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; 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.

大量证据文件持续且普遍存在的健康和保健分配 在美国，特别是根据种族/种族和社会经济地位。主要 球体的目的（斯坦福大学在种族和种族中的精确健康平等）实施核心是 促进有效的传播和采用精确健康方法，以减少健康差异 地方，地区，州和国家一级。精密健康包括预防疾病和治疗 维持积极主动，预测，有效和 公平。 Precision Health具有彻底改变健康差异研究和干预措施的巨大潜力 通过更好地理解生物，行为，环境和环境之间的复杂相互作用 导致健康不平等并影响人口健康的社会因素。考虑到 根本原因，实施核心将使用一个社会生态框架，该框架概念化健康和 健康是生物，行为，环境和社会因素的产物。另外， 实施核心将吸引患者，社区组织和健康的主要利益相关者 根据实施核心活动的各个阶段的差异社区 基于社区的参与研究和患者参与。 与财团合作伙伴密切合作，开发，实施的策略以及 作为该核心的一部分进行评估，将基于各个研究项目的发现以促进 地方，地区和国家一级的传播和实施，以直接降低健康 差异。为了支持拟议的项目，实施核心的目标是：1）开发和 评估球体的道德准则，以参与精确健康研究和精度提供 美国印第安人，拉丁裔和亚洲人的健康方法； 2）建立“精确健康创新 实验室”在斯坦福初级保健中，可以迅速测试精确的健康实施策略 在种族/族裔少数民族和低收入患者中精致。 3）系统评估的潜力 使用RE-AIM的混合方法传播和实施精确健康干预措施 （覆盖，有效性，采用，实施和维护）美国印第安人，拉丁美洲人， 和亚洲人； 4）开发，实施和评估为提供者的精确健康培训课程 在社区环境中为种族/族裔少数民族和低收入患者服务。通过道德的发展 原则，支持实施和传播的证据以及能力建设资源以及 活动，实施核心将有效地将领域研究的发现转化为社区 - 基于影响当地，区域以及可能在国家一级的健康差异的策略。