Expanding effective report-back of environmental exposures among new researchers and clinic-based studies

扩大新研究人员和临床研究中环境暴露的有效报告

• 批准号: 10372876
• 负责人: Jennifer Ohayon
• 金额: $ 18.98万
• 依托单位: SILENT SPRING INSTITUTE
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-02-11 至 2024-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10372876
• 关键词: Address; Adopted; Adoption; Area; Back; Biological Monitoring; Blood; Centers for Disease Control and Prevention (U.S.); Chemical Exposure; Chemicals; Child Health; Clinic; Clinical; Clinical Medicine; Clinical Research; Cohort Studies; Color; Communities; Consensus; Development; Diffusion of Innovation; Effectiveness; Endocrine Disruptors; Engineering; Environmental Exposure; Environmental Health; Ethics; Extramural Activities; Funding; Funding Agency; Funding Opportunities; Genetic Medicine; Goals; Health; Health Professional; Human Resources; Individual; Institutional Review Boards; Interview; Knowledge; Low Income Population; Measurement; Measures; Medicine; Methods; Modeling; National Health and Nutrition Examination Survey; National Institute of Environmental Health Sciences; Outcome; Participant; Patients; Peer Review; Persons; Poison; Policies; Pre-Post Tests; Pregnancy; Preparation; Publications; Recommendation; Reporting; Research; Research Personnel; Research Support; Research Training; Structure; Summary Reports; Superfund; Tissues; Training; Training Programs; Translating; United States National Academy of Sciences; United States National Center for Health Statistics; United States National Institutes of Health; Urine; Vulnerable Populations; base; clinical practice; cohort; community based research; data to knowledge; design; digital; disease registry; early childhood; environmental change; experience; health literacy; improved; innovation; insight; programs; recruit; social; theories; tool; trend; willingness

PROJECT SUMMARY By reporting back to study participants on their personal biomonitoring and environmental exposure results, researchers can advance environmental health literacy (EHL), empower individual actions to reduce harmful chemical exposures, activate civic engagement in policymaking, respect right-to-know ethics, and improve study recruitment and retention. Despite this report-back is not yet a widespread practice in environmental health. We hypothesize that barriers to report-back include limited funding, inexperience, and concerns about participant worry. In line with the diffusion of innovation theory, we expect that a training program will expand researcher knowledge of report-back ethics and methods and increase their willingness and ability to engage with this form of community-based research. We also hypothesize that involving clinicians with little previous training in environmental health will result in broadly accrued benefits, including improved clinical outcomes and clinician-patient relationships, heightened study engagement, and increased EHL for both health professionals and patients. This study will use semi-structured interviews and pre- and post-tests to pursue three specific aims: 1) Identify factors that hinder and promote report-back for individual studies and federally-funded programs; 2) Evaluate a program to train researchers to participate in report-back; 3) Develop effective strategies for engaging health practitioners in report-back and assess outcomes for clinicians and patients. This research is innovative because it is the first to study the considerations of investigators who do not report-back, as well as the perspectives and experiences of funding agencies that support this research, so that guidance and tools can be developed and evaluated (Aim 1). Furthermore, our project will create a model of report-back for the large number of federal programs and funding that support environmental health measurements in clinical settings, including mega-cohorts like ECHO, the NIEHS’ Superfund Research Program, and NIH’s All of Us (Aim 2). By partnering with pregnancy and early childhood cohort studies focused on low-income populations and communities of color, the proposed project will allow us to develop guidance on reporting back for vulnerable populations and sensitive periods of development, an understudied area of research. The proposed research is significant because it will increase researcher and clinician knowledge of report- back, help surmount barriers to its adoption, develop new methods to evaluate its effectiveness, encourage the development of federal guidance and policies on report-back, and advance NIEHS’ strategic goal to translate data to knowledge to action.

项目概要 通过向研究参与者报告他们的个人生物监测和环境情况 暴露结果，研究人员可以提高环境健康素养（EHL），增强 减少有害化学物质暴露的个人行动，激发公民参与 政策制定，尊重知情权道德，并改善研究招募和保留。 尽管这种报告反馈尚未在环境健康领域得到广泛应用。 报告的障碍包括资金有限、经验不足和担忧 根据创新扩散理论，我们期望参与者进行培训。 计划将扩大研究人员对报告伦理和方法的了解，并增加 他们参与这种形式的社区研究的意愿和能力。 参与之前很少进行环境卫生培训将导致 广泛带来的好处，包括改善临床结果和临床医生与患者之间的关系 关系、密集的研究参与以及针对卫生专业人员的 EHL 的增加 本研究将使用半结构化访谈以及事前和事后测试来进行研究。 三个具体目标： 1) 确定阻碍和促进个别研究报告的因素 和联邦资助的项目；2) 评估培训研究人员参与的项目； 3) 制定有效的策略，让卫生从业人员参与报告和 这项研究具有创新性，因为它是第一个评估居民和患者的结果的研究。 研究不报告的调查人员的考虑以及观点 以及支持这项研究的资助机构的经验，以便指导和工具能够 此外，我们的项目将创建一个报告模型。 支持环境健康的大量联邦计划和资金 临床环境中的测量，包括 ECHO（NIEHS 超级基金）等大型队列 研究计划，以及 NIH 的“我们所有人”（目标 2）。 儿童队列研究的重点是低收入人群和有色人种社区 拟议的项目将使我们能够制定有关弱势群体报告的指南 和发展的敏感时期，一个尚未得到充分研究的研究领域。 研究意义重大，因为它将增加研究人员和临床医生对报告的了解 返回，帮助克服其采用的障碍，开发新的方法来评估其有效性， 鼓励制定有关报告的联邦指导和政策，并推进 NIEHS 的战略目标是将数据转化为知识，再转化为行动。