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，与城市社区相比，农村社区的研究一直很困难。这可以是 归因于他们感觉自己在经济增长和技术进步中被边缘化，正如他们所目睹的那样 关闭乡村医院、教堂和学校。接触并招募农村弱势群体 阿巴拉契亚和密西西比三角洲 (AMD) 地区面临着偏远地区的挑战，数字鸿沟、潜在的不信任使情况变得更糟。 局外人、自相矛盾的高自评健康、对医学检查的怀疑态度以及对是否接受检查的犹豫 优先考虑专门用于研究的时间。为了进一步研究这些挑战，本研究的目的是 1) 确定 通过比较和对比农村社区参与研究的促进因素和障碍 密西西比州农村研究核心的社区参与实践与社区原则 订婚。 2) 记录社区参与活动的影响范围和有效性 密西西比州农村研究核心日期，使用重新目标（覆盖范围、有效性、采用率、 实施、维护）框架。记录密西西比州各县的特点和方法 用于促成迄今为止的成功将使密西西比核心能够利用这些成果继续 农村研究的整个六年周期中的社区参与。成功的文档 密西西比核心在研究第一年所吸取的策略和经验教训可以提供指导 路易斯安那州和肯塔基州将准备好加强在各自社区的存在 在项目第三年和第四年。作为这项拟议研究的结果，预计该出版物可能会 也有利于类似研究的研究者，他们正在寻求参与研究的方法 农村社区的人口。