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Hypertension Self-management in Refugees Living in San Diego

居住在圣地亚哥的难民的高血压自我管理

基本信息

批准号：
10626101
负责人：
Tala Al-Rousan
金额：
$ 17.64万
依托单位：
UNIVERSITY OF CALIFORNIA, SAN DIEGO
依托单位国家：
美国
项目类别：
财政年份：
2020
资助国家：
美国
起止时间：
2020-06-01 至 2025-05-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10626101
关键词：
Address Affect Age Antihypertensive Agents Awareness Biometry Blood Pressure Cardiovascular Diseases Cardiovascular system Caring Clinical Clinical Trials Communities Complex Country County Data Deterioration Development Diagnosis Disadvantaged Disparity Educational workshop Epidemiology Evaluation Evidence based intervention Feasibility Studies Foundations Future Gender Goals Health Health Expenditures Health Knowledge Attitudes Practice Home Home Blood Pressure Monitoring Hypertension Immigrant Instruction Intervention Intervention Studies Iraq Knowledge Knowledge acquisition Language Learning Literature Location Mentored Patient-Oriented Research Career Development Award Mentors Mentorship Methods Migrant Minority Groups Modeling Monitor Myocardial Infarction National Heart, Lung, and Blood Institute Outcome Outcome Measure Pathway Analysis Patients Pharmaceutical Preparations Population Positioning Attribute Prevention Protocols documentation Provider Quality of life Refugee Camp Refugees Religion Research Research Infrastructure Research Personnel Research Priority Research Project Grants Rest Science Self Management Self Medication Social Network Somalia Specific qualifier value Stress Stroke Structure Time Titrations Training Training Activity Treatment Cost Treatment Efficacy Trust Vulnerable Populations Work acceptability and feasibility blood pressure control cardiovascular disorder risk cardiovascular health cardiovascular risk factor career community intervention cost effective design disease disparity effectiveness research efficacy evaluation empowerment epidemiology study ethnic minority evidence base experience health care availability health disparity health inequalities health literacy hypertension control implementation research improved migration multilevel analysis novel patient oriented research patient population perceived discrimination preservation racial minority randomized, clinical trials responsible research conduct satisfaction skill acquisition skills social determinants social health determinants success theories tool

项目摘要

Project Summary The proposed Mentored Patient-Oriented Research Career Development Award (K23) is to provide the candidate with training and research experiences that will promote her development as an independent clinician-researcher, with particular emphasis in the field of intervention research addressing hypertension control, specifically self-management (home blood pressure monitoring and self-titration of medications) as a tool to deal with cardiovascular disparities related to displacement in refugees. This training will provide her with the opportunity to develop knowledge and skills in: 1) hypertension epidemiology and disparities focusing on migration as a social determinant of health,; 2) acquire knowledge in the theory, development, implementation, and adaptation of theoretically driven community-based interventions to improve blood pressure (BP) control through self-management; 3) acquire skills in qualitative (social network analysis) multilevel modeling of longitudinal data to assess the efficacy of interventions and hypertension self- management clinical trials. Training activities will include didactic coursework and specific workshops, directed readings, one-on-one tutorials with mentors, and instructions in the responsible conduct of research that focuses on vulnerable populations. The candidate will capitalize on her previous clinical and research experience with refugees, and leverage mentorship from a Training Committee comprised of globally renowned experts in the fields of CVD disparities, community interventions, hypertension trials, social determinants of immigrant health, and advanced biostatistics. The present K23 research project emerges from the existing research infrastructure and extensive experience of her mentors’ self-management trials in CVD disparities, epidemiological research and clinical trials, to carve out a niche for me to specialize in CVD clinical trials and prevention in refugees and vulnerable immigrants. The specific aims are to conduct a structured feasibility study through: 1) Understanding knowledge, attitudes and behaviors related to self-management of hypertension among refugees; 2) Developing, adapting and implementing a culturally-sensitive hypertension self-management intervention in refugees in San Diego; and 3) Identifying factors affecting the feasibility and acceptability of such an intervention to estimate effect sizes and outcome measures to be used in a future powered trial. This work will lay strong foundations for the first powered randomized clinical trial of refugee hypertension self-management ever conducted. While the specified initial goal of this work is to adapt an evidence-based hypertension self-management intervention model adapted from recent large clinical trials, we hypothesize that this intervention will be feasible in refugees; they can do it, accept it and give us leads on designing a future clinical trial to learn more about CVD disparities science and implementation research. The candidate’s longer-term goal is to develop expertise necessary to become a leading trialist in understanding and addressing cardiovascular health disparities.

