The Application of a Theoretical Framework to Assess the Acceptability of a Health-Related Social Needs Screening Tool Among Black Patients In New York City

这项针对Deborah Onakomaiya女士的NRSA F31多样性建议旨在提供指导、培训和 先进的研究经验为Onakomaiya女士在#年的独立研究生涯做好准备 实施科学和健康差距研究。本提案的研究部分旨在进行一项 在可接受性理论框架(TFA)的指导下，进行混合方法研究，以制定 对负责任的健康社区与健康相关的社会需求的多维理解 纽约大学朗格尼健康中心接受护理的黑人患者的筛查工具(AHC-HRSN) (NYULH)。最近的研究表明，在如何最好地识别患者与健康相关的社会需求方面存在重大差距 (HRSNs)，并以尊重患者信任的方式提供帮助。为数不多的探索 HRSN工具的可接受性主要集中在医生和照顾者的角度，并没有定义 HRSN的可接受性或HRSN可接受性的驱动因素。到目前为止，还没有研究利用理论驱动的 在黑人患者中系统评估HRSN筛查工具的可接受性的方法 最有可能体验到HRSN的高负担。成功解决问题的关键的第一步或先导 HRSN的目的是检查筛查工具在接受筛查的人(例如患者)中的可接受性。 此外，与2024年医疗保险和医疗补助服务中心以及 医疗保健组织要求增加HRSN筛查，需要进行研究来证明 人力资源信息网络工具的可接受性。TFA处于有利地位，能够捕捉推动患者接受度的细微差别因素。 如果一种干预、实践或治疗被认为是可接受的，患者更有可能坚持 并从改善的临床结果中受益。此外，该提案的培训计划是 由指导研究、授课和非正式培训、体验式学习和专业性培训组成 发展活动。申请者将得到NYULH的几个资源的支持和一个强大的 具有卫生服务研究、实施科学、健康差距研究方面的专业知识的导师团队 和混合方法研究。研究培训计划将使Onakomaiya女士能够为一项研究做准备。 职业生涯：a)学习和应用严格的执行和心理测量方法；b)发展专门知识 在保健服务和健康差距研究方面；以及c)产生和传播科学知识 告知公共卫生实践。这项研究涵盖了NIMHD的一个高度优先的领域，并将是 美国将在NYULH这样的综合医疗体系中审查拟议的项目。因为这个项目将利用 NYULH的基础设施，准备在其患者中实施系统范围的HSRN筛查 人口。该项目将支持NIMHD的目标，以促进研究，了解和改善健康 第二，创建和改进科学方法、衡量标准、 支持健康差距研究的措施和工具(NIMHD-目标4)。

This NRSA F31 diversity proposal for Ms. Deborah Onakomaiya aims to provide mentorship, training, and advance research experiences to prepare Ms. Onakomaiya for an independent research career in implementation science and health disparities research. The research portion of this proposal aims to conduct a mixed-methods study, informed by the theoretical framework of acceptability (TFA), to develop a multidimensional understanding of the Accountable Health Communities Health-Related Social Needs Screening (AHC-HRSN) screening tool among Black patients who receive care at NYU Langone Health (NYULH). Recent studies suggest major gaps in how best to identify patients’ health-related social needs (HRSNs) and offer assistance in a respectful way that upholds patient trust. The few studies that explored the acceptability of HRSN tools largely focused on physician and caregiver perspectives and do not define acceptability of HRSN or the drivers for acceptability of HRSN. To date, no study has utilized a theory-driven approach to systematically assess the acceptability of HRSN screening tools among Black patients, who are most likely to experience a high burden of HRSN. An essential first step or precursor in successfully addressing HRSN is to examine the acceptability of screening tools among those who will be screened (e.g. patients). Additionally, with the 2024 Centers for Medicare & Medicaid Services and Joint Commission on Accreditation of Healthcare Organizations mandates to increase HRSN screening, there is a need for studies that demonstrate the acceptability of HRSN tools. TFA is well positioned to capture nuanced factors that drive patient acceptability. If an intervention, practice, or treatment is considered acceptable, patients are more likely to adhere to the recommendations and benefit from improved clinical outcomes. Also the training plan for this proposal is composed of mentored research, didactic and informal training, experiential learning and professional development activities. The applicant will be supported by several resources at NYULH and by a strong mentorship team with expertise in health services research, implementation science, health disparities research and mixed-methods research. The research-training plan will allow Ms. Onakomaiya to prepare for a research career by a) Learning and applying rigorous implementation and psychometric methods; b) developing expertise in health services and health disparities research; and c) generating and disseminating scientific knowledge to inform public health practice. This study covers a high priority area for NIMHD and will be one of the first in the U.S. to examine the proposed project in an integrated health system like NYULH . As this project will leverage NYULH’s infrastructure which is primed to implement system-wide screening for HSRNs among its patient population. This project will support NIMHDs goals to promote research to understand and to improve the health of racial/ethnic minorities (NIMHD- goal 1) and second, create and improve scientific methods, metrics, measures, and tools that support health disparities research (NIMHD-goal 4).