Addressing Health Disparities among Oklahoma Minority and Rural Communities through Clinical Research Education and Career Development

通过临床研究教育和职业发展解决俄克拉荷马州少数民族和农村社区之间的健康差异

• 批准号: 10202392
• 负责人: Courtney Wayne Houchen
• 金额: $ 53.79万
• 依托单位: UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-09-24 至 2024-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10202392
• 关键词: Address; Affect; African American; Age; Alaska Native; American Indians; Area; Basic Science; Biometry; Cardiovascular Diseases; Cardiovascular system; Chronic; Cities; Clinical; Clinical Investigator; Clinical Research; Clinical Sciences; Communities; Community Health; Competence; Complex; Cultural Sensitivity; Death Rate; Degree program; Development; Diabetes Mellitus; Disease; Educational Curriculum; Epidemiology; Goals; Health; Health Sciences; Health Services; Health Status; Hispanics; Human; Information Dissemination; Intervention; Malignant Neoplasms; Master of Science; Mentors; Minority; Minority Groups; Mission; Native Americans; Not Hispanic or Latino; Oklahoma; Outcome; Participant; Postdoctoral Fellow; Poverty; Process; Program Development; Program Evaluation; Qualitative Methods; Qualitative Research; Research; Research Methodology; Research Personnel; Research Project Grants; Respondent; Rheumatism; Rural; Rural Community; Rural Population; Scientist; Students; Training; Training Programs; Training Support; Translational Research; United States; Universities; base; career; career development; clinical candidate; cohort; community based participatory research; community engagement; cultural competence; early-career faculty; education planning; education research; experience; health care service; health disparity; improved; intervention program; minority communities; minority investigator; minority trainee; multidisciplinary; population health; program dissemination; programs; skill acquisition; skills; statistics; tribal Nation; underserved community

PROJECT SUMMARY A critical mass of clinical researchers is needed to reduce health disparities affecting minority and underserved communities. The health status of Oklahomans is far below the United States average for many metrics, consistently ranking as one of the five states with the worst overall health. Furthermore, chronic health conditions disproportionately affect minority and underserved communities in the state. Clinical researchers require training, and practical research experiences, in population health, epidemiology, quantitative and qualitative research methods, cultural sensitivity, and community-based participatory research methods in order to form effective partnerships with communities to address health needs. The University of Oklahoma Health Sciences Center (OUHSC), with its long-standing mission to educate a diverse body of students at the professional and graduate levels to become highly qualified health services practitioners, educators, and research scientists, is uniquely poised to address health disparities among Native American, Hispanic, African American, and rural populations in Oklahoma by enhancing the training programs and research career development programs for clinical investigators, specifically minority and underrepresented investigators. Furthermore, a critical mass of senior investigators with extensive mentoring experience and a diverse portfolio of health disparities research projects is available to mentor the cohort of program participants. With an overall goal to enhance clinical research methods expertise and research careers among minority researchers, we will complete the following specific aims: (1)To enrich the existing Master of Science in Clinical and Translational Science degree curriculum to include expanded coursework in methods of qualitative research, community assessment and intervention, cultural sensitivity, and community-based participatory research with a focus on health disparities affecting minority and underserved communities, (2) To support and guide post-doctoral minority clinical and population health investigators in their development of independent research programs focused on cardiovascular, cancer, diabetes, and rheumatic disease-related health disparities among minority and underserved communities through mentored research experiences, and (3) To expand the cadre of minority investigators who have research skills necessary to meaningfully engage with minority and underserved communities in health disparities research through dissemination of program components to improve the health of Oklahomans, tribal nation citizens, and communities with similar health challenges. The training programs will undergo ongoing program evaluation and revision to address the skill development needs of the researchers. The impact of this proposed project will be broadened through the dissemination of the resulting training and educational programs.

