Addressing Low Cardiac Rehabilitation Participation among Patients with Low Socioeconomic Status

解决社会经济地位低的患者心脏康复参与率低的问题

• 批准号: 10591638
• 负责人: Lena Molly Mathews
• 金额: $ 17.71万
• 依托单位: JOHNS HOPKINS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-02-06 至 2028-01-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10591638
• 关键词: Accounting; Address; Age; Award; Behavior; Behavior Therapy; Behavioral; Biometry; Cardiac rehabilitation; Cardiology; Cardiovascular Diseases; Characteristics; Clinical; Clinical Investigator; Clinical Research; Communities; Community Health Aides; Complex; Counseling; Data; Development Plans; Disparity; Education; Electronic Health Record; Eligibility Determination; Enrollment; Ensure; Environment; Epidemiology; Evaluation; Event; Face; Feasibility Studies; Feedback; Fellowship; Foundations; Future; Gender; Goals; Health; Health system; Healthcare Systems; Heart; Hospitalization; Human Resources; Individual; Intervention; Intervention Trial; Interview; Knowledge; Learning; Life Style; Link; Medical; Mentored Patient-Oriented Research Career Development Award; Mentors; Mentorship; Methods; Modeling; Morbidity - disease rate; Motivation; Names; Obesity; Outcome; Participant; Patients; Persons; Phase Ia Trial; Phase Ib Trial; Population; Prevention strategy; Prevention therapy; Process; Provider; Qualitative Methods; Race; Randomized, Controlled Trials; Recurrence; Research; Research Methodology; Research Personnel; Scientist; Secondary Prevention; Social support; Socioeconomic Status; Structure; System; Testing; Theory of Change; Training; Underserved Population; United States National Institutes of Health; Universities; Woman; Work; acceptability and feasibility; arm; behavior change; cardiovascular disorder prevention; cardiovascular disorder risk; cardiovascular health; career; career development; community based participatory research; community engagement; comorbidity; disease disparity; efficacy testing; ethnic minority; ethnic minority population; evidence base; exercise training; experience; feasibility testing; health disparity; high risk; implementation science; improved; low socioeconomic status; marginalized population; medically underserved population; mortality; multi-component intervention; navigator intervention; patient engagement; patient navigator; patient oriented research; professor; programs; public health priorities; racial minority; racial minority population; recruit; satisfaction; skill acquisition; skills; sociodemographics; theories; therapy design; therapy development

PROJECT SUMMARY/ABSTRACT Lena Mathews, MD, MHS is an Assistant Professor in the Division of Cardiology at Johns Hopkins University. Dr. Mathews is applying for a Mentored Patient-Oriented Research Career Development Award in order to obtain the skills, knowledge and research experience to provide the foundation for a career as an independent investigator using implementation science to address cardiovascular health disparities. Dr. Mathews’s career development plan includes interdisciplinary mentorship from Drs. Kunihiro Matsushita, Chiadi E. Ndumele, and Kristin Riekert; didactics and directed learning; and mentored clinical research adapting and implementing a theory-based multi-component intervention to increase cardiac rehabilitation (CR) use among individuals with low socioeconomic status. The specific aims of the research agenda are to: 1) Quantitatively evaluate barriers to CR referral and enrollment in a diverse hospitalized population by SES, accounting for race, gender and other sociodemographic characteristics; 2) Qualitatively elucidate perceived barriers to CR utilization in a diverse clinical population with low socioeconomic status; 3) Adapt and test the feasibility and acceptability of a navigator intervention, delivered by community health workers and refined by engagement of community stakeholders, to increase CR utilization among individuals with low socioeconomic status. She seeks to build upon her research fellowship training in epidemiology and biostatistics, and her clinical background as a Cardiologist and the Director of Cardiac Rehabilitation at Johns Hopkins, by acquiring additional skills and expertise required to achieve her career goals. This Mentored Patient-Oriented Research Career Development (K23) Award will provide her with the opportunity to: 1) develop skills in advanced epidemiology and health utilization research using electronic health records 2) develop expertise in qualitative methods, to inform intervention design and evaluation 3) develop skills in behavior change theory to develop clinical interventions that engage patients with low socioeconomic status; 4) acquire skills in implementation science methods including community based participatory research; 5) engage in additional career development activities to enable her transition to independence as a clinician-investigator. Developing these skills during the award period will support Dr. Mathews’ long-term goal of becoming an independent clinical investigator, leading efforts to improve the delivery of CVD prevention therapies to marginalized populations, with the ultimate goal of reducing CVD disparities.

项目总结/摘要 Lena马修斯，医学博士，MHS是约翰霍普金斯大学心脏病学系的助理教授。 博士马修斯正在申请一个指导病人为导向的研究职业发展奖，以 获得技能，知识和研究经验，为独立的职业生涯奠定基础 研究人员使用实施科学来解决心血管健康差异。马修斯医生的职业生涯 发展计划包括跨学科导师松下邦弘博士，Chiadi E。Ndumele，以及 Kristin Riekert;教学法和定向学习;指导临床研究适应和实施 以理论为基础的多组分干预，以增加心脏康复（CR）的使用， 社会经济地位低下。研究议程的具体目标是：1）量化评估障碍 CR转诊和入组不同住院人群的SES，考虑种族、性别和 其他社会人口统计学特征; 2）质量分析阐明了在一个 社会经济地位低的多样化临床人群; 3）适应并测试 导航干预，由社区卫生工作者提供，并通过社区参与进行完善 利益相关者，以提高社会经济地位低的个人的CR利用率。她试图建立 她在流行病学和生物统计学方面的研究奖学金培训，以及她作为 心脏病专家和约翰霍普金斯心脏康复主任，通过获得额外的技能， 专业知识，以实现其职业目标。这种指导以患者为导向的研究职业发展 (K23)该奖项将为她提供机会：1）发展先进的流行病学和健康技能 使用电子健康记录的利用研究2）发展定性方法的专业知识， 干预设计和评估3）发展行为改变理论的技能，以制定临床干预措施 使社会经济地位低的患者参与; 4）获得实施科学方法的技能 包括基于社区的参与性研究; 5）参与额外的职业发展活动， 使她能够过渡到独立作为一个临床调查员。在获奖期间培养这些技能 期间将支持马修斯博士的长期目标，成为一名独立的临床研究者，领导 努力改善对边缘化人群的心血管疾病预防治疗， 减少CVD差异。