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和传染病专家的副教授，公共卫生研究的重点是扩大通过社区参与计划的建设和评估。在过去的15年中，她的研究重点是：1）阐明对与移民和贫困相关的压力源健康的影响； 2）实施和评估文化和语言改编的干预措施，以改善在医疗和利用中的机会服务不足的人口； 3）弥合科学进步与现实实施之间的差距到达有疾病风险最高的社区。她是Centro Sol的联合创始人（Salud＆拉丁裔的机会），并建立了一个社区联盟，该联盟在文化上发展了在语言上适当的干预措施，以减少低收入有限的EngliH能力的健康差异拉丁裔社区。此应用程序的目标是支持指导初级的程序对健康差异感兴趣的研究者，并培养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 - 流行卫生伙伴关系，以及 Centro Sol的基础设施和多个独立资助的研究。这个中期奖探索通过同龄人和利用社交网络，移动健康（MHealth）和受信任社区的技术（混合方法）卫生工作者。由信息动机行为技能模型（IMB）和社交网络告知理论，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。在AIM 2中，该研究将确定效率和可接受性使用混合方法招募，数据收集和拉丁美洲人之间的研究参与使用基于技术的方法比较传统的便利抽样方法与采样。使用实施研究的合并框架（CFIR）和研究有效性 - 辅助框架实施维护（RE-AIM）框架，将使用密钥进行半结构化访谈利益相关者评估和告知混合方法的实施确定因素和结果，以告知未来的广泛实施（AIM 3）。该建议为受训者创建了一个学习和应用的平台基于社区的研究，实施科学，MHealth，网络分析，流行病学以及健康差异。这项工作还旨在通过优先级来改善多样性，公平和包容性研究社区参与和培训机会，为早期调查人员提供了不足医学和与健康有关的科学