Mentoring in Community-engaged Research to Promote Health Equity for Latinos

指导社区参与的研究，以促进拉丁裔的健康公平

基本信息

批准号：
10506457
负责人：
Kathleen R Page
金额：
$ 16.59万
依托单位：
JOHNS HOPKINS UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2022
资助国家：
美国
起止时间：
2022-09-22 至 2027-07-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10506457
关键词：
Address Adoption Award Behavioral COVID-19 COVID-19 pandemic Caring Clinic Communicable Diseases Communities Community Health Aides Consolidated Framework for Implementation Research Data Aggregation Data Collection Discrimination Economics Ensure Environment Epidemiology Ethnic Origin Ethnic group Evaluation Exclusion Faculty Family Fostering Friends Funding Future Generations Goals Health Health Care Research Health Insurance Health Services Health Services Accessibility Health system Healthcare Hotlines Hybrids Immigration Improve Access Incentives Infrastructure Institution Intervention Interview Knowledge Language Latino Latino Population Leadership Learning Limited English Proficiency Linguistics Low income Maintenance Medical Research Medicine Mentors Methodology Methods Migrant Modeling Motivation Not Hispanic or Latino Online Systems Outcome Pathway Analysis Persons Policies Population Poverty Public Health RADx Underserved Populations Reduce health disparities Research Research Personnel Resources SARS-CoV-2 exposure Sampling Science Scientific Advances and Accomplishments Social Network Specialist Structure Students Surveys Technology Testing Text Messaging Time Touch sensation Training Trust Underserved Population United States National Institutes of Health Vaccinated Vaccination Vulnerable Populations Work base behavior change bilingualism career clinical care community based research community engaged research community engagement digital disorder risk diversity and equity effectiveness research evidence base experience health disparity health equity health equity promotion health literacy high risk implementation determinants implementation evaluation implementation outcomes implementation research implementation science improved innovation interest mHealth marginalized population mid-career faculty migration pandemic disease peer programs public health research racial and ethnic recruit reinforced behavior research study skills social social stigma socioeconomics stressor success theories training opportunity uptake

项目摘要

Dr. Page is an Associate Professor of Medicine and infectious disease specialist engaged in clinical care, and public health research with a focus on expanding access to care for marginalized populations through community-engaged program building and evaluation. Over the last 15 years, her research has focused on: 1) Elucidating the impact on health of stressors associated with migration and poverty; 2) Implementing and evaluating culturally and linguistically adapted interventions to improve access to care and utilization among underserved populations; and 3) Bridging the gap between scientific advances and real-world implementation to reach communities at highest risk of disease. She is the co-founder of Centro SOL (Center for Salud & Opportunities for Latinos), and has established a community coalition that has developed culturally and linguistically appropriate interventions to reduce health disparities among low-income limited Englih proficiency Latino communities. The objectives of this application are to support a program for mentoring junior investigators interested in health disparities, and to foster innovative epidemiology and implementation science research through interdisciplinary and community-engaged approaches. The research strategy proposed in this award capitalizes on existing multi-stakeholder community-academic-public health partnerships, as well as the infrastructure of Centro SOL and multiple independently funded research studies. This Mid-Career award explores the multi-level barriers and facilitators of engagement in healthcare and research through peers and technology (hybrid methods) that leverage social networks, mobile health (mHealth) and trusted community health workers. Informed by the Information-Motivation-Behavioral Skills model (IMB) and Social Network Theory, Aim 1 will determine the efficiency and acceptability of hybrid methods to promote healthcare engagement among low income LEP Latinos. In Aim 2, the study will determine the efficiency and acceptability of using hybrid methods for recruitment, data collection, and research engagement among Latinos by comparing traditional convenience sampling approaches to sampling using technology-based methods. Using the Consolidated Framework for Implementation Research (CFIR) and Research Effectiveness-Adoption Implementation Maintenance (RE-AIM) framework, semi-structured interviews will be conducted with key stakeholders to assess and inform implementation determinants and outcomes of hybrid methods to inform future broad scale implementation (Aim 3). This proposal creates a platform for trainees to learn and apply skills in community-based research, implementation science, mHealth, network analysis, epidemiology, and health disparities. This work also seeks to improve diversity, equity, and inclusion in research by prioritizing community engagement and training opportunities for early-stage investigators who are under-represented in medicine and health-related sciences

佩奇博士是从事临床护理的医学副教授和传染病专家，公共卫生研究，重点是通过以下方式扩大边缘化人群获得护理的机会社区参与的计划建设和评估。在过去 15 年里，她的研究重点是：1) 阐明与移徙和贫困相关的压力源对健康的影响； 2) 实施和评估适应文化和语言的干预措施，以改善儿童获得护理和利用的机会服务不足的人群； 3) 缩小科学进步与现实世界实施之间的差距到达疾病风险最高的社区。她是 Centro SOL（健康与健康中心）的联合创始人拉丁裔的机会），并建立了一个在文化和文化方面得到发展的社区联盟采取适当的语言干预措施，减少英语水平有限的低收入人群的健康差异拉丁裔社区。此应用程序的目标是支持一项针对初级学生的指导计划研究人员对健康差异感兴趣，并促进创新的流行病学和实施科学通过跨学科和社区参与的方法进行研究。提出的研究策略该奖项利用了现有的多利益相关者社区-学术-公共卫生伙伴关系，以及 Centro SOL 的基础设施和多项独立资助的研究。这个职业生涯中期奖探讨通过同行和研究人员参与医疗保健和研究的多层次障碍和促进因素利用社交网络、移动医疗 (mHealth) 和可信社区的技术（混合方法）卫生工作者。以信息-动机-行为技能模型 (IMB) 和社交网络为基础理论上，目标 1 将确定促进医疗保健的混合方法的效率和可接受性低收入 LEP 拉丁裔的参与度。在目标 2 中，研究将确定效率和可接受性使用混合方法在拉丁裔中进行招募、数据收集和研究参与将传统的便利抽样方法与使用基于技术的方法进行抽样进行比较。使用实施研究综合框架（CFIR）和研究有效性-采用实施维护（RE-AIM）框架，将针对关键人员进行半结构化访谈利益相关者评估并告知混合方法的实施决定因素和结果未来大规模实施（目标 3）。该提案为学员创造了一个学习和应用的平台基于社区的研究、实施科学、移动医疗、网络分析、流行病学和健康差异。这项工作还旨在通过优先考虑来提高研究的多样性、公平性和包容性为代表性不足的早期研究人员提供社区参与和培训机会医学和健康相关科学