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; 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.

项目摘要 通过向研究参与者报告其个人生物监测和环境 暴露结果，研究人员可以提高环境健康素养（EHL），授权 减少有害化学暴露，激活公民参与的个人行动 决策，尊重知识伦理，并改善研究招聘和保留。 尽管有报道，但在环境健康方面尚未广泛实践。我们 假设报告背包的障碍包括有限的资金，缺乏经验和疑虑 关于参与的担忧。根据创新理论的扩散，我们期望培训 计划将扩大研究人员对报道道德和方法的了解，并增加 他们的意愿和能力参与这种基于社区的研究。我们也是 假设涉及临床医生几乎没有进行环境健康培训的临床医生 在广泛获得的收益中，包括改善的临床结果和临床患者 两位卫生专业人员的关系，增加学习参与度以及EHL的增加 和患者。这项研究将使用半结构化的访谈以及预测试预测试 三个具体目的：1）确定因素的因素 和联邦资助的计划； 2）评估一项计划以培训研究人员参加 报告背包； 3）制定有效的策略，以使卫生从业人员参与报告后果和 评估临床医生和患者的结果。这项研究具有创新性，因为它是第一个 研究未报告背包的调查人员的考虑以及观点 以及支持这项研究的资金机构的经验，以便指导和工具可以 进行开发和评估（AIM 1）。此外，我们的项目将创建一个报告模型 对于支持环境健康的大量联邦计划和资金 在临床环境中的测量，包括Echo等大型怪物，Niehs的超级基金 研究计划和NIH的所有人（AIM 2）。通过与怀孕和早期合作 儿童队列研究的重点是低收入人群和有色人种， 拟议的项目将使我们能够为脆弱人群报告报告指导 和敏感的发展时期，这是一个理解的研究领域。提议 研究之所以重要，是因为它将增加研究人员和报告的临床知识 - 返回，帮助克服采用障碍，开发新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，并提高 NIEHS将数据转换为行动的战略目标。