Community Partnership for Telehealth Solutions to Counter Misinformation and Achieve Equity (PRIME)
反虚假信息和实现公平的远程医疗解决方案社区合作伙伴关系 (PRIME)
基本信息
- 批准号:10608871
- 负责人:
- 金额:$ 133.35万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2022
- 资助国家:美国
- 起止时间:2022-09-18 至 2027-04-30
- 项目状态:未结题
- 来源:
- 关键词:AddressAdoptionAdultAdvisory CommitteesAreaAwarenessBehaviorCaringClinicClinicalClinical MedicineColorectal CancerCommunicationCommunitiesCommunity NetworksDataDetectionDiseaseEffectivenessEmotionalEnsureEthnic OriginEvaluationFaceFoodGastroenterologyGeographic Information SystemsGoalsGuidelinesHealthHealth Services AccessibilityHealth Services ResearchHealth systemHealthcareIndividualInterdisciplinary StudyInterventionKnowledgeLanguageLatinxLatinx populationLinkLogisticsLos AngelesMalignant NeoplasmsMeasuresMethodsMisinformationModelingNeighborhood Health CenterNeighborhoodsOutcomePatientsPatternPopulationPreventivePreventive carePreventive serviceProcessProgram EffectivenessProgram SustainabilityReach Effectiveness Adoption Implementation and MaintenanceResearchResearch MethodologyResearch PersonnelResourcesScientistScreening for cancerServicesSiteSubgroupSurvival RateTechnologyTestingText MessagingTransportationTrustagedbarrier to carebasecancer carecancer preventioncancer survivalcare deliverycare systemsclinical practicecolorectal cancer screeningcommunity based servicecommunity organizationscommunity partnershipdesigndisparity reductioneffectiveness testingevidence basefollow-uphealth disparityhealth equityimplementation facilitatorsimplementation frameworkimplementation scienceimprovedmembernovelpatient engagementpatient orientedprevention serviceprogramsrapid techniquescale upscreeningscreening disparitiesscreening servicessocialsocial health determinantssuccesssystems researchtelehealthtelehealthcaretooluptakevideo delivery
项目摘要
ABSTRACT
Use of cancer screening services for Latinx populations has lagged far behind the use for non-Latinx White
populations; this has led to later stage detection and worse survival for Latinx people. Clinic-delivered video-
texting combined with neighborhood-level navigation services is a telehealth-community solution that offers
great promise for addressing cancer screening disparities, as it reduces multi-level barriers to care. Our
proposed project, Community Partnership for Telehealth Solutions to Counter Misinformation and
Achieve Equity (PRIME), will leverage partnerships among research centers, clinics, and community
organizations to provide personalized support services informed by local knowledge and neighborhood-level
data, and apply and evaluate novel technical and communication solutions. The goal of PRIME will be to
improve colorectal cancer-related care delivery and reduce disparities in telehealth access and care by
developing and testing telehealth tools and technologies using novel research methods. This research will use
rapid methods and adaptive-evaluation processes and will apply the Health Equity Implementation Framework
and components of the Reach Effectiveness-Adoption Implementation Maintenance (RE-AIM) framework, with
an emphasis on effects on disparities in implementation and evaluation. PRIME will assess neighborhood-level
social determinants of health and adapt and optimize a telehealth-solution to improve the quality, reach, and
effectiveness of colorectal cancer screening in predominantly Latinx clinic populations aged 45-54 (Aim 1); test
technical and communication solutions that use video-text messages to educate patients about colorectal
cancer screening, link them to community-based services, and provide personalized navigation to support to
improve uptake of screening and follow-up care, using a pragmatic stepped-wedge design (12 neighborhoods;
3,000 patients aged 45-54; Aim 2); and assess multi-level moderators of program effectiveness (including
neighborhood-level social determinants of health, ethnicity, and preferred language) and organizational-level
barriers and facilitators to implementation; and scale-up the program across neighborhoods and partnering
clinical practice sites (n = 4; Aim 3). This project will leverage local resources and strengthen connections
among health systems and trusted community-based organizations, increasing the likelihood of program
sustainment. To ensure the project’s success, we have assembled an engaged group of community partners,
including payers, health centers, community-based organizations, and patients, along with a multi-disciplinary
research team of nationally renowned clinicians and scientists. If successful, the program will result in ready-to-
implement strategies to reduce cancer-related disparities and improve preventive cancer care access, quality,
and health outcomes for Latinx populations.
