Socioecological and Behavioral Science for Equity Core

股权核心的社会生态学和行为科学

• 批准号: 10693145
• 负责人: NGOC-CAM ESCOFFERY
• 金额: $ 10.18万
• 依托单位: EMORY UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-09-16 至 2026-07-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10693145
• 关键词: Acceleration; Address; Adoption; Affect; Age; American; Behavioral; Behavioral Sciences; Big Data; Caring; Clinical; Collaborations; Communities; Community of Practice; Complex; Consult; Consultations; Data Analyses; Data Analytics; Development; Diabetes Mellitus; Diabetes prevention; Disease; Disparate; Disparity; Education; Equity; Ethics; Ethnic Origin; Fostering; Gender; Geography; Grant; Health; Health Technology; Insulin; Intervention; Knowledge; Measurement; Measures; Mentors; Methodology; Methods; Minority Groups; Modeling; Morehouse School of Medicine; Outcome; Patients; Pilot Projects; Policies; Population; Prevalence; Prevention; Process; Public Health; Race; Recording of previous events; Research; Research Methodology; Research Personnel; Risk; Self Management; Socioeconomic Status; Technology; Translational Research; Translations; Underrepresented Minority; Underserved Population; Universities; Vulnerable Populations; Work; barrier to care; behavior change; career; community engaged research; community engagement; comorbidity; design; diabetes management; diabetes risk; digital technology; disparity reduction; evidence base; health determinants; health disparity; health disparity populations; health equity; implementation research; implementation science; improved; innovation; innovative technologies; intersectionality; lens; minority investigator; multidisciplinary; programs; recruit; sexual identity; social; social vulnerability; success; theories; translational engagement; uptake; wearable device

CORE C: PROGRAM SUMMARY / ABSTRACT There are significant disparities that influence prevalence, complications, and outcomes in diabetes. The Southeastern U.S. represents an important intersection of health and social vulnerability where populations disproportionately affected by diabetes tend to be defined by race/ethnicity, socioeconomic status, age, gender, sexual identity, comorbidities, and geography. As such, the development and use of ethically- congruent strategies to engage, recruit, and retain disproportionately affected populations is critical for diabetes translation research and health equity. However, a major gap is suboptimal reach, adoption, and sustained use of evidence-based prevention and care programs, especially among minorities and underserved populations. Successful translation of evidence to practice, programs, and policy is a complex, lengthy process that benefits from understanding socioecological factors, intentional community engagement, and application of behavioral and implementation science approaches and methods. Effective translation research can efficiently identify ways to improve reach adoption, utilization, and continued engagement with evidence-based prevention and care programs. The Georgia Center for Diabetes Translation Research (GCDTR) proposes a Socio-ecological and Behavioral Science for Equity Core (Core C) that will leverage the collective strengths of previous core co-directors [Henry Akintobi, (Disparities) and Escoffery (Engagement and Behavior Change)], a multi-disciplinary group of Core Experts, and the intentional incorporation of community partners and organizations poised to consult, guide and engage investigators. Core C leverages Emory University, Georgia Institute of Technology, and Morehouse School of Medicine's impressive history of collaboration and longstanding work in translation research. Core C will provide expanded support and guidance towards the use of community-engaged translation research and behavior change models to address multilevel determinants of health (Aim 1), provide methodological expertise and education on mixed method data analytic strategies (Aim 2), and apply community-engaged methods to facilitate the application of innovative digital technologies in diabetes prevention and management implementation research (Aim 3; collaboration with Regional Core). Core C will also partner with other GCDTR Cores and Programs to implement a coordinated, innovative “multidisciplinary team approach” to support the GCDTR's Pilot and Feasibility and Enrichment Programs, mentor early career and underrepresented minority investigators, and to promote translation research and equity.

核心C：摘要/摘要 糖尿病的患病率、并发症和结局存在显著差异。的 美国东南部是健康和社会脆弱性的重要交叉点， 不成比例地受糖尿病影响的人倾向于由种族/民族、社会经济地位、年龄 性别、性别认同、合并症和地理。因此，开发和使用道德- 采取一致的战略，吸引、招募和留住不成比例的受影响人口， 糖尿病转化研究和健康公平。然而，一个主要的差距是次优的到达，采用， 持续使用循证预防和护理方案，特别是在少数民族和服务不足的群体中 人口。成功地将证据转化为实践、项目和政策是一个复杂而漫长的过程 从理解社会生态因素、有意的社区参与和应用中受益 行为科学和实施科学的方法和途径。有效的翻译研究可以 有效地确定方法，以提高reach采用率，利用率，并继续参与基于证据的 预防和护理方案。格鲁吉亚糖尿病翻译研究中心（GCDTR）提出了一个 社会生态和行为科学促进公平核心（核心C）将利用集体 前任核心联合董事[亨利·阿金尼（《差异》）和埃斯科弗里（《参与和行为》）]的优势 变化）]，一个多学科的核心专家组，并有意纳入社区合作伙伴 以及准备咨询、指导和参与调查的组织。核心C利用埃默里大学， 格鲁吉亚理工学院和莫尔豪斯医学院令人印象深刻的合作历史， 长期从事翻译研究。核心C将提供更多的使用支持和指导 社区参与的翻译研究和行为改变模型，以解决多层次的决定因素， 健康（目标1），提供方法学专门知识和混合方法数据分析战略教育（目标 2），并采用社区参与的方法，促进创新数字技术在 糖尿病预防和管理实施研究（目标3;与区域核心合作）。 核心C还将与其他GCDTR核心和计划合作， “多学科团队方法”，以支持GCDTR的试点和可行性及丰富计划， 指导早期职业和代表性不足的少数民族调查人员，并促进翻译研究和 股权