Building Capacity for Dissemination and Implementation Research in a Tribal Healthcare System

部落医疗保健系统传播和实施研究的能力建设

基本信息

批准号：
10676932
负责人：
Julie Beans
金额：
$ 95.51万
依托单位：
SOUTHCENTRAL FOUNDATION
依托单位国家：
美国
项目类别：
财政年份：
2021
资助国家：
美国
起止时间：
2021-09-24 至 2025-07-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10676932
关键词：
Administrator Advance Care Planning Alaska Alaska Native American Indians Area Arkansas Award Biological Markers Biomedical Research Cardiovascular Diseases Career Choice Caring Charge Chronic Clinic Communication Communities Consolidated Framework for Implementation Research Consultations Data Death Rate Dental Clinics Diabetes Mellitus Dissemination and Implementation Effectiveness Evaluation Evidence based intervention Expenditure Faculty Foundations Funding Genetic Research Government Grant Health Health Services Healthcare Healthcare Systems Heart Diseases Incidence Intervention Intervention Studies Inupiat Investigation Knowledge Lead Life Expectancy Malignant Neoplasms Medicaid Medical Medicare Mentors Metabolism Native American Research Center for Health Native-Born Nicotine Not Hispanic or Latino Outcome Palliative Care Patients Persons Pharmaceutical Preparations Population Prediabetes syndrome Primary Care Program Evaluation Psychologist Reach, Effectiveness, Adoption, Implementation, and Maintenance Research Research Design Research Personnel Research Project Grants Role Running Science Service delivery model Smoking Cessation Intervention Students Testing Tobacco Tobacco Dependence Tobacco Use Cessation Tobacco use Training Translational Research Tribes Trust Universities Washington Writing acceptability and feasibility bean beneficiary career chronic liver disease design diabetes risk effective intervention effectiveness evaluation effectiveness/implementation design ethical, legal, and social implication evidence base experience health care delivery health care service health care service organization health care settings health organization implementation framework implementation intervention implementation outcomes implementation research improved intervention refinement primary care services programs referral services screening services skills skills training smoking cessation success tribal health tribal healthcare tribal member tribal organization

项目摘要

PROJECT SUMMARY - Overall Average life expectancy for Alaska Native and American Indian (ANAI) people is 10 years shorter than non- Hispanic Whites, and ANAIs have higher death rates from conditions such as diabetes, heart disease, and cancer. Yet, healthcare services in ANAI communities are significantly underfunded. Tribes and health organizations serving ANAI patients need evidence about the successful implementation of effective interventions to improve ANAI health outcomes. Southcentral Foundation (SCF), a tribally-owned and operated healthcare organization with an award-winning model of healthcare delivery and redesign, thus proposes a set of five independent yet related efforts in this Center application, “Building Capacity for Dissemination and Implementation Research in a Tribal Healthcare System.” SCF is the primary applicant and will lead these efforts with local partners at the Alaska Native Tribal Health Consortium and University of Alaska, as well as national partners at the University of Washington, Mayo Clinic, and University of Arkansas Medical Sciences. Other experts within and outside of Alaska will provide additional support. Implementing a Diabetes Screening and Referral Services Developed for Dental Clinics Within an Urban Alaska Native Health Care Setting (RP1) will study the implementation of an evidence-based intervention to identify ANAIs at risk for diabetes; Metabolism-Informed Care to Aid Alaska Native People to Quit Smoking (RP2) will assess the acceptability and feasibility of using a nicotine metabolite ratio test to select smoking cessation treatment; and Jumpstarting Culturally-informed Advance Care Planning with ANAI People in Primary Care (RP3) will evaluate the effectiveness and implementation of an evidence- based, culturally-tailored palliative care intervention in ANAIs with serious illness. Two capacity building efforts will optimize success of the RPs and Center as a whole. The Researcher Career Enhancement Project will provide ongoing training and mentoring in foundational research skills and build new capacity in D&I research. The Administrative Core will support communication and coordination, implement a unified evaluation strategy, and create a new career pathway for ANAI Research Administrators. All Center components will be evaluated using two well-recognized D&I research frameworks: Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) and the Consolidated Framework for Implementation Research (CFIR). The proposed Center will expand research capacity within an established ANAI-led and -operated Research Department. Fulfillment of the specific aims will advance the capacity the tribal healthcare organization and ANAI researchers to lead future research focused on improving the health of ANAIs.