项目摘要建议的指导病人为导向的研究职业发展奖（K23）是提供候选人的培训和研究经验，将促进她作为一个独立的发展临床医生-研究员，特别侧重于高血压干预研究领域控制，特别是自我管理（家庭血压监测和药物自我滴定），这是一个处理与难民流离失所有关的心血管差异的工具。这次培训将为她提供有机会发展以下方面的知识和技能：1）高血压流行病学和差异聚焦关于移徙作为健康的社会决定因素，2）获得理论、发展、实施和调整理论驱动的社区干预措施，以改善血液通过自我管理控制压力（BP）; 3）掌握定性技能（社会网络分析）纵向数据的多水平建模，以评估干预措施的有效性和高血压自我管理临床试验。培训活动将包括教学课程和具体讲习班，阅读，与导师一对一的教程，以及负责任地进行研究的指导，关注弱势群体。候选人将利用她以前的临床和研究与难民打交道的经验，并利用由全球心血管疾病差异，社区干预，高血压试验，社会移民健康的决定因素和先进的生物统计学。目前的K23研究项目来自于现有的研究基础设施和她的导师在CVD自我管理试验中的丰富经验差异，流行病学研究和临床试验，为我开辟了一个利基，专门从事心血管疾病临床难民和弱势移民的审判和预防。具体目标是进行结构化的可行性研究通过：1）了解与自我管理有关的知识，态度和行为难民高血压; 2）制定，调整和实施文化敏感的高血压圣地亚哥难民的自我管理干预;以及3）确定影响可行性和这种干预的可接受性，以估计未来使用的效应量和结局指标动力试验这项工作将为第一个难民的随机临床试验奠定坚实的基础。高血压自我管理。虽然这项工作的指定初始目标是适应一个根据最近的大型临床试验改编的循证高血压自我管理干预模式，我们假设这种干预在难民中是可行的;他们可以做到，接受它，并为我们提供线索，设计未来的临床试验，以了解更多关于CVD差异的科学和实施研究。的候选人的长期目标是发展必要的专业知识，成为一个领先的试用者在理解以及解决心血管健康方面的差距。

项目成果

期刊论文数量（19）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Facilitators and Barriers to Dementia Assessment and Diagnosis: Perspectives From Dementia Experts Within a Global Health Context.

DOI：
10.3389/fneur.2022.769360
发表时间：
2022
期刊：
Frontiers in neurology
影响因子：
3.4
作者：
Bernstein Sideman A;Al-Rousan T;Tsoy E;Piña Escudero SD;Pintado-Caipa M;Kanjanapong S;Mbakile-Mahlanza L;Okada de Oliveira M;De la Cruz-Puebla M;Zygouris S;Ashour Mohamed A;Ibrahim H;Goode CA;Miller BL;Valcour V;Possin KL
通讯作者：
Possin KL

Decreasing perceived risk associated with regular cannabis use among older adults in the United States from 2015 to 2019.

DOI：
10.1111/jgs.17213
发表时间：
2021-09
期刊：
Journal of the American Geriatrics Society
影响因子：
6.3
作者：
Han BH;Funk-White M;Ko R;Al-Rousan T;Palamar JJ
通讯作者：
Palamar JJ

Telehealth and cardiometabolic-based chronic disease: optimizing preventive care in forcibly displaced migrant populations.

DOI：
10.1186/s41043-023-00418-x
发表时间：
2023-09-04
期刊：
Journal of health, population, and nutrition
影响因子：
0
作者：
通讯作者：

Digitally Based Blood Pressure Self-Monitoring Program That Promotes Hypertension Self-Management and Health Education Among Patients With Low-Income: Usability Study.

DOI：
10.2196/46313
发表时间：
2023-07-24
期刊：
JMIR HUMAN FACTORS
影响因子：
2.7
作者：
Poblete, Jacqueline Yareli;Vawter, Natalie Lauren;Lewis, Sydney Virginia;Felisme, Earl Marc;Mohn, Paloma Adriana;Shea, Jennifer;Northrup, Adam William;Liu, Jie;Al-Rousan, Tala;Godino, Job Gideon
通讯作者：
Godino, Job Gideon

Refugee Mental Health-An Urgent Call for Research and Action.

难民心理健康 - 紧急呼吁进行研究和行动。