Brain Injury Outpatient Education and Care Navigation -Supplement

项目摘要 塞莱斯特加西亚的长期目标是成为一名研究科学家，重点是实施科学 针对拉丁裔/西班牙裔社区的需求。她提议两年的研究和职业生涯 在Nathalia Jimenez博士的指导下开展发展活动（家长补助金和主要导师PI 多样性补充），拉米雷斯，高和周。职业发展和培训活动包括 全面的文献回顾，课程，并指导直接相关的拟议研究项目。 主要研究活动利用了1stBIEN父母补助金的多中心设计。的 多样性补充提出了两个互补的项目，探索内部和外部设置域的 与拉丁裔人口有关的实施研究综合框架。研究1 在每个参与者处对第一次BIEN干预的相关领域进行真实的实时评估 网站.研究2通过对社会经济的人口水平测量进行试点测试来评估外部环境 不利因素（地区残疾指数ADI）作为TBI后医疗保健利用的独立预测因素 拉丁裔/西班牙裔儿童的功能结局;并评估其对 第一次干预。该提案采用混合方法。研究1用于深度访谈和主题访谈 基于CFIR的分析，以确定第一个BIEN核心项目实施的障碍和促进因素 组件和外围组件的修改，以适应机构的需要。研究2使用 双变量分析检查ADI和治疗依从性之间的相关系数，以及ADI和 TBI后功能为了检验ADI是否修改了干预效应，随后的线性回归模型检验了 治疗依从性与TBI后功能和ADI之间的关联，同时控制干预和 基线TBI严重程度。这项研究的结果可以促进优先考虑高危人群和战略 以病人为中心的双语项目的机构实施。

PROJECT SUMMARY Celeste Garcia’s long-term goal is to become a research-scientist with a focus on implementation science directed to the needs of the Latinx/Hispanic community. She proposes two years of research and career development activities under mentoring of Drs. Nathalia Jimenez (PI for the parent grant and primary mentor for the diversity supplement), Ramirez, Ko and Zhou. Career development and training activities include comprehensive literature review, coursework, and mentoring directly relevant to the proposed research project. The primary research activity takes advantage of the multicenter design of the 1stBIEN parent grant. The diversity supplement proposes two complementary projects that explore inner and outer setting domains of the Consolidated Framework for Implementation Research (CFIR) related to the Latinx population. Study 1 assesses in real time implementation related domains of the 1stBIEN intervention at each of the participant sites. Study 2 evaluates outer context by pilot testing a population level measurement of socioeconomic disadvantage (The Area Deprivation Index ADI) as an independent predictor for post-TBI health care utilization and functional outcomes among Latinx/Hispanic children; and evaluate its effect on the response to the 1stBIEN intervention. This proposal uses mixed methods. Study 1 uses in depth interviews and thematic analysis grounded on CFIR to identify barriers and facilitators for program implementation of 1stBIEN core components and modifications in peripheral components to accommodate for institutional needs. Study 2 uses bivariate analysis examining the correlation coefficient between ADI and treatment adherence, and ADI and post-TBI function. To test if ADI modifies the intervention effects, subsequent linear regression models test the association between treatment adherence and post-TBI function and ADI, while controlling for intervention and baseline TBI severity. Findings from this study can facilitate prioritization of at-risk populations and strategies for institutional implementation of patient centric bilingual programs.