Improving representation of non-Hispanic Black and Hispanic study participants in a trial of virtual reality for chronic lower back pain

改善慢性腰痛虚拟现实试验中非西班牙裔黑人和西班牙裔研究参与者的代表性

• 批准号: 10400468
• 负责人: Brennan Spiegel
• 金额: $ 39.81万
• 依托单位: CEDARS-SINAI MEDICAL CENTER
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-09-25 至 2024-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10400468
• 关键词: Adoption; Algorithms; Appearance; Artificial Intelligence; Attitude; Behavior Therapy; Behavioral Model; Belief; California; Chronic low back pain; Classification; Code; Cognitive; Computer software; Consent; Consent Forms; Consult; Data; Disease; Drops; Effectiveness; Electronic Health Record; Enrollment; Ensure; Ethnic Origin; Evaluation; Familiarity; Focus Groups; Future; General Population; Goals; Health Technology; Hispanics; Image; Incidence; Individual; Intervention; Interview; Knowledge; Language; Measures; Medical center; Medicine; Minor; Monitor; Natural Language Processing; Not Hispanic or Latino; Outcome; Pain; Pain management; Parents; Participant; Patient Education; Patient Representative; Patients; Perception; Prevalence; Process; Proliferating; Protocols documentation; Race; Reporting; Research; Role; Schedule; Scientist; Specialist; Subgroup; Target Populations; Technology; Therapeutic; Training; United States National Institutes of Health; United States Public Health Service; Update; Variant; Vocabulary; base; chronic pain; clinical trial participant; cohort; digital; digital health; disparity reduction; diversity and inclusion; eligible participant; ethnic diversity; ethnic minority population; improved; individual patient; innovation; meetings; member; new technology; novel; parent grant; phrases; preference; racial and ethnic disparities; racial diversity; racial minority; recruit; social; sociodemographics; success; therapy development; tool; uptake; virtual reality; willingness

PROJECT SUMMARY Although digital health technologies are now widely available for both therapeutic and monitoring applications, there are racial and ethnic disparities in uptake and effectiveness of digital health interventions. Of relevance to our parent HEAL study examining a digital health intervention (virtual reality) for pain management, recent data indicate that non-Hispanic Black and Hispanic patients are less likely to have access to digital health information and more likely to report severe pain than non-Hispanic whites. In addition to disparities in access and adoption of digital health interventions, there are known disparities in the incidence and reporting of pain by racial and ethnic minorities. For example, study of 2000 patients found that non-Hispanic Black and Hispanic patients were more likely to report severe pain than non-Hispanic whites. The proposed study for this Diversity, Inclusion and Engagement Supplement to our NIH HEAL study evaluating the role of therapeutic VR for chronic lower back pain (cLBP) will provide a framework to advance diversity and inclusion efforts for future digital health trials at our medical center and beyond. Further, it will enhance the parent study by seeking to increase the proportion of participants with historically less access to and familiarity with digital technologies while enhancing overall participant racial and ethnic diversity. Using the NIH Stage Model for Behavioral Intervention Development supported by advances in artificial intelligence (AI)-driven cohort building tools, we propose to meaningfully improve enrollment rates of non-Hispanic Black and Hispanic participants in our parent NIH HEAL study by achieving two aims: (1) tailor recruitment materials for non-Hispanic Black and Hispanic patients with cLBP in partnership with representative patient advisory boards; and (2) oversample non-Hispanic Black and Hispanic participants in parent study using an AI-driven cohort building tool housed within the electronic health record.

项目摘要 尽管数字健康技术现在已广泛用于治疗和监测 应用程序，在数字健康的吸收和有效性方面存在种族和种族差异 干预措施。与我们的父母治疗研究有关的研究数字健康干预（虚拟） 现实）对于疼痛管理，最近的数据表明非西班牙裔黑人和西班牙裔患者 比相比 非西班牙裔白人。除了访问和采用数字健康干预措施的差异外， 种族和少数民族的痛苦发生率和报告存在已知差异。 例如，对2000名患者的研究发现，非西班牙裔黑人和西班牙裔患者是 比非西班牙裔白人更有可能报告严重的疼痛。提出的有关这种多样性的研究， 我们的NIH治疗研究的包含和参与补充剂评估治疗的作用 慢性下背部疼痛（CLBP）的VR将提供一个框架，以提高多样性和包容性 在我们的医疗中心及其他地区进行未来数字健康试验的努力。此外，它将增强 父母研究通过寻求增加历史上少于参与者的比例 并熟悉数字技术，同时增强了整体参与者的种族和种族 多样性。使用NIH阶段模型进行行为干预发展。 人工智能（AI）驱动的队列建筑工具的进步，我们建议有意义 提高非西班牙裔黑人和西班牙裔参与者的入学率 通过实现两个目的研究：（1）针对非西班牙裔黑色和西班牙裔的量身定制招聘材料 与代表性的患者咨询委员会合作的CLBP患者； （2）超级样品 非西班牙裔黑人和西班牙裔参与者在父母研究中使用AI-DRIEN COHORT建筑物 设有电子健康记录中的工具。