项目概要 需要大量的临床研究人员来减少影响少数群体和服务不足的人群的健康差距 社区。俄克拉荷马州的健康状况在许多指标上都远远低于美国的平均水平， 一直被列为整体健康状况最差的五个州之一。此外，慢性健康 这些状况对该州的少数群体和服务不足的社区造成了不成比例的影响。临床研究人员 需要人口健康、流行病学、定量和研究方面的培训和实际研究经验 定性研究方法、文化敏感性和基于社区的参与性研究方法 以便与社区建立有效的伙伴关系，以满足健康需求。俄克拉荷马大学 健康科学中心 (OUHSC) 的长期使命是教育多元化的学生 专业和研究生水平成为高素质的卫生服务从业者、教育工作者和 研究科学家，致力于解决美洲原住民、西班牙裔、非洲裔之间的健康差异 通过加强培训计划和研究事业来帮助俄克拉荷马州的美国和农村人口 临床研究人员，特别是少数族裔和代表性不足的研究人员的发展计划。 此外，大量具有丰富指导经验和多元化投资组合的高级研究人员 健康差异研究项目可用于指导计划参与者群体。具有整体 为了提高少数族裔研究人员的临床研究方法专业知识和研究职业生涯，我们将 完成以下具体目标：（1）丰富现有临床和转化理学硕士课程 科学学位课程将包括定性研究方法、社区等方面的扩展课程 评估和干预、文化敏感性以及以社区为基础的参与性研究，重点是 影响少数族裔和服务欠缺社区的健康差距，(2) 支持和指导博士后 少数民族临床和人口健康研究者制定独立研究项目 重点关注少数族裔与心血管、癌症、糖尿病和风湿病相关的健康差异 通过受指导的研究经验来帮助和服务不足的社区，以及 (3) 扩大骨干队伍 少数族裔调查员具有与少数族裔进行有意义的接触所必需的研究技能 通过向服务不足的社区传播计划组成部分，开展健康差异研究 改善俄克拉荷马人、部落民族公民以及面临类似健康挑战的社区的健康。这 培训计划将接受持续的计划评估和修订，以解决技能发展问题 研究人员的需求。该拟议项目的影响将通过传播扩大 由此产生的培训和教育计划。

项目成果

Oklahoma Tobacco Helpline Utilization and Outcomes by Diabetes Status.

俄克拉荷马州烟草帮助热线的利用和糖尿病状况的结果。

• 发表时间: 2023-03-01
• 作者: Martinez, Sydney A;Hasan, Afsheen;Boeckman, Lindsay M;Beebe, Laura A
• 通讯作者: Beebe, Laura A

Racial/Ethnic Differences in the Utilization of Infertility Services: A Focus on American Indian/Alaska Natives.

不孕不育服务利用中的种族/民族差异：以美洲印第安人/阿拉斯加原住民为重点。

• 发表时间: 2019-01
• 影响因子: 2.3
• 作者: Janitz, Amanda E;Peck, Jennifer D;Craig, LaTasha B
• 通讯作者: Craig, LaTasha B

Racial Misclassification in Mortality Records Among American Indians/Alaska Natives in Oklahoma From 1991 to 2015.

1991 年至 2015 年俄克拉荷马州美洲印第安人/阿拉斯加原住民死亡记录中的种族错误分类。

• 发表时间: 2019
• 作者: Dougherty, Tyler M;Janitz, Amanda E;Williams, Mary B;Martinez, Sydney A;Peercy, Michael T;Wharton, David F;Erb;Campbell, Janis E
• 通讯作者: Campbell, Janis E

The prevalence of infertility in American Indian/Alaska Natives and other racial/ethnic groups: National Survey of Family Growth.

美洲印第安人/阿拉斯加原住民和其他种族/族裔群体的不孕不育患病率：全国家庭成长调查。

• 发表时间: 2019-03
• 影响因子: 2.8
• 作者: Craig, LaTasha B;Peck, Jennifer D;Janitz, Amanda E
• 通讯作者: Janitz, Amanda E

HPV vaccination coverage and factors among American Indians in Cherokee Nation.

切罗基族美洲印第安人的 HPV 疫苗接种覆盖率和因素。

• 发表时间: 2023-03
• 作者: Gopalani, Sameer Vali;Janitz, Amanda E;Burkhart, Margie;Campbell, Janis E;Chen, Sixia;Martinez, Sydney A;White, Ashley H;Anderson, Amber S;Pharr, Stephanie F;Peck, Jennifer D;Comiford, Ashley
• 通讯作者: Comiford, Ashley