Social Networks and Pathways to Transplant Parity for Black Hemodialysis Patients

黑人血液透析患者移植平价的社交网络和途径

基本信息

批准号：
7938359
负责人：
Teri Marie Browne
金额：
$ 42.11万
依托单位：
UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA
依托单位国家：
美国
项目类别：
财政年份：
2010
资助国家：
美国
起止时间：
2010-05-27 至 2013-04-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7938359
关键词：
Academic Research Enhancement Awards Address Age Caring Chronic Disease Collaborations Collection Cross-Sectional Studies Data Dialysis patients Dialysis procedure Diffusion Discipline End stage renal failure Environment Faculty Funding Future Goals Graduate Education Health Hemodialysis Incidence Institution Intervention Investigation Kidney Diseases Kidney Transplantation Knowledge Measures Medicare Mentorship Modeling Outcome Pathway interactions Patient Care Patients Principal Investigator Process Public Health Publications Quality of life Research Research Design Research Personnel Research Project Grants Role Social Network Social Work Social Workers South Carolina Students Suggestion Training Transplant Recipients Transplantation United States Universities Waiting Lists Work career college cost graduate student improved innovation insight meetings member novel parity peer professor programs public health relevance research study social sound theories

项目摘要

DESCRIPTION (provided by applicant): The proposed research seeks to address critical gaps in the scientific knowledge on kidney transplant disparity in the United States, and establish a program of meritorious research related to this public health problem at the University of South Carolina College of Social Work. Research has shown that black End Stage Renal Disease patients are significantly less likely than their white peers to be evaluated and listed for a kidney transplant, and a significant portion of this disparity remains unexplained. This project will explore the hypothesis that black hemodialysis patients' lack of access to social contacts with useful information about kidney transplantation may hinder information transaction regarding the benefits of, and pathway to, kidney transplantation. To answer the research questions a) What is the role of the various types of social networks in providing information about kidney transplantation to black hemodialysis patients?, and b) What is the relationship between this information transaction and a patient's likelihood of being placed on a kidney transplant waiting list?, the proposal will meet the following aims: 1) To describe black hemodialysis patients' knowledge about how to get a kidney transplant, and 2) To determine the association between black hemodialysis patients' knowledge and understanding about how to get a kidney transplant, black hemodialysis patients' social network composition, and the likelihood that these patients are listed for a kidney transplant. As this proposal meets the goals of the AREA research program to support meritorious research, strengthen the institution's research environment, and expose students to research, the final aim of this research will be 3) To further undergraduate and graduate education at the University of South Carolina College of Social Work by establishing a funded program of meritorious research on the pathways to kidney transplant parity and including students in all aspects of the research. The project aims will be achieved through a cross-sectional survey of black hemodialysis patients age 18-65 within 90 miles of Columbia, SC. The proposed study is novel because it uses a unique conceptual model involving the social network relationships of black hemodialysis patients to explain a portion of kidney transplant disparity. The project is also significant because the knowledge gained can provide suggestions for subsequent interventions that aim to ameloriate the public health problem of kidney transplant disparity. Furthermore, this project will provide a unique training environment for undergraduate and graduate students to advance their careers in health research. This project can provide information to dialysis teams and other researchers that can be used to improve interdisciplinary patient care mandated by the Medicare Conditions for Coverage. The results of this project will be disseminated broadly through publications and presentations, both locally and nationally, that involve the participation of the undergraduate and graduate student assistants. PUBLIC HEALTH RELEVANCE: In the United States, black hemodialysis patients are significantly less likely than white patients to be evaluated and listed for a kidney transplant. Using a unique conceptual model, this project will explore the role of black hemodialysis patients' social relationships in providing patients with information about how to get a kidney transplant. The results from this study can help practitioners improve the care they provide to help black hemodialysis patients get kidney transplants, and can suggest future research that studies related interventions that can help address this public health problem.

描述（由申请人提供）：拟议的研究旨在解决美国肾脏移植差异的科学知识中的关键差距，并在南卡罗来纳大学社会工作学院建立了与此公共卫生问题有关的有功研究计划。研究表明，对肾脏移植评估和列出的黑人末期肾脏疾病患者的可能性明显少于其白人同龄人，并且这种差异的很大一部分仍无法解释。该项目将探讨以下假设：黑人血液透析患者无法获得有关肾脏移植的有用信息的社交接触，可能会阻碍有关肾脏移植的益处和途径的信息。回答研究问题a）各种社交网络在提供有关肾脏移植到黑人血液透析患者的信息方面的作用是什么？和b）该信息交易与患者之间的关系是什么关系黑色血液透析患者对如何进行肾脏移植，黑色血液透析患者的社交网络组成以及这些患者被列为肾脏移植的可能性。随着该建议符合该地区研究计划的目标，以支持有罪研究，增强该机构的研究环境并使学生进行研究，这项研究的最终目标将为3）在南卡罗来纳大学社会工作学院的本科生和研究生教育中，通过建立一项有效的研究计划，以建立一项有效的研究计划，以实现一项有效的研究，以培养肾脏移植Partity和包括学生在内的各个方面的研究。该项目的目的将通过对哥伦比亚哥伦比亚90英里内的18-65岁黑人血液透析患者进行的横断面调查来实现。拟议的研究之所以新颖，是因为它使用了涉及黑色血液透析患者社交网络关系的独特概念模型来解释一部分肾脏移植差异。该项目也很重要，因为所获得的知识可以为旨在改善肾脏移植差异的公共卫生问题的后续干预措施提供建议。此外，该项目将为本科生和研究生提供独特的培训环境，以促进其健康研究的职业。该项目可以为透析团队和其他研究人员提供信息，这些信息可用于改善Medicare条件覆盖范围的跨学科患者护理。该项目的结果将通过本地和全国范围内的出版物和演讲大致传播，涉及本科生和研究生助理的参与。公共卫生相关性：在美国，黑人血液透析患者比白人患者被评估和列出的肾脏移植的可能性明显少得多。使用独特的概念模型，该项目将探讨黑人血液透析患者的社会关系在为患者提供有关如何进行肾脏移植的信息中的作用。这项研究的结果可以帮助从业人员改善他们提供的护理，以帮助黑人血液透析患者接受肾脏移植，并建议未来的研究，研究可以帮助解决这一公共卫生问题的研究。