A Plan to Reduce Non-Communicable Disease-Related Morbidity and Mortality After Natural Disasters

减少自然灾害后非传染性疾病相关发病率和死亡率的计划

基本信息

批准号：
10302322
负责人：
Saria Hassan
金额：
$ 17.18万
依托单位：
EMORY UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2020
资助国家：
美国
起止时间：
2020-05-01 至 2025-04-30
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10302322
关键词：
Acute Address Administrator Adoption Affect Cardiovascular Diseases Cardiovascular system Cessation of life Chronic Disease Clinic Clinical Communication Communities Complex Data Data Analyses Diabetes Mellitus Diabetes prevention Disaster Planning Disasters Disease Disease Management Emergency Situation Emergency medical service Evaluation Evidence based intervention Federally Qualified Health Center Foundations Frequencies Funding Future Goals Health Planning Organizations Healthcare Systems Heart Diseases Heart failure Hurricane Hypertension Individual Intervention Interview Knowledge Lead Location Medicine Mentors Methods Minority Minority Groups Modeling Morbidity - disease rate Natural Disasters Patients Pediatrics Physicians Pilot Projects Policies Population Positioning Attribute Primary Health Care Procedures Provider Puerto Rico Readiness Research Research Methodology Research Personnel Research Project Grants Risk Assessment Role SECTM1 gene Savings Science Seasons Self Management Services Site Surveys System Testing Texas Time Training Underinsured Underserved Population Uninsured United States United States Centers for Medicare and Medicaid Services United States National Institutes of Health United States Virgin Islands Vulnerable Populations Work acceptability and feasibility base cardiovascular risk factor community based participatory research design disparity reduction experience implementation science improved informant interest member models and simulation mortality patient oriented patient population preventive intervention service providers simulation skills socioeconomics tool

项目摘要

There were over 1000 deaths during the 2017 hurricane season in the United States, with the majority occurring in the territories of Puerto Rico and the U.S. Virgin Islands (USVI). Over a third of post-disaster mortality and morbidity was due to complications of non-communicable diseases such as hypertension, diabetes, and cardiovascular disease. With the rising frequency of natural disasters, there is an urgent need for feasible, acceptable, and effective emergency preparedness plans that will reduce morbidity and mortality related to non-communicable diseases after disasters. This is especially true for underserved, under-insured, minority populations that have historically suffered disproportionately after disasters. The proposed research will leverage the unique access of Federally Qualified Health Centers to underserved populations in the U.S. territories to develop both an organizational and disease-specific (i.e., hypertension, diabetes, heart failure) emergency preparedness plan. To achieve this objective, the candidate will use a mixed methods approach to evaluate existing emergency preparedness plans, engage key stakeholders to improve existing plans to address the management of non-communicable diseases after a natural disaster, and conduct a pilot study to test its feasibility and acceptability. This work will lay the foundation for developing a much-needed approach to saving lives and to reaching those populations most in need after a natural disaster. Dr. Hassan is a Medicine and Pediatrics trained physician whose research interest is in applying implementation science tools to design, implement, and evaluate interventions to reduce disparities in cardiovascular risk factors. She has worked with partners in the U.S. territories of Puerto Rico and the USVI for the past 2.5 years as Deputy Director of an NIH/NIMHD funded U54 (U54MD010711; lead PI Nunez-Smith). During this time, she has led a stakeholder engaged approach to implementing and evaluating a diabetes prevention intervention in clinical settings in both the USVI and Puerto Rico. The goal of this K23 proposal is to build on these experiences and provide Dr. Hassan with essential mentored training in mixed methods research, systems science, and disaster planning. These skills will provide her with expertise in methods that can be used to advance the field of implementation science and apply it to the pressing gaps in disaster planning for chronic disease management. This will position her well for future independent funding; enabling pursuit of her long-term goal of being an investigator with expertise in applying implementation science methods to reduce disparities in cardiovascular risk.

2017 年飓风季节，美国有超过 1000 人死亡，其中大多数发生在波多黎各和美属维尔京群岛 (USVI) 领土。灾后三分之一以上死亡率和发病率是由于非传染性疾病的并发症，如高血压、糖尿病和心血管疾病。随着自然灾害频发，迫切需要可行、可接受且有效的应急准备计划将降低发病率和死亡率与灾后非传染性疾病有关。对于服务不足、保险不足、历史上在灾害后遭受过严重苦难的少数民族人口。拟议的研究将利用联邦合格健康中心的独特优势为美国服务不足的人群提供服务发展组织和疾病特异性（即高血压、糖尿病、心力衰竭）的领域应急准备计划。为了实现这一目标，候选人将使用混合方法来评估现有的应急准备计划，让主要利益相关者参与改进现有计划解决自然灾害后非传染性疾病的管理问题，并开展试点研究检验其可行性和可接受性。这项工作将为开发急需的方法奠定基础拯救生命并帮助那些在自然灾害后最需要帮助的人群。哈桑博士是一位接受过医学和儿科培训的医生，他的研究兴趣是应用用于设计、实施和评估干预措施以减少差异的实施科学工具心血管危险因素。她曾与波多黎各和美属维尔京群岛美国领土的合作伙伴合作过去 2.5 年担任 NIH/NIMHD 资助的 U54（U54MD010711；首席 PI Nunez-Smith）的副主任。在此期间，她领导了一种利益相关者参与的方法来实施和评估糖尿病美属维尔京群岛和波多黎各临床环境中的预防干预。 K23 提案的目标是借鉴这些经验，为哈桑博士提供必要的混合方法指导培训研究、系统科学和灾害规划。这些技能将为她提供方法方面的专业知识可用于推进实施科学领域并将其应用于灾难中的紧迫差距规划慢性病管理。这将使她为未来的独立资助做好准备；使能追求成为一名具有应用实施科学方法专业知识的调查员的长期目标减少心血管风险的差异。