Mentoring in community engaged implementation research to reduce cardiovascular disparities

指导社区参与实施研究以减少心血管差异

• 批准号: 10877251
• 负责人: NAMRATHA R KANDULA
• 金额: $ 12.15万
• 依托单位: NORTHWESTERN UNIVERSITY AT CHICAGO
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-08-01 至 2024-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10877251
• 关键词: Acceleration; Address; Adolescent; Adult; Affect; American Heart Association; Asian Americans; Atherosclerosis; Behavior; Blood Pressure; Cardiovascular Diseases; Cardiovascular system; Clinical; Clinical Research; Communities; Daughter; Diabetes Mellitus; Diet; Disparity; Disparity population; East Asian; Education; Effectiveness; Effectiveness of Interventions; Enrollment; Environment; Equity; Ethnic Population; Evaluation; Evidence based intervention; Family; Female Adolescents; Funding; Future; Gender; Glucose; Goals; Health; Health Educators; Heart Diseases; High Prevalence; Hispanic Populations; Hypertension; Immigrant; Immigration; Income; Individual; Infrastructure; Intervention; Intervention Trial; Investments; Knowledge; Language; Leadership; Link; Lipids; Measures; Mediator; Medicine; Mentors; Mentorship; Methods; Midcareer Investigator Award in Patient-Oriented Research; Minority; Modeling; Mothers; National Heart, Lung, and Blood Institute; Neighborhood Health Center; Neighborhoods; Not Hispanic or Latino; Outcome; Participant; Physical activity; Population; Prevention strategy; Preventive Medicine; Public Health; Research; Research Methodology; Research Personnel; Resources; Risk Factors; Scholarship; Science; South Asian; Testing; Time; Training; United States; United States National Institutes of Health; Universities; Vulnerable Populations; Weight; Woman; Work; cardiovascular disorder prevention; cardiovascular disorder risk; cardiovascular health; community based participatory research; community burden; community engaged research; community engagement; community partnership; community setting; contextual factors; disease disparity; effectiveness evaluation; effectiveness outcome; epidemiology study; evidence base; exercise intervention; future implementation; health care availability; health disparity; health disparity populations; health equity; healthy lifestyle; high risk; hybrid type 1 design; implementation evaluation; implementation outcomes; implementation research; implementation science; implementation strategy; improved; innovation; lifestyle intervention; medical schools; men; mid-career faculty; mortality; next generation; physical inactivity; practice setting; racial population; research to practice; skills; social; social determinants; social health determinants; stakeholder perspectives; structural determinants; student mentoring; treatment research

PROJECT SUMMARY This is a proposal for a K24 Midcareer Investigator Award in Patient-Oriented Research (POR) for Namratha Kandula, MD, MPH of Northwestern University Feinberg School of Medicine. Dr. Kandula is Associate Professor of Medicine and Preventive Medicine and co-Director of the Center for Community Health. Dr. Kandula's scholarship is focused on understanding the social and cultural determinants of cardiovascular disease (CVD) disparities in South Asian Americans and implementing evidence-based interventions (EBIs) using community-based participatory research (CBPR) methods. South Asian Americans, the majority of whom are immigrants, are disproportionately affected by CVD compared to non-Hispanic whites and other Asian Americans. While there is ample evidence that intensive diet and physical activity interventions improve CVD risk factors in adults, these EBIs have limited reach in South Asian and other vulnerable populations because most EBIs were developed in narrow clinical populations, lack cultural salience, do not account for multilevel social determinants of health, and are difficult to implement in new settings. Dr. Kandula has expertise in epidemiologic studies and community-based lifestyle intervention trials and has been actively mentoring students and junior investigators on health disparities and community engaged research. The objective of this K24 application is to promote science and mentorship in community engaged implementation research to optimally deliver and sustain EBIs focused on populations with a high burden of health disparities. Support from the K24 will provide Dr. Kandula with protected time to: 1) Devote more time to mentoring a diverse group of young investigators in community engaged implementation research; 2) Improve her implementation science research and mentoring skills through mentor training and guidance from senior mentors; 3) Extend her currently funded work to fill critical gaps in the science of delivering and sustaining EBIs for vulnerable populations; and 4) Assume leadership in new multisector, collaborative research on how to optimally deliver EBIs to eliminate health disparities. The current K24 proposal builds upon the scientific premise and extends the research and mentorship of the PI in the context of her two NIH-funded, community engaged lifestyle intervention trials to reduce CVD disparities in South Asian adults and adolescents (SAHELI and SAATH trials). The PI and her mentees will use mixed methods to: 1) Investigate social and structural determinants that contributed to differences in implementation outcomes of EBIs in the SAHELI and SAATH trials; 2) Evaluate sustainability of the EBIs implemented in the SAHELI and SAATH trials; and 3) Understand stakeholder perspectives on which implementation outcomes and evaluation strategies are most meaningful and feasible when implementing EBIs for CVD prevention in health disparity populations. Conduct of the proposed Aims will accelerate science and mentorship in building sustainable community partnerships and models to optimally deliver EBIs that improve the health of vulnerable populations and advance health equity.

项目总结

项目成果

South Asians Active Together (SAATH): Protocol for a multilevel physical activity intervention trial for South Asian American mother and daughter dyads.

• DOI: 10.1016/j.cct.2022.106892
• 发表时间: 2022-09
• 期刊: CONTEMPORARY CLINICAL TRIALS
• 影响因子: 2.2
• 作者: Kandula, Namratha R.;Patel, Kajal M.;Lancki, Nicola;Welch, Sarah;Bouris, Alida;Marquez, David X.;Liem, Robert;Rastogi, Mudita;Roy, Rency;Bharucha, Himali;Bever, Jennifer;Kwon, Soyang
• 通讯作者: Kwon, Soyang

Physical activity and TV viewing parenting practices for toddlers among South Asian and white families in the UK: born in Bradford 1000 study.

• DOI: 10.1186/s12889-023-16522-w
• 发表时间: 2023-08-22
• 期刊: BMC public health
• 影响因子: 4.5