implementation

执行

• 批准号: 9146205
• 负责人: Lisa Goldman Rosas
• 金额: $ 16.19万
• 依托单位: STANFORD UNIVERSITY
• 依托单位国家: 美国
• 资助国家: 美国
• 起止时间: 至
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/9146205
• 关键词: Address; Adoption; American Indians; Area; Asians; Attention; Attitude; Behavioral; Belief; Biological; Biological Products; Breast; Caring; Cessation of life; Collaborations; Communities; Complex; Development; Disadvantaged; Economic Burden; Educational Curriculum; Effectiveness; Environment; Ethics; Ethnic Origin; Expenditure; Family; Goals; Guidelines; Health; Health Personnel; Healthcare; Individual; Intervention; Knowledge; Latino; Lead; Left; Low income; Lung; Maintenance; Malignant Neoplasms; Medical; Methods; Modeling; Moral Obligations; Movement; Patient-Focused Outcomes; Patients; Phase; Plant Roots; Population; Primary Health Care; Provider; Public Health; Race; Research; Research Project Grants; Resources; Social Obligations; Socioeconomic Status; Testing; Translating; United States; base; clinical application; community based participatory research; community organizations; community setting; disorder prevention; dissemination research; ethnic minority population; health care disparity; health disparity; health equity; health inequalities; health training; implementation research; improved; innovation; population health; precision medicine; premature; prevent; racial and ethnic; research data dissemination; social; socioeconomic disparity

Abundant evidence documents persistent and pervasive health and health care disparities across the lifecourse in the United States, especially according to race/ethnicity and socioeconomic status. The primary objective of the SPHERE (Stanford Precision Health Equity in Race and Ethnicity) Implementation Core is to promote effective dissemination and adoption of precision health approaches to decrease health disparities at the local, regional, state, and national levels. Precision health includes disease prevention and treatment for maintenance of health and wellness across the lifecourse that is proactive, predictive, effective, efficient, and equitable. Precision health holds great potential for revolutionizing health disparities research and interventions through a better understanding of the complex interplay between biological, behavioral, environmental, and social factors that contribute to health inequalities and influence population health. Taking into consideration root causes, the implementation Core will use a socio-ecological framework that conceptualizes health and wellness as a product of biological, behavioral, environmental, and social factors. Additionally, the Implementation Core will engage patients, community organizations, and key stakeholders from health disparities community in all phases of the Implementation Core activities in accordance with principles of community-based participatory research and patient engagement. In close collaboration with consortium partners, the strategies that are developed, implemented, and evaluated as part of this core will build upon findings from the individual research projects to promote dissemination and implementation at the local, regional, and national levels to directly reduce health disparities. In support of the proposed projects, the Implementation Core's objectives are to: 1) Develop and evaluate the SPHERE ethical guidelines for participation in precision health research and delivery of precision health approaches among American Indians, Latinos, and Asians; 2) Establish a “Precision Health Innovation Lab” in Stanford Primary Care where precision health implementation strategies can be rapidly tested and refined among racial/ethnic minority and low-income patients. 3) Systematically assess the potential for dissemination and implementation of precision health interventions with mixed methods using the RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) model among American Indians, Latinos, and Asians; and 4) Develop, implement, and evaluate a precision health-training curriculum for providers that serve racial/ethnic minority and low-income patients in community settings. Through the development of ethical principles, evidence to support implementation and dissemination, and capacity building resources and activities, the Implementation Core will effectively translate findings from the SPHERE studies into community- based strategies to impact health disparities at the local, regional, and, potentially, national levels.

大量证据证明了世界各地持续存在且普遍存在的健康和医疗保健差距 美国的生命历程，特别是根据种族/民族和社会经济地位。 SPHERE（斯坦福种族和族裔精准健康公平）实施核心的目标是 促进有效传播和采用精准健康方法，以减少健康差距 地方、区域、州和国家层面的精准健康包括疾病预防和治疗。 在整个生命周期中主动、预测、有效、高效和健康地维护健康和保健 精准健康对于彻底改变健康差异研究和干预措施具有巨大潜力。 通过更好地理解生物、行为、环境和 造成健康不平等并影响人口健康的社会因素。 核心将使用一个社会生态框架来概念化健康和 健康是生物、行为、环境和社会因素的产物。 实施核心将让患者、社区组织和卫生部门的主要利益相关者参与进来 根据以下原则，在实施核心活动的所有阶段中消除社区差异 基于社区的参与性研究和患者参与。 与财团合作伙伴密切合作，制定、实施和实施战略 作为该核心的一部分进行的评估将基于各个研究项目的发现，以促进 在地方、区域和国家各级传播和实施，以直接降低健康水平 为了支持拟议的项目，实施核心的目标是： 1) 开发和实施 评估参与精准健康研究和提供精准服务的 SPHERE 道德准则 2）在美洲印第安人、拉丁裔和亚洲人中建立“精准健康创新”健康方法； 斯坦福初级保健实验室”，可以快速测试和制定精确的健康实施策略 在少数族裔和低收入患者中进行细化 3) 系统评估潜力。 使用 RE-AIM 的混合方法传播和实施精准健康干预措施 （覆盖范围、有效性、采用、实施和维护）模式在美洲印第安人、拉丁裔、 和亚洲人；以及 4) 为提供者制定、实施和评估精准的健康培训课程： 通过道德发展为社区中的少数族裔和低收入患者提供服务。 支持实施和传播的原则、证据以及能力建设资源和 活动，实施核心将有效地将 SPHERE 研究结果转化为社区 - 影响地方、区域以及可能国家层面健康差异的战略。