Bridging the evidence-to-practice gap: Evaluating practice facilitation as a strategy to accelerate translation of a systems-level adherence intervention into safety net practices

弥合证据与实践之间的差距：评估实践促进作为加速将系统级依从性干预转化为安全网实践的策略

• 批准号: 10403758
• 负责人: OLUGBENGA G. OGEDEGBE
• 金额: $ 30万
• 依托单位: NEW YORK UNIVERSITY SCHOOL OF MEDICINE
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-04-09 至 2023-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10403758
• 关键词: AIDS/HIV problem; Address; Adherence; Administrative Supplement; Adopted; Advisory Committees; Award; Awareness; Behavior; Behavioral; COVID testing; COVID-19; COVID-19 disparity; COVID-19 test; COVID-19 testing; COVID-19 vaccination; COVID-19 vaccine; Caribbean region; Caring; Centers for Disease Control and Prevention (U.S.); Clinical; Clinical Trials; Communication; Communication Tools; Communications Media; Communities; Costs and Benefits; Coupled; Data; Data Collection; Data Sources; Databases; Development; Discrimination; Disease; Dose; Education and Outreach; Educational Intervention; Effectiveness; Electronic Health Record; Enrollment; Epidemic; Ethical Issues; Ethics; Ethnography; Family health status; Federally Qualified Health Center; Film; Focus Groups; Fostering; Fright; Funding; Future; Goals; Guidelines; Haitian; Health; Health Personnel; Health system; Healthcare; Herd Immunity; Immigration; Individual; Infrastructure; Intervention; Knowledge; Language; Latinx; Light; Linguistics; Low income; Measures; Medical; Methods; Misinformation; New York City; Outcome Measure; Parents; Patient Representative; Patient Self-Report; Patients; Perception; Phase; PhenX Toolkit; Predisposition; Process; RADx Underserved Populations; Research; Research Personnel; Resources; Sampling; Source; Speed; Structure; Surveys; Syphilis; System; Testing; Translations; Trust; Underserved Population; United States National Institutes of Health; Vaccinated; Vaccination; Vaccine Research; Vaccines; Vulnerable Populations; behavior influence; brief intervention; community engagement; contextual factors; data privacy; design; digital; distrust; ethnic diversity; experience; follow-up; health care service utilization; health literacy; high risk; implementation strategy; improved; member; novel; outreach; parent grant; patient population; primary outcome; racial diversity; response; safety net; secondary outcome; side effect; social; social norm; social stigma; sociodemographics; success; systematic review; testing uptake; tool; uptake; vaccine acceptance; vaccine access; vaccine efficacy; vaccine hesitancy; vaccine safety

Summary of the Funded Parent Award Project EVIDENCE (pErception of coVID tEsting aNd vaccine) was funded through the Social, Ethical, and Behavioral Implications (SEBI) Research on COVID-19 Testing among Underserved and/or Vulnerable Populations initiative. Project EVIDENCE leverages the infrastructure of a NIMHD-funded project in the Family Health Centers (FHCs) of NYU Langone Health, a network of federally qualified health centers (FQHC) in NYC that serves over 125,000 low-income and racially and ethnically diverse patients. Project EVIDENCE is a three-phase community-engaged study that uses a multipronged, sequential mixed methods design to gain a comprehensive understanding of the multilevel factors that drive uptake of testing and vaccination for COVID- 19 of Black and Latinx patients (primary outcome), and participation in follow-up care offered by safety-net health systems. Phase 1 is utilizing the FHC electronic health record (EHR) database to quantitatively examine individual-level sociodemographic, clinical, and healthcare utilization factors associated with receiving a PCR test for COVID-19 among 400 Black and Latinx patients who receive care at the FHCs. This phase will also capture the community- and structural-level determinants of testing using validated self-report measures (NIH PhenX Toolkit) among the same patients (Aim 1). In Phase 2 the data sources from Phase 1 are being coupled with qualitative data (e.g., focus groups, ethnographic observation, document analysis) to capture organizational and ethical issues to shed light on important social, cultural, and contextual factors associated with uptake of COVID-19 testing and potential vaccine (Aim 2). In partnership with our Community Oversight Task Force (COTF), in Phase 3, we will integrate Phase 1 and 2 data to refine, test, and disseminate tailored toolkits and ethical governance guidelines (e.g. clinical trials transparency and data privacy) (Aim 3). These toolkits will be designed to increase knowledge and awareness of COVID-19 testing and vaccine research and will be widely disseminated among the FHCs, local community, NYULH, and the RADx UP Coordination and Data Collection Center.

资助家长奖摘要 项目证据（对新冠病毒检测和疫苗的感知）由社会、道德和疫苗资助 针对服务不足和/或弱势群体的 COVID-19 测试的行为影响 (SEBI) 研究 人口倡议。 Project EVIDENCE 利用 NIMHD 资助的 Family 项目的基础设施 NYU Langone Health 的健康中心 (FHC)，这是一个由联邦合格健康中心 (FQHC) 组成的网络 纽约市为超过 125,000 名低收入、不同种族和民族的患者提供服务。项目证据是 一项三阶段社区参与研究，采用多管齐下、顺序混合方法设计来获得 全面了解推动新冠病毒检测和疫苗接种的多层次因素 19 名黑人和拉丁裔患者（主要结果），以及参与安全网提供的后续护理 卫生系统。第一阶段是利用FHC电子健康记录（EHR）数据库进行定量检查 与接受 PCR 相关的个人层面的社会人口统计、临床和医疗保健利用因素 对在 FHC 接受护理的 400 名黑人和拉丁裔患者进行 COVID-19 检测。这一阶段还将 使用经过验证的自我报告措施捕获社区和结构层面的测试决定因素 （NIH PhenX 工具包）在相同的患者中（目标 1）。在第 2 阶段，来自第 1 阶段的数据源正在被 结合定性数据（例如焦点小组、人种学观察、文件分析）来捕获 组织和道德问题，以阐明相关的重要社会、文化和背景因素 进行 COVID-19 检测和潜在疫苗（目标 2）。与我们的社区监督合作 特别工作组（COTF），在第三阶段，我们将整合第一阶段和第二阶段的数据来完善、测试和传播定制的 工具包和道德治理指南（例如临床试验透明度和数据隐私）（目标 3）。这些 工具包将旨在提高人们对 COVID-19 检测和疫苗研究的了解和认识 将在 FHC、当地社区、NYULH 和 RADx UP 协调和 数据收集中心。