RCMI Center for Health Disparities Research

RCMI 健康差异研究中心

• 批准号: 10367532
• 负责人: DEEPAK KUMAR
• 金额: $ 24.13万
• 依托单位: NORTH CAROLINA CENTRAL UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-09-20 至 2022-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10367532
• 关键词: Address; Adherence; African American; Area; Behavior; COVID-19; COVID-19 health disparity; COVID-19 morbidity; COVID-19 testing; COVID-19 vaccination; COVID-19 vaccine; Collaborations; Color; Communication; Communities; Data; Data Collection; Decision Making; Economics; Effectiveness; Evaluation; Foundations; Grant; Health; Healthcare Systems; Hospitalization; Incidence; Income; Individual; Inequality; Infrastructure; Institutional Racism; Internet; Intervention; Knowledge; Latinx; Link; Measures; Medical; Methods; Modeling; Movement; Outcome; Patients; Plant Roots; Policy Maker; Politics; Prevention; Process; Program Effectiveness; Provider; Race; Recommendation; Recording of previous events; Research; Risk; Role; Socioeconomic Factors; Structure; Surveys; System; Technology; Testing; Time; Trust; Update; Urban Community; Vaccination; Work; base; community building; community engagement; coronavirus disease; design; digital; distrust; effectiveness testing; evidence base; experience; health care disparity; health care service utilization; health disparity; health literacy; improved; mHealth; mortality; parent grant; parent project; peer; peer support; program dissemination; programs; racial bias; racism; rural counties; screening; social; theories; uptake; vaccine acceptance; vaccine access; vaccine delivery; vaccine hesitancy

PROJECT SUMMARY/ABSTRACT Urgent Supplement to NIMHD Grant U54 MD012392-04 Title of Parent Project: RCMI Center for Health Disparities Research Title of Supplement: NCCU COVID Hesitancy Black/African Americans (B/AA) are suffering disproportionality from COVID-19 and are further burdened by significant COVID-19 health disparities characterized by increased risk, increased incidence, and increased mortality rates linked to systemic bias, racism, historically-based mistrust, and structural barriers and lower health literacy. Leveraging community relationships, technology, and patient-provider relationships/communication are supported as potential solutions to address health care disparities. In the case of COVID-19 related screenings and vaccinations, any solution or intervention must acknowledge and address historically based mistrust and how this mistrust may manifest in vaccine hesitancy. This 2-year supplement, related to parent grant NCCU RCMI titled “RCMI Center for Health Disparities (RCHDR)” seeks to leverage expertise, collaborations and knowledge gained from the key data collected by ACCORD (Advanced Center for COVID-19 Related Disparities) to address COVID-19 testing concerns and vaccine hesitancy. We hypothesize that a comprehensive program encompassing community engagement, peer support, and mHealth technologies to improve health literacy and is rooted in the social ecological framework could offer a sustainable approach to improving COVID-19 vaccination hesitancy and vaccination uptake. This multidimensional, theory-based project is designed to decrease vaccine hesitancy and increase COVID-19 vaccinations in an urban community and four rural counties will aim to 1) Determine factors related to vaccine acceptance including hesitancy and uptake, 2) Implement and evaluate the reach and effectiveness of a comprehensive intervention to address vaccine hesitancy, 3) Determine the impact and efficacy of strategies listed in AIM 2 and measure changes in vaccine hesitancy over the two project year. From this work, will have a cache of tested messaging, community support, improved community capacity and knowledge, and increased vaccination uptake.

项目概要/摘要 NIMHD 拨款 U54 MD012392-04 的紧急补充 父项目名称：RCMI 健康差异研究中心 增补标题：国立政治大学新冠肺炎犹豫 黑人/非裔美国人 (B/AA) 因 COVID-19 而遭受不成比例的影响，并且进一步恶化 受到显着的 COVID-19 健康差异的困扰，其特点是风险增加、 发病率和死亡率上升与系统性偏见、种族主义、历史上的不信任有关， 结构性障碍和较低的健康素养。 支持患者与提供者的关系/沟通作为解决健康问题的潜在解决方案 对于与 COVID-19 相关的筛查和疫苗接种，任何解决方案或 干预必须承认并解决基于历史的不信任以及这种不信任如何可能 这份为期 2 年的补助金与 NCCU RCMI 家长补助金相关。 “RCMI 健康差异中心 (RCHDR)”旨在利用专业知识、合作和 从 ACCORD（COVID-19 相关高级中心）收集的关键数据中获得的知识 差异），以解决 COVID-19 检测问题和疫苗犹豫问题。 涵盖社区参与、同伴支持和移动医疗的综合计划 提高健康素养并植根于社会生态框架的技术可以提供 改善 COVID-19 疫苗接种犹豫和疫苗接种率的可持续方法。 多维、基于理论的项目旨在减少疫苗犹豫并增加 在一个城市社区和四个农村县接种 COVID-19 疫苗的目标是 1) 确定 与疫苗接受度相关的因素，包括犹豫和接受，2) 实施和评估 解决疫苗犹豫问题的综合干预措施的范围和有效性，3) 确定 AIM 2 中列出的策略的影响和功效，并衡量疫苗犹豫的变化 从这项工作的两个项目来看，将有一个经过测试的消息传递、社区支持的缓存， 提高社区能力和知识，并提高疫苗接种率。