Disrupting Social Determinants of Health to Improve Substance Use and Mental Health Outcomes for Parents in Rural Regions
破坏健康的社会决定因素,改善农村地区父母的药物使用和心理健康结果
基本信息
- 批准号:10892474
- 负责人:
- 金额:$ 221.85万
- 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:2023-09-01 至 2025-09-29
- 项目状态:未结题
- 来源:
- 关键词:
项目摘要
PROJECT SUMMARY/ABSTRACT
This has not changed from the original submission.
Although social determinants of health (SDOH) have long been recognized as significant contributors to the
quality of life and long-term outcomes for individuals, only recently have preventive intervention efforts begun
to target poor SDOH directly as a method for achieving improved health outcomes. Little remains known about
interventions that disrupt the ongoing negative effect of poor SDOH or how to intervene on malleable SDOH
(e.g., employment) in the context of non-malleable SDOH (e.g., rural region). This application, Disrupting
Social Determinants of Health to Improve Substance Use and Mental Health Outcomes for Parents in Rural
Regions, is directly responsive to NIDA RFA DA-22-036 and seeks to test the multi-level, multi-component
Families Actively Improving Relationships (FAIR) intervention to prevent “opioid use disorder, and comorbid
conditions by intervening on social determinants of health (SDOH).” Leveraging a naturally occurring roll out of
FAIR across five rural Oregon counties, parents (N = 250) who are referred to FAIR will be recruited to
participate. Oregon is the ideal setting for this project—data released in January 2022 ranks the state as
leading the nation in opioid and methamphetamine use, mental health disorders and suicide. Participating
counties, though all rural, are distinct in their county health metrics, providing the opportunity to examine the
influence of outside structural conditions on intervention targets and subsequent prevention outcomes.
Consenting parents will report weekly on their SDOH needs for 18 months, regardless of whether they are
engaged in services. When engaged, their FAIR clinician also will be probed weekly for a report of intervention
strategies used to address SDOH. Interventions will not be manipulated but will be observed as they naturally
occur. Parents will be assessed for opioid and methamphetamine use, including IV drug use, and mental
health symptoms, including suicide (ideation, intention, attempt) at Baseline, 9-months, and 18-months. To
assess longer-term prevention of IV drug use and suicide, administrative health data will be collected from the
time of consent to 24-42 months post-Baseline. The intensive, longitudinal, sequencing design will allow an
analysis of how FAIR components (Aim 1) disrupt individual and systemic SDOH and escalation of opioid
and/or methamphetamine use and mental health disorders; (Aim 2) are impacted by external, structural SDOH;
and (Aim 3) can influence the relationship between SDOH and individual and systemic outcomes on costs,
from the perspective of provider clinics delivering FAIR. Outcomes will (a) inform the future scale-up of FAIR by
providing an empirical basis for targeting and sequencing of parent SDOH throughout the course of treatment,
and the impact of these clinical decisions on outcomes and clinic-borne costs and (b) provide generalizable
