RURAL: Risk Underlying Rural Areas Longitudinal Cohort Study

农村：农村地区潜在风险纵向队列研究

• 批准号: 10250651
• 负责人: Suzanne E Judd
• 金额: $ 4.98万
• 依托单位: BOSTON UNIVERSITY MEDICAL CAMPUS
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-02-19 至 2025-04-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10250651
• 关键词: Appalachian Region; Church; Communities; Community of Practice; County; Documentation; Economics; Effectiveness; Feeling; Growth; Health; Kentucky; Longitudinal cohort study; Louisiana; Medical; Mississippi; Population; Process; Publications; Reach, Effectiveness, Adoption, Implementation, and Maintenance; Research; Research Personnel; Review Literature; Risk; Rural; Rural Community; Rural Hospitals; Schools; Testing; Time; community engagement; digital; recruit; remote location; research study; rural area; success

ABSTRACT Historically, rural communities have been difficult to study compared to their urban counterparts. This can be attributed to them feeling marginalized from economic growth and technological advances, as they witness the closure of rural hospitals, churches, and schools. Reaching and recruiting the rural vulnerable people in the Appalachia and Mississippi Delta (AMD) regions is challenged by their remote locations, worsened by a digital divide, a potential mistrust of outsiders, a paradoxical high self-rated health, their skeptical view of medical tests, and a hesitancy to prioritize time solely for research. To further examine these challenges, the aims of this study is to 1) identify the facilitators and barriers to participation in research in rural communities by comparing and contrasting the community engagement practices of the Mississippi core of the rural study with principles of community engagement. 2) document the reach and effectiveness of community engagement activities implemented to date by the Mississippi core of the RURAL Study using the re-aim (reach, effectiveness, adoption, implementation, maintenance) framework. Documenting features of the Mississippi counties and approaches used to contribute to the successes to date will enable the Mississippi core to use the results to continue community engagement throughout the six-year cycle of the RURAL Study. Documentation of successful strategies and lessons learned by the Mississippi core during year one of the study may provide guidance for Louisiana and Kentucky which will be ready to escalate their presence in their respective communities during project years three and four. The publication anticipated, as a result of this proposed research, may also benefit investigators of similar studies who are seeking approaches for research participation with populations in rural communities.

抽象的 从历史上看，与城市同行相比，农村社区很难研究。这可以 当他们目睹的经济增长和技术进步中，他们感到被边缘化 关闭农村医院，教堂和学校。接触并招募农村脆弱的人 阿巴拉契亚和密西西比三角洲 （AMD）区域受到其偏远位置的挑战，由于数字鸿沟而恶化，潜在的不信任 局外人，一种自相矛盾的高自我评估健康，他们对医学测试的怀疑观点，以及犹豫不决 仅将时间排序仅用于研究。为了进一步研究这些挑战，本研究的目的是1）确定 通过比较和对比，促进者和参与农村社区研究的障碍 乡村研究的密西西比州核心社区参与实践具有社区原则 订婚。 2）记录实施的社区参与活动的覆盖范围和有效性 乡村研究的密西西比核心日期使用Re-Aim（覆盖，有效性，采用， 实施，维护）框架。记录密西西比州县和方法的功能 用于为迄今为止的成功做出贡献，将使密西西比州的核心能够使用结果继续 在农村研究的整个六年周期中，社区参与。成功的文件 密西西比州核心在研究的第一年中学到的策略和教训可能会提供指导 对于路易斯安那州和肯塔基州来说，这将准备在各自社区中升级 在项目三年级和四年中。这项拟议的研究结果预期的出版物可能 还受益于正在寻求研究参与方法的类似研究的研究者 农村社区的人口。