Health IT to reduce disparities in risks for sleep-related infant deaths
Health IT to reduce disparities in risks for sleep-related infant deaths
批准号:
10571861
负责人:
EILEEN M MCDONALD
金额:
$66.34万
依托单位:
依托单位国家:
美国
项目类别:
财政年份:
2021
资助国家:
美国
项目状态:
未结题
起止时间:
2021-06-16 至 2026-02-28
关键词:
AcademyAccidentsAfrican AmericanAfrican American populationAlgorithmsAmericanAsphyxiaBackBack to SleepBaltimoreBedsBeliefBirthBlack raceCaringCessation of lifeChildChild health careChildhoodCitiesClassificationClinicClinicalClinical InformaticsCommunicationComputerized Medical RecordCounselingDataDisadvantagedDisclosureEconomically Deprived PopulationElectronicsEnvironmentFamilyFeedbackFundingHealthHealth care facilityHomeInfantInterventionKnowledgeLifeNational Institute on Minority Health and Health DisparitiesNewborn InfantOutcomeParentsPatientsPediatricsPeer ReviewPersonsPopulationPrevention MeasuresPrevention ResearchProviderPublic HealthPublicationsRandomizedRandomized, Controlled TrialsRecommendationReportingResearchRiskSiteSleepSmokeSourceSudden infant death syndromeSupinationSurveysTestingTheory of ChangeTrainingTraining ActivityUnited States National Institutes of HealthUnited States Public Health ServiceVisitWorkbehavior changedisparity reductioneffectiveness evaluationelectronic medical record systemethnic disparityexperiencefollow-uphealth disparityhealth disparity populationshealth information technologyhigh riskimprovedinfant deathinjury preventioninnovationmotivational enhancement therapypediatricianportabilityprimary care clinicprimary care providerprogramsracial disparityresponsesatisfactionskillssocioeconomic disadvantagestandard of caresupine sleeptool
中文摘要
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英文摘要
PROJECT SUMMARY/ABSTRACT
This proposal is in response to PAR19-093, and its aims are consistent with NIMHD and OBSSR priorities.
This research will examine how a unique health information technology (HIT) tool impacts patient and provider
outcomes when implemented in a pediatric primary care clinic serving a socioeconomically disadvantaged
population that is primarily Black/African American.
Aim 1. To test the impact of implementing a new EMR-based Infant Sleep Assessment (ISA) and brief
communication training on a) pediatric clinicians’ delivery of anticipatory guidance (both positive and
unintended negative consequences); and b) parents’ satisfaction with care, infant safe sleep knowledge,
beliefs, reported practices, and observed infant sleep environments.
Aim 2. To assess how implementing the new EMR-based ISA and brief communication training is perceived by
pediatric clinicians in terms of its advantages, disadvantages, and impact on their delivery of anticipatory
guidance.
For Aim 1, a randomized controlled trial will compare outcomes between a Standard of Care (SOC) and an
ISA group. Each of 12 half-day clinic sessions will be randomly assigned to SOC or ISA. Clinicians (N=88) and
the parents of their newborn patients (N=188 per study group) will remain in their assigned group throughout
the study. The ISA group will complete the tool at their 2-month well-baby visit, and both groups will have this
visit audio recorded. Follow-up data will be collected by an in-home survey and observation when the infant is
3-4 months old. For Aim 2, a brief survey will be completed by the clinicians at the end of their study
participation. Results will be disseminated through peer-reviewed publications, presentations and summary
briefs distributed through electronic media to the pediatric, injury prevention, public health, clinical informatics,
and health disparities communities.
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Health IT to reduce disparities in risks for sleep-related infant deaths
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批准号:10431776
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项目类别:
-
资助金额:$66.89万
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财政年份:2021
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负责人:EILEEN M MCDONALD
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依托单位:
海外基金