knowledge of the consequences of targeting, or not, poor SDOH in the treatment of comorbid opioid and
methamphetamine use and mental health disorders. The disruption of a parent’s poor SDOH has the potential
for a cascade of positive outcomes across generations, and drive a significant improvement of public health.
项目概要/摘要
这与最初提交的内容相比没有改变。
尽管健康的社会决定因素 (SDOH) 长期以来一直被认为是导致健康问题的重要因素。
个人的生活质量和长期结果,直到最近才开始预防性干预工作
直接针对贫困的 SDOH 作为实现改善健康结果的方法。至今知之甚少
破坏不良 SDOH 持续负面影响的干预措施或如何干预可塑性 SDOH
(例如,就业)在不可延展的 SDOH 背景下(例如,农村地区)。这个应用程序,扰乱
改善农村父母药物使用和心理健康结果的健康社会决定因素
区域,直接响应 NIDA RFA DA-22-036,并寻求测试多层次、多组件
家庭积极改善关系(FAIR)干预,以预防“阿片类药物使用障碍和共病”
通过干预健康的社会决定因素(SDOH)来改善状况。”利用自然发生的推出
FAIR 遍及俄勒冈州五个农村县,被推荐参加 FAIR 的家长 (N = 250) 将被招募到
参加。俄勒冈州是该项目的理想环境 - 2022 年 1 月发布的数据将该州列为
在阿片类药物和甲基苯丙胺使用、精神健康障碍和自杀方面处于全国领先地位。参与
县虽然都是农村县,但其县健康指标各不相同,这提供了检查县健康状况的机会
外部结构条件对干预目标和后续预防结果的影响。
同意的父母将在 18 个月内每周报告他们的 SDOH 需求,无论他们是否
从事服务业。当参与时,他们的 FAIR 临床医生还将每周接受调查以获取干预报告
用于解决 SDOH 问题的策略。干预措施不会被操纵,而是会自然地被观察到
发生。将对父母进行阿片类药物和甲基苯丙胺使用情况评估,包括静脉注射药物使用情况和精神状况
健康症状,包括基线、9 个月和 18 个月时的自杀(意念、意图、企图)。到
评估静脉注射药物使用和自杀的长期预防,将从以下机构收集行政健康数据
同意时间为基线后 24-42 个月。密集的、纵向的、排序的设计将允许
分析 FAIR 组件(目标 1)如何破坏个体和系统 SDOH 以及阿片类药物的升级
和/或甲基苯丙胺的使用和精神健康障碍; (目标 2)受到外部结构性 SDOH 的影响;
(目标 3)可以影响 SDOH 与个人和系统成本结果之间的关系,
从提供 FAIR 的提供者诊所的角度来看。结果将 (a) 为未来扩大 FAIR 提供信息:
为整个治疗过程中母体 SDOH 的靶向和测序提供经验基础,
以及这些临床决策对结果和临床承担的成本的影响,并且(b)提供可概括的
了解治疗阿片类药物共病时是否针对不良 SDOH 的后果
甲基苯丙胺的使用和精神健康障碍。父母糟糕的 SDOH 可能会受到破坏
为几代人带来一系列积极成果,并推动公共卫生的显着改善。
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
数据更新时间:{{ journalArticles.updateTime }}
{{
item.title }}
{{ item.translation_title }}
- DOI:
{{ item.doi }} - 发表时间:
{{ item.publish_year }} - 期刊:
- 影响因子:{{ item.factor }}
- 作者:
{{ item.authors }} - 通讯作者:
{{ item.author }}
数据更新时间:{{ journalArticles.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ monograph.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ sciAawards.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ conferencePapers.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ patent.updateTime }}
Lisa Saldana其他文献
Lisa Saldana的其他文献
{{
item.title }}
{{ item.translation_title }}
- DOI:
{{ item.doi }} - 发表时间:
{{ item.publish_year }} - 期刊:
- 影响因子:{{ item.factor }}
- 作者:
{{ item.authors }} - 通讯作者:
{{ item.author }}
{{ truncateString('Lisa Saldana', 18)}}的其他基金
Disrupting Social Determinants of Health to Improve Substance Use and Mental Health Outcomes for Parents in Rural Regions
破坏健康的社会决定因素,改善农村地区父母的药物使用和心理健康结果
- 批准号:
10582989 - 财政年份:2022
- 资助金额:
$ 221.85万 - 项目类别:
Center for Dissemination and Implementation At Stanford (C-DIAS): Research Core
斯坦福大学传播与实施中心 (C-DIAS):研究核心
- 批准号:
10493958 - 财政年份:2022
- 资助金额:
$ 221.85万 - 项目类别:
Center for Dissemination and Implementation At Stanford (C-DIAS): Research Core
斯坦福大学传播与实施中心 (C-DIAS):研究核心
- 批准号:
10668470 - 财政年份:2022
- 资助金额:
$ 221.85万 - 项目类别:
Preventing Parental Opioid and/or Methamphetamine Addiction within DHS-Involved Families: FAIR
预防国土安全部相关家庭中父母阿片类药物和/或甲基苯丙胺成瘾:FAIR
- 批准号:
10208316 - 财政年份:2019
- 资助金额:
$ 221.85万 - 项目类别:
Preventing Parental Opioid and/or Methamphetamine Addiction within DHS-Involved Families: FAIR
预防国土安全部相关家庭中父母阿片类药物和/或甲基苯丙胺成瘾:FAIR
- 批准号:
9893665 - 财政年份:2019
- 资助金额:
$ 221.85万 - 项目类别:
Preventing Parental Opioid and/or Methamphetamine Addiction within DHS-Involved Families: FAIR
预防国土安全部相关家庭中父母阿片类药物和/或甲基苯丙胺成瘾:FAIR
