Pharmacist-CHW Team to Improve Medication Adherence and Reduce Hypertension Disparities

药剂师-CHW 团队致力于提高用药依从性并减少高血压差异

• 批准号: 10628105
• 负责人: Jeannie Kim Lee
• 金额: $ 7.05万
• 依托单位: UNIVERSITY OF ARIZONA
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-09-06 至 2026-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10628105
• 关键词: Address; Belief; Caring; Chronic Disease; Clinical; Community Health Education; Data; Data Analyses; Data Collection; Daughter; Development; Disease Management; Doctor of Philosophy; Focus Groups; Generations; Health; Healthcare; Hypertension; Immigrant; Individual; Intervention; Interview; Massachusetts; Medicine; National Heart, Lung, and Blood Institute; Neighborhood Health Center; Parents; Participant; Patients; Pharmacists; Polypharmacy; Population; Primary Health Care; Questionnaires; Refugees; Research; Research Methodology; Resources; Role; Sampling; Social support; Subgroup; Surveys; Testing; Translating; Translations; Universities; bilingualism; experience; health literacy; high risk; improved; instrument; medication compliance; minority patient; parent project; skills; social; social factors; tool

Project Summary The proposed NHLBI Diversity Supplement, Medication Adherence among Vietnamese immigrants to the US, will explore the interrelationships among social support, health literacy, and medication adherence in Vietnamese immigrants with hypertension in Springfield, MA. The parent study, Pharmacist-CHW Team to Improve Medication Adherence and Reduce Hypertension Disparities, will test an interprofessional care team intervention to identify and address individual, clinical, social-cultural and structural barriers to medication adherence among high-risk minority patients with hypertension, polypharmacy use and nonadherence. The proposed Diversity Supplement will support Ms. Thupten Phuntsog (Dorney), MPH, a second-generation daughter of Tibetan refugees to the U.S., as she gains mixed-method research experience and skills in qualitative and quantitative data collection and analysis to complete her PhD in Community Health Education at the University of Massachusetts. The proposed research will expand Ms. Phuntsog’s expertise in refugee and immigrant health by focusing on Vietnamese immigrant patients, one of the 3 targeted subgroups in the parent study, at Caring Health Center, and will provide a multidimensional (quantitative and qualitative) understanding of the cultural and structural facilitators and barriers to medication adherence among Vietnamese patients with hypertension. Research conducted for this supplement is complementary to the parent project as it provides greater depth of information about social factors in medication adherence among Vietnamese participants than is allowed by resource constraints in the parent project. The candidate will complete additional analyses of the quantitative data from the parent study to examine the interrelationships among social support, health literacy, and medication adherence among Vietnamese participants in the parent study (Aim 1). With the help of a bilingual, bicultural CHW, Ms. Phuntsog will conduct focus groups with Vietnamese participants to explore their understanding of three translated instruments: two social support scales (the MOS-Social Support Survey and two social support items from the PRAPARE tool) and the Beliefs about Medicines Questionnaire (Aim 2). Findings from these focus groups will improve the translations of these scales used in the parent study. In addition, a sub-sample of Vietnamese participants in the parent study will complete in-depth interviews to better understand the relationships between social support, health literacy, and medication adherence (Aim 3). By focusing on an in-depth understanding of the role of social support and health literacy among Vietnamese immigrants, this project will identify barriers experienced by immigrant and refugee groups and contribute to the development of tailored resources and other facilitators for chronic disease management.

项目概要 拟议的 NHLBI 多样性补充、越南移民到美国的药物依从性、 将探讨社会支持、健康素养和药物依从性之间的相互关系 马萨诸塞州斯普林菲尔德患有高血压的越南移民。家长研究，药剂师-CHW 团队 提高药物依从性并减少高血压差异，将考验跨专业护理团队 干预以识别和解决个人、临床、社会文化和结构性药物障碍 少数高危高血压患者的依从性、多药使用和不依从性。这 拟议的多元化补充计划将支持第二代公共卫生硕士 Thupten Phuntsog 女士（多尼） 流亡美国的西藏难民的女儿，她在以下领域获得了混合方法研究经验和技能 定性和定量数据收集和分析，以完成社区健康教育博士学位 在马萨诸塞大学。拟议的研究将扩大彭措女士在难民方面的专业知识 和移民健康，重点关注越南移民患者，越南移民患者是该地区的 3 个目标亚组之一 家长研究，在关爱健康中心，并将提供多维（定量和定性） 了解药物依从性的文化和结构促进因素和障碍 越南高血压患者。针对本补充品进行的研究是对 父项目，因为它提供了关于药物依从性的社会因素的更深入的信息 越南参与者超出了父项目中资源限制所允许的范围。候选人将 完成对母研究定量数据的额外分析，以检查相互关系 越南参与者父母的社会支持、健康素养和药物依从性 研究（目标 1）。在双语、双文化社区卫生工作者的帮助下，平措女士将开展焦点小组讨论， 越南参与者探讨他们对三种翻译文书的理解：两种社会支持 量表（MOS 社会支持调查和 PRAPARE 工具中的两个社会支持项目）和信念 关于药品问卷（目标 2）。这些焦点小组的调查结果将改进这些内容的翻译 家长研究中使用的量表。此外，家长研究中越南参与者的子样本将 完成深入访谈，以更好地了解社会支持、健康素养和健康之间的关系 药物依从性（目标 3）。通过专注于深入了解社会支持和 越南移民的健康素养，该项目将确定移民和移民所经历的障碍 难民群体，并为开发专门资源和其他促进因素做出贡献，以应对慢性病 疾病管理。