to RPM to Latinx
patients and ultimately improve health equity.
在美国,拉丁裔成年人经历了不成比例的心血管疾病负担,部分原因是
项目成果
期刊论文数量(0)
专著数量(0)
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会议论文数量(0)
专利数量(0)
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Devin M Mann其他文献
Proceedings of the Twenty-Second International Joint Conference on Artificial Intelligence A Flat Histogram Method for Computing the Density of States of Combinatorial Problems ∗
第二十二届国际人工智能联合会议论文集计算组合问题状态密度的平面直方图方法*
- DOI:
- 发表时间:
- 期刊:
- 影响因子:0
- 作者:
Lisa L. Groom;Antoinette M Schoenthaler;Devin M Mann;Abraham A Brody - 通讯作者:
Abraham A Brody
Laypeople’s Use of and Attitudes Toward Large Language Models and Search Engines for Health Queries: Survey Study
外行人士对大型语言模型和搜索引擎在健康查询中的使用和态度:调查研究
- DOI:
10.2196/64290 - 发表时间:
2025-01-01 - 期刊:
- 影响因子:6.000
- 作者:
Tamir Mendel;Nina Singh;Devin M Mann;Batia Wiesenfeld;Oded Nov - 通讯作者:
Oded Nov
Construction of the Digital Health Equity-Focused Implementation Research Conceptual Model - Bridging the Divide Between Equity-focused Digital Health and Implementation Research
构建以数字健康股权为中心的实施研究概念模型 - 弥合以股权为中心的数字健康与实施研究之间的鸿沟
- DOI:
- 发表时间:
2024 - 期刊:
- 影响因子:0
- 作者:
Lisa L. Groom;Antoinette M Schoenthaler;Devin M Mann;Abraham A Brody - 通讯作者:
Abraham A Brody
Devin M Mann的其他文献
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{{ truncateString('Devin M Mann', 18)}}的其他基金
iMatter2: An AI-driven approach to supercharge a novel digital patient-reported outcomes tool for diabetes management
iMatter2:一种人工智能驱动的方法,可增强用于糖尿病管理的新型数字患者报告结果工具
- 批准号:
10736631 - 财政年份:2023
- 资助金额:
$ 70.02万 - 项目类别:
Amplifying provider impact on patient engagement with an EHR- integrated digital diabetes prevention program
通过 EHR 集成数字糖尿病预防计划,扩大医疗服务提供者对患者参与度的影响
- 批准号:
9815834 - 财政年份:2019
- 资助金额:
$ 70.02万 - 项目类别:
Amplifying provider impact on patient engagement with an EHR- integrated digital diabetes prevention program
通过 EHR 集成数字糖尿病预防计划,扩大医疗服务提供者对患者参与度的影响
- 批准号:
10217118 - 财政年份:2019
- 资助金额:
$ 70.02万 - 项目类别:
Amplifying provider impact on patient engagement with an EHR- integrated digital diabetes prevention program
通过 EHR 集成数字糖尿病预防计划,扩大医疗服务提供者对患者参与度的影响
- 批准号:
10656237 - 财政年份:2019
- 资助金额:
$ 70.02万 - 项目类别:
Amplifying provider impact on patient engagement with an EHR- integrated digital diabetes prevention program
通过 EHR 集成数字糖尿病预防计划,扩大医疗服务提供者对患者参与度的影响
- 批准号:
10433897 - 财政年份:2019
- 资助金额:
$ 70.02万 - 项目类别:
Amplifying provider impact on patient engagement with an EHR- integrated digital diabetes prevention program
通过 EHR 集成数字糖尿病预防计划,扩大医疗服务提供者对患者参与度的影响
- 批准号:
10006821 - 财政年份:2019
- 资助金额:
$ 70.02万 - 项目类别:
i-Matter: Investigating an mHealth texting tool for embedding patient-reported data into diabetes management
i-Matter:研究用于将患者报告数据嵌入糖尿病管理的移动医疗短信工具
- 批准号:
10431814 - 财政年份:2018
- 资助金额:
$ 70.02万 - 项目类别:
i-Matter: Investigating an mHealth texting tool for embedding patient-reported data into diabetes management
i-Matter:研究用于将患者报告数据嵌入糖尿病管理的移动医疗短信工具
- 批准号:
10199047 - 财政年份:2018
- 资助金额:
$ 70.02万 - 项目类别:
EHR nudges: Development and testing of a behavioral economics electronic health record module
EHR 推动:行为经济学电子健康记录模块的开发和测试
- 批准号:
9419088 - 财政年份:2017
- 资助金额:
$ 70.02万 - 项目类别:
EHR nudges: Development and testing of a behavioral economics electronic health record module
EHR 推动:行为经济学电子健康记录模块的开发和测试
- 批准号:
9566830 - 财政年份:2017
- 资助金额:
$ 70.02万 - 项目类别:
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