The Impact of Social Determinants of Health Domains on Lung Cancer Surgery Family Caregivers and Patients

项目摘要 这个补充申请的目的是促进多样性研究，并提供一个指导 Dede Teteh博士在癌症健康差异和癌症控制方面的经验。父R 01的目的 （CA 217841 - 01 A1，PI：Sun，Kim）是为了测试多媒体自我管理干预对 肺癌手术家庭护理人员（FCG）和患者的结局。在R 01中进行的研究是 这一点至关重要，因为肺癌患者在手术后较早出院， 患有更高的合并症和生活质量（QOL）下降的人群。因此， 手术后的负担落在了FCG身上。此外，健康的社会决定因素， 包括社会，环境，行为和精神因素，可能会影响QOL结果和生活质量 对肺癌手术FCG和患者的负担。然而，SDH在肺癌中是一个未充分研究的主题 手术了解SDH域和QOL结果之间的相互作用将填补一个关键的知识 在肺癌手术结果和生存率方面的潜在健康差距。因此， 本补充申请旨在确定SDH结构域对肺癌手术结果的影响 使用前瞻性、纵向、混合方法设计的FCG和患者。目标1将描述 自我报告的SDH领域（经济稳定性，教育，邻里和建筑）之间的关系 环境、健康/医疗保健、社会和社区背景-灵性）和FCG/患者结果 手术后也是如此在目标2中，将探讨作为FCG/患者结局潜在障碍的SDH域 使用焦点小组。为了实现她的培训目标，Teteh博士将由一个优秀的团队指导， 在FCG/QOL研究领域具有互补专业知识的研究者，定量/定性 方法学、肺癌手术、SDH、健康差异和社区研究。的 指导/职业发展计划将侧重于研究设计，方法，研究实施， 数据分析拟议的研究与R 01研究保持一致，并将促进少数民族的发展。 健康科学的研究人员。研究结果将作为NIH/NCI K 01奖的初步数据。 博士Teteh的长期目标是成为健康差异和癌症控制方面的独立研究人员， 目的是设计和测试解决肺癌SDH的干预措施。

PROJECT SUMMARY The objective of this supplemental application is to promote diversity research and provide a mentored experience in cancer health disparities and cancer control for Dr. Dede Teteh. The purpose of the parent R01 (CA217841-01A1, PI: Sun, Kim) is to test the efficacy of a multimedia self-management intervention on outcomes for lung cancer surgery family caregivers (FCGs) and patients. Research conducted in the R01 is critical because lung cancer patients are discharged from the hospital earlier after surgery despite an aging population that suffers from greater co-morbidities and decreased quality of life (QOL). As a result, the bulk of the caregiving burden after surgery has fallen on FCGs. In addition, social determinants of health (SDH), including social, environmental, behavioral, and spirituality factors, may impact QOL outcomes and caregiving burden for lung cancer surgery FCGs and patients. However, SDH is an understudied topic in lung cancer surgery. Understanding the interaction between SDH domains and QOL outcomes will fill a critical knowledge gap on potential health disparities in lung cancer surgery outcomes and survivorship. Therefore, the purpose of this supplemental application is to determine the impact of SDH domains on outcomes in lung cancer surgery FCGs and patients using a prospective, longitudinal, mixed methods design. Aim 1 will describe the relationship between self-reported SDH domains (economic stability, education, neighborhood and built environment, health/healthcare, social and community context-spirituality) and FCG/patient outcomes before and after surgery. In Aim 2, SDH domains that are potential barriers to FCG/patient outcomes will be explored using focus groups. To achieve her training goals, Dr. Teteh will be mentored by an outstanding team of investigators with complementary expertise in the areas of FCG/QOL research, quantitative/qualitative methodology, lung cancer surgery, SDH, health disparities, and community-based research. The mentoring/career development plan will focus on research design, methodology, study implementation, and data analysis. The proposed research aligns with the parent R01 study and will promote the growth of minority researchers in health sciences. Results from the study will serve as preliminary data for a NIH/NCI K01 award. Dr. Teteh’s long-term goal is to become an independent researcher in health disparities and cancer control, with the aim to design and test interventions that address SDH in lung cancer.