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: 10608871
• 负责人: GLORIA D CORONADO
• 金额: $ 133.35万
• 依托单位: KAISER FOUNDATION RESEARCH INSTITUTE
• 依托单位国家: 美国
• 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: https://reporter.nih.gov/project-details/10608871
• 关键词: Address; Adoption; Adult; Advisory Committees; Area; Awareness; Behavior; Caring; Clinic; Clinical; Clinical Medicine; Colorectal Cancer; Communication; Communities; Community Networks; Data; Detection; Disease; Effectiveness; Emotional; Ensure; Ethnic Origin; Evaluation; Face; Food; Gastroenterology; Geographic Information Systems; Goals; Guidelines; Health; Health Services Accessibility; Health Services Research; Health system; Healthcare; Individual; Interdisciplinary Study; Intervention; Knowledge; Language; Latinx; Latinx population; Link; Logistics; Los Angeles; Malignant Neoplasms; Measures; Methods; Misinformation; Modeling; Neighborhood Health Center; Neighborhoods; Outcome; Patients; Pattern; Population; Preventive; Preventive care; Preventive service; Process; Program Effectiveness; Program Sustainability; Reach Effectiveness Adoption Implementation and Maintenance; Research; Research Methodology; Research Personnel; Resources; Scientist; Screening for cancer; Services; Site; Subgroup; Survival Rate; Technology; Testing; Text Messaging; Transportation; Trust; aged; barrier to care; base; cancer care; cancer prevention; cancer survival; care delivery; care systems; clinical practice; colorectal cancer screening; community based service; community organizations; community partnership; design; disparity reduction; effectiveness testing; evidence base; follow-up; health disparity; health equity; implementation facilitators; implementation framework; implementation science; improved; member; novel; patient engagement; patient oriented; prevention service; programs; rapid technique; scale up; screening; screening disparities; screening services; social; social health determinants; success; systems research; telehealth; telehealthcare; tool; uptake; video delivery

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