摘要
拉丁裔人口癌症筛查服务的使用远远落后于非拉丁裔白色人
这导致了晚期检测和拉丁裔人更差的生存率。诊所提供的视频-
短信与社区级导航服务相结合是一种远程医疗社区解决方案,
解决癌症筛查差异的巨大希望,因为它减少了多层次的护理障碍。我们
拟议的项目,远程保健解决方案社区伙伴关系,以打击错误信息和
实现公平(PRIME)将利用研究中心,诊所和社区之间的合作伙伴关系
组织提供个性化的支持服务,了解当地知识和社区水平
数据,并应用和评估新的技术和通信解决方案。PRIME的目标是
改善结肠直肠癌相关护理服务,减少远程医疗服务和护理方面的差距,
使用新的研究方法开发和测试远程保健工具和技术。这项研究将使用
快速方法和适应性评估程序,并将应用健康公平实施框架
和RE-AIM框架的组成部分,
强调对执行和评价中的差距的影响。PRIME将评估社区级别
健康的社会决定因素,并调整和优化远程医疗解决方案,以提高质量,覆盖范围,
在45-54岁的主要拉丁裔临床人群中进行结肠直肠癌筛查的有效性(目标1);试验
技术和通信解决方案,使用视频文本消息来教育患者有关结肠直肠的知识
癌症筛查,将其与基于社区的服务联系起来,并提供个性化导航,以支持
采用实用的阶梯楔形设计(12个社区;
3,000名45-54岁的患者;目标2);并评估项目有效性的多层次调节者(包括
社区层面的健康、种族和首选语言的社会决定因素)和组织层面的
实施的障碍和促进因素;并在社区和伙伴关系中扩大该计划
临床实践地点(n = 4;目标3)。该项目将利用当地资源并加强联系
在卫生系统和值得信赖的社区组织中,
自我维持。为了确保项目的成功,我们召集了一批社区合作伙伴,
包括付款人、健康中心、社区组织和患者,沿着多学科
由全国知名的临床医生和科学家组成的研究团队。如果成功,该计划将导致准备-
实施战略,减少与癌症有关的差距,改善预防性癌症护理的获得、质量
拉丁裔人口的健康状况。
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)
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GLORIA D CORONADO其他文献
GLORIA D CORONADO的其他文献
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{{ truncateString('GLORIA D CORONADO', 18)}}的其他基金
Community Partnership for Telehealth Solutions to Counter Misinformation and Achieve Equity (PRIME)
反虚假信息和实现公平的远程医疗解决方案社区合作伙伴关系 (PRIME)
- 批准号:
10706426 - 财政年份:2022
- 资助金额:
$ 133.35万 - 项目类别:
Assessing the long-term impacts of the COVID-19 pandemic on disparities in cancer screening and follow-up
评估 COVID-19 大流行对癌症筛查和随访差异的长期影响
- 批准号:
10449261 - 财政年份:2021
- 资助金额:
$ 133.35万 - 项目类别:
Assessing the long-term impacts of the COVID-19 pandemic on disparities in cancer screening and follow-up
评估 COVID-19 大流行对癌症筛查和随访差异的长期影响
- 批准号:
10318023 - 财政年份:2021
- 资助金额:
$ 133.35万 - 项目类别:
Assessing the long-term impacts of the COVID-19 pandemic on disparities in cancer screening and follow-up
评估 COVID-19 大流行对癌症筛查和随访差异的长期影响
- 批准号:
10673630 - 财政年份:2021
- 资助金额:
$ 133.35万 - 项目类别:
Smarter CRC Supplement for ACCSIS Patient Navigation
用于 ACCSIS 患者导航的更智能 CRC 补充
- 批准号:
10782890 - 财政年份:2019
- 资助金额:
$ 133.35万 - 项目类别:
Screening More patients for CRC through Adapting and Refining Targeted Evidence-based Interventions in Rural settings (SMARTER CRC)
通过在农村环境中调整和完善有针对性的循证干预措施(SMARTER CRC),筛查更多的 CRC 患者
- 批准号:
10267750 - 财政年份:2019
- 资助金额:
$ 133.35万 - 项目类别:
Screening More patients for CRC through Adapting and Refining Targeted Evidence-based Interventions in Rural settings (SMARTER CRC)
通过在农村环境中调整和完善有针对性的循证干预措施(SMARTER CRC),筛查更多的 CRC 患者
- 批准号:
10676161 - 财政年份:2019
- 资助金额:
$ 133.35万 - 项目类别:
Screening More patients for CRC through Adapting and Refining Targeted Evidence-based Interventions in Rural settings (SMARTER CRC)
通过在农村环境中调整和完善有针对性的循证干预措施(SMARTER CRC),筛查更多的 CRC 患者
- 批准号:
10250715 - 财政年份:2019
- 资助金额:
$ 133.35万 - 项目类别:
Screening More patients for CRC through Adapting and Refining Targeted Evidence-based Interventions in Rural settings (SMARTER CRC)
通过在农村环境中调整和完善有针对性的循证干预措施(SMARTER CRC),筛查更多的 CRC 患者
- 批准号:
10470250 - 财政年份:2019
- 资助金额:
$ 133.35万 - 项目类别:
Prediciting and addressing colonoscopy non-adherence in community settings
预测和解决社区环境中结肠镜检查不依从性
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10394857 - 财政年份:2018
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