项目摘要 - 全部阿拉斯加原住民和美洲印第安人（ANAI）Peple的平均预期寿命比非非 - 西班牙裔白人和Anais的死亡率较高，糖尿病，心脏病和D 部落与健康。组织服务Anai患者需要有关成功的局限性的证据改善ANAI健康成果的干预措施。医疗保健组织具有屡获殊荣的医疗保健交付和重新设计模型，因此提出了一套在该中心申请中的五项独立但相关的工作中：“建立传播能力和在部落医疗系统中的实施研究。与阿拉斯加本地卫生财团和阿拉斯加大学的当地合作伙伴一起做出的努力以及华盛顿大学梅奥诊所和阿肯色大学的民族医学科学。掩盖为牙科诊所开发的糖尿病筛查和转诊服务阿拉斯加城市本地卫生保健环境（RP1）将研究基于证据的实施干预措施以识别有糖尿病风险的ANAI；戒烟（RP2）将评估使用尼古丁代谢物比测试的可接受性和可行性选择戒烟治疗 ANAI在初级保健中（RP3）将评估证据的有效性和实施 - 基于严重疾病的Anais，基于文化量的姑息治疗干预措施努力将优化RPS的成功，并作为研究人员的职业增强。提供基础研究技能的持续和指导的项目，并建立新的能力在D＆I研究中，行政核心将支持沟通和协调所有中心。将使用两个公认的D＆I研究框架评估组件：覆盖，有效，有效采用，实施和维护（RE-AIM）以及合并的框架实施研究（CFIR）。支撑中心将扩大既定的Anai领导和经营的研究能力研究部门。组织和ANAI研究人员领导未来的研究集中于ANAIS的健康。

项目成果

期刊论文数量（8）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

The Development of a Community-Led Alaska Native Traditional Foods Gathering.

社区主导的阿拉斯加本土传统食品聚会的发展。

DOI：
10.1177/15248399231190363
发表时间：
2023
期刊：
Health promotion practice
影响因子：
1.9
作者：
Wark,Kyle;Volkeimer,Jo;Mortenson,Ryan;Trainor,John;Presley,Jessica;Jauregui-Dusseau,Alex;Clyma,KayleeR;Jernigan,ValarieBlueBird
通讯作者：
Jernigan,ValarieBlueBird

Implementing a Metabolism-Informed Approach for Smoking Cessation in an Alaska Tribal Health System: Study Protocol for a Single-Arm Implementation Pilot Trial.

在阿拉斯加部落卫生系统中实施基于代谢的戒烟方法：单臂实施试点试验的研究方案。

DOI：
10.21203/rs.3.rs-3874126/v1
发表时间：
2024
期刊：
Research square
影响因子：
0
作者：
Jansen,Kelley;Tranby,Brianna;Shane,Aliassa;Takeno,Todd;Chadwick,Kelly;Sinicrope,Pamela;Shaw,Jennifer;Tyndale,Rachel;Harris,Jeffrey;Patten,Christi;Avey,Jaedon
通讯作者：
Avey,Jaedon

The CPT1A Arctic variant: perspectives of community members and providers in two Alaska tribal health settings.

CPT1A 北极变体：两个阿拉斯加部落卫生环境中社区成员和提供者的观点。

DOI：
10.1007/s12687-023-00684-6
发表时间：
2023
期刊：
Journal of community genetics
影响因子：
1.9
作者：
Beans,JulieA;Trinidad,SusanBrown;Shane,AliassaL;Wark,KyleA;Avey,JaedonP;Apok,Charlene;Guinn,Tiffany;Robler,SamanthaKleindienst;Hirschfeld,Matthew;Koeller,DavidM;Dillard,DeniseA
通讯作者：
Dillard,DeniseA

Measuring Attitudes About Alcohol Misuse and Dependence Among Alaska Native People Within a Tribal Health Care System.

衡量部落卫生保健系统内阿拉斯加原住民对酒精滥用和依赖的态度。

DOI：
10.1097/adm.0000000000001040
发表时间：
2023
期刊：
Journal of addiction medicine
影响因子：
5.5
作者：
Dillard,DeniseA;Hebert,LucianaE;Shaw,JenniferL;Trinidad,SusanB;Dirks,LisaG;Lillie,Kate;Ludman,EvetteJ;Donovan,Dennis;Burke,Wylie
通讯作者：
Burke,Wylie

Culturally Adapting Caring Contacts for Suicide Prevention in Four Alaska Native and American Indian Communities.

DOI：
10.1080/13811118.2021.1967820
发表时间：
2023-01
期刊：
Archives of suicide research : official journal of the International Academy for Suicide Research
影响因子：
0
作者：
Jansen KJ;Shaw JL;Comtois KA;Elliott-Groves E;Slaney T;Avey JP;Nelson L;CARE Phase 1 Study Team
通讯作者：
CARE Phase 1 Study Team