- 批准号:
10892356 - 财政年份:2019
- 资助金额:
$ 221.85万 - 项目类别:
Facilitating Sustainment Through Implementation Feedback: The SIC Coaching Model
通过实施反馈促进维持:SIC 辅导模型
- 批准号:
10348696 - 财政年份:2018
- 资助金额:
$ 221.85万 - 项目类别:
Facilitating Sustainment Through Implementation Feedback: The SIC Coaching Model
通过实施反馈促进维持:SIC 辅导模型
- 批准号:
10159240 - 财政年份:2018
- 资助金额:
$ 221.85万 - 项目类别:
Facilitating Sustainment Through Implementation Feedback: The SIC Coaching Model
通过实施反馈促进维持:SIC 辅导模型
- 批准号:
9750380 - 财政年份:2018
- 资助金额:
$ 221.85万 - 项目类别:
Facilitating Sustainment Through Implementation Feedback: The SIC Coaching Model
通过实施反馈促进维持:SIC 辅导模型
- 批准号:
10087913 - 财政年份:2018
- 资助金额:
$ 221.85万 - 项目类别:
相似国自然基金
小型类人猿合唱节奏的功能假说——宣
示社会关系(Social bond
advertising) ——验证研究
- 批准号:
- 批准年份:2025
- 资助金额:10.0 万元
- 项目类别:省市级项目
Behavioral Insights on Cooperation in Social Dilemmas
- 批准号:
- 批准年份:2024
- 资助金额:万元
- 项目类别:外国优秀青年学者研究基金项目
Navigating Sustainability: Understanding Environm ent,Social and Governanc e Challenges and Solution s for Chinese Enterprises
in Pakistan's CPEC Framew
ork
- 批准号:
- 批准年份:2024
- 资助金额:万元
- 项目类别:外国学者研究基金项目
多语言环境下Social Tagging的内涵机理与应用框架研究-基于比较的视角
- 批准号:71103203
- 批准年份:2011
- 资助金额:21.0 万元
- 项目类别:青年科学基金项目
相似海外基金
Building recovery and resilience in severe mental illness: Leveraging the role of social determinants in illness trajectories and interventions
建立严重精神疾病的康复和复原力:利用社会决定因素在疾病轨迹和干预措施中的作用
- 批准号:
MR/Z503514/1 - 财政年份:2024
- 资助金额:
$ 221.85万 - 项目类别:
Research Grant
Doctoral Dissertation Research: Determinants of social meaning
博士论文研究:社会意义的决定因素
- 批准号:
2336572 - 财政年份:2024
- 资助金额:
$ 221.85万 - 项目类别:
Standard Grant
Social and structural determinants of injection drug use-associated bacterial and fungal infections: A qualitative systematic review and thematic synthesis
注射吸毒相关细菌和真菌感染的社会和结构决定因素:定性系统评价和主题综合
- 批准号:
495316 - 财政年份:2023
- 资助金额:
$ 221.85万 - 项目类别:
A voice to the voiceless: Longitudinal patient-reported outcomes, experiences, social determinants of health and health services utilization after major neonatal surgery
向无声者发出声音:重大新生儿手术后患者纵向报告的结果、经历、健康和卫生服务利用的社会决定因素
- 批准号:
478053 - 财政年份:2023
- 资助金额:
$ 221.85万 - 项目类别:
Operating Grants
A life course approach to explore the social determinants of noncommunicable diseases risks in rural Vietnam
采用生命全程方法探索越南农村非传染性疾病风险的社会决定因素
- 批准号:
22KJ3162 - 财政年份:2023
- 资助金额:
$ 221.85万 - 项目类别:
Grant-in-Aid for JSPS Fellows
Social and behavioral determinants of MOUD utilization and opioid overdose
MOUD 使用和阿片类药物过量的社会和行为决定因素
- 批准号:
10664099 - 财政年份:2023
- 资助金额:
$ 221.85万 - 项目类别:
Social and Dietary Determinants of Kidney Stone Risk
肾结石风险的社会和饮食决定因素
- 批准号:
10643740 - 财政年份:2023
- 资助金额:
$ 221.85万 - 项目类别:
An integrated intervention using a pill ingestible sensor system to trigger actions on multifaceted social and behavioral determinants of health among PLWH
使用药丸摄入传感器系统进行综合干预,以针对艾滋病毒感染者健康的多方面社会和行为决定因素采取行动
- 批准号:
10820048 - 财政年份:2023
- 资助金额:
$ 221.85万 - 项目类别:
Determining the genetic and social determinants of heart failure and mortality in patients with congenital heart disease
确定先天性心脏病患者心力衰竭和死亡率的遗传和社会决定因素
- 批准号:
10735690 - 财政年份:2023
- 资助金额:
$ 221.85万 - 项目类别:
Genetic & Social Determinants of Health: Center for Admixture Science and Technology
遗传
- 批准号:
10818088 - 财政年份:2023
- 资助金额:
$ 221.85万 - 项目类别:














{{item.name}}会员




