Expanding effective report-back of environmental exposures among new researchers and clinic-based studies

项目摘要 通过向研究参与者报告他们的个人生物监测和环境监测， 暴露结果，研究人员可以提高环境健康素养（EHL）， 减少有害化学品接触的个人行动， 政策制定，尊重知情权道德，并改善研究招募和保留。 尽管如此，在环境卫生领域，报告反馈尚未成为一种普遍做法。我们 假设反馈的障碍包括资金有限、缺乏经验和顾虑 参与者的担忧。根据创新理论的传播，我们希望培训 该计划将扩大研究人员对报告道德和方法的了解， 他们参与这种形式的社区研究的意愿和能力。我们也 我假设，涉及临床医生很少在环境卫生的培训将导致 在广泛的应计利益，包括改善临床结果和临床医生-患者 关系，提高研究参与度，并增加卫生专业人员的EHL 和病人。本研究将采用半结构式访谈和前后测的方法， 三个具体目标：1）识别阻碍和促进个体研究报告的因素 和联邦资助的计划; 2）评估一个计划，以培训研究人员参与 3）制定有效的战略，让卫生从业人员参与报告， 评估临床医生和患者的结局。这项研究是创新的，因为它是第一个 研究没有报告的调查人员的考虑因素，以及他们的观点。 以及支持这项研究的资助机构的经验，以便指导和工具可以 1.进行开发和评估（目标1）。此外，我们的项目将创建一个报告的模式， 大量的联邦项目和资金支持环境健康 临床环境中的测量，包括ECHO，NIEHS的超级基金 研究计划，和NIH的我们所有人（目标2）。通过与怀孕和早期 儿童队列研究主要集中在低收入人群和有色人种社区， 拟议的项目将使我们能够为弱势群体制定报告指南 和发展的敏感时期，这是一个研究不足的领域。拟议 研究是重要的，因为它将增加研究人员和临床医生的报告知识， 帮助克服采用障碍，开发新方法来评估其有效性， 鼓励制定关于报告的联邦指导和政策，并推进 NIEHS的战略目标是将数据转化为知识，再转化为行动。

PROJECT SUMMARY By reporting back to study participants on their personal biomonitoring and environmental exposure results, researchers can advance environmental health literacy (EHL), empower individual actions to reduce harmful chemical exposures, activate civic engagement in policymaking, respect right-to-know ethics, and improve study recruitment and retention. Despite this report-back is not yet a widespread practice in environmental health. We hypothesize that barriers to report-back include limited funding, inexperience, and concerns about participant worry. In line with the diffusion of innovation theory, we expect that a training program will expand researcher knowledge of report-back ethics and methods and increase their willingness and ability to engage with this form of community-based research. We also hypothesize that involving clinicians with little previous training in environmental health will result in broadly accrued benefits, including improved clinical outcomes and clinician-patient relationships, heightened study engagement, and increased EHL for both health professionals and patients. This study will use semi-structured interviews and pre- and post-tests to pursue three specific aims: 1) Identify factors that hinder and promote report-back for individual studies and federally-funded programs; 2) Evaluate a program to train researchers to participate in report-back; 3) Develop effective strategies for engaging health practitioners in report-back and assess outcomes for clinicians and patients. This research is innovative because it is the first to study the considerations of investigators who do not report-back, as well as the perspectives and experiences of funding agencies that support this research, so that guidance and tools can be developed and evaluated (Aim 1). Furthermore, our project will create a model of report-back for the large number of federal programs and funding that support environmental health measurements in clinical settings, including mega-cohorts like ECHO, the NIEHS’ Superfund Research Program, and NIH’s All of Us (Aim 2). By partnering with pregnancy and early childhood cohort studies focused on low-income populations and communities of color, the proposed project will allow us to develop guidance on reporting back for vulnerable populations and sensitive periods of development, an understudied area of research. The proposed research is significant because it will increase researcher and clinician knowledge of report- back, help surmount barriers to its adoption, develop new methods to evaluate its effectiveness, encourage the development of federal guidance and policies on report-back, and advance NIEHS’ strategic goal to translate data to knowledge to action.