Community Partnership for Telehealth Solutions to Counter Misinformation and Achieve Equity (PRIME)

反虚假信息和实现公平的远程医疗解决方案社区合作伙伴关系 (PRIME)

基本信息

批准号：
10706426
负责人：
GLORIA D CORONADO
金额：
$ 132.19万
依托单位：
KAISER FOUNDATION RESEARCH INSTITUTE
依托单位国家：
美国
项目类别：
财政年份：
2022
资助国家：
美国
起止时间：
2022-09-18 至 2027-04-30
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10706426
关键词：
Address Adoption Adult Area Awareness Behavior Caring Clinic Clinical Clinical Medicine Colorectal Cancer Communication Communities Community Health Community Networks Data Detection Disease Disparity Effectiveness Elderly Eligibility Determination Emotional Ensure Equity Ethnic Origin Evaluation Face Food Gastroenterology Geographic Information Systems Goals Guidelines Health Health Services Accessibility Health Services Research Health system Healthcare Individual Interdisciplinary Study Intervention Knowledge Language Latinx Latinx population Link Los Angeles Malignant Neoplasms Measures Methods Misinformation Modeling Neighborhood Health Center Neighborhoods Outcome Patients Pattern Population Preventive Preventive care Process Program Effectiveness Program Sustainability Reach, Effectiveness, Adoption, Implementation, and Maintenance Research Research Methodology Research Personnel Resources Scientist Screening for cancer Services Shapes Site Subgroup Survival Rate Technology Testing Text Messaging Transportation Trust United States Preventative Services Task Force access disparities aged barrier to care cancer care cancer prevention cancer survival care delivery care systems clinical practice colorectal cancer screening community based service community organizations community partnership design disparity reduction effectiveness testing evidence base follow-up health care delivery health care model health disparity health equity implementation facilitators implementation framework implementation science improved member novel patient engagement patient oriented pragmatic study prevention service programs rapid technique scale up screening screening disparities screening services social social competition social health determinants success systems research telehealth telehealthcare tool uptake video delivery

项目摘要

ABSTRACT Use of cancer screening services for Latinx populations has lagged far behind the use for non-Latinx White populations; this has led to later stage detection and worse survival for Latinx people. Clinic-delivered video- texting combined with neighborhood-level navigation services is a telehealth-community solution that offers great promise for addressing cancer screening disparities, as it reduces multi-level barriers to care. Our proposed project, Community Partnership for Telehealth Solutions to Counter Misinformation and Achieve Equity (PRIME), will leverage partnerships among research centers, clinics, and community organizations to provide personalized support services informed by local knowledge and neighborhood-level data, and apply and evaluate novel technical and communication solutions. The goal of PRIME will be to improve colorectal cancer-related care delivery and reduce disparities in telehealth access and care by developing and testing telehealth tools and technologies using novel research methods. This research will use rapid methods and adaptive-evaluation processes and will apply the Health Equity Implementation Framework and components of the Reach Effectiveness-Adoption Implementation Maintenance (RE-AIM) framework, with an emphasis on effects on disparities in implementation and evaluation. PRIME will assess neighborhood-level social determinants of health and adapt and optimize a telehealth-solution to improve the quality, reach, and effectiveness of colorectal cancer screening in predominantly Latinx clinic populations aged 45-54 (Aim 1); test technical and communication solutions that use video-text messages to educate patients about colorectal cancer screening, link them to community-based services, and provide personalized navigation to support to improve uptake of screening and follow-up care, using a pragmatic stepped-wedge design (12 neighborhoods; 3,000 patients aged 45-54; Aim 2); and assess multi-level moderators of program effectiveness (including neighborhood-level social determinants of health, ethnicity, and preferred language) and organizational-level barriers and facilitators to implementation; and scale-up the program across neighborhoods and partnering clinical practice sites (n = 4; Aim 3). This project will leverage local resources and strengthen connections among health systems and trusted community-based organizations, increasing the likelihood of program sustainment. To ensure the project’s success, we have assembled an engaged group of community partners, including payers, health centers, community-based organizations, and patients, along with a multi-disciplinary research team of nationally renowned clinicians and scientists. If successful, the program will result in ready-to- implement strategies to reduce cancer-related disparities and improve preventive cancer care access, quality, and health outcomes for Latinx populations.

抽象的在拉丁裔种群中使用癌症筛查服务已远远落后于非Latinx White的使用人口；这导致了稍后的阶段发现，而拉丁人的生存率较差。诊断视频 - 发短信与邻里级别的导航服务相结合是一种远程医疗社区解决方案解决癌症筛查分布的巨大希望，因为它减少了多层护理障碍。我们的拟议项目，远程医疗解决方案的社区合作伙伴关系，以应对错误信息和实现公平（主要），将利用研究中心，诊所和社区之间的伙伴关系组织提供个性化的支持服务，以当地知识和邻里级别的方式告知数据，并应用和评估新颖的技术和通信解决方案。主要目标是改善与结直肠癌相关的护理交付，并减少通过使用新型研究方法开发和测试远程医疗工具和技术。这项研究将使用快速方法和自适应评估过程，并将应用健康公平实施框架以及覆盖效果 - 采用实施维护（RE-AIM）框架的组成部分，并带有强调对实施和评估分配的影响。 Prime将评估邻里级别健康的社会决定者，适应和优化远程医疗解决方案，以提高质量，覆盖范围和大肠癌筛查主要是45-54岁的拉丁诊所人群的有效性（AIM 1）；测试使用视频文本消息来教育患者有关结直肠的技术和通信解决方案癌症筛查，将其链接到基于社区的服务，并提供个性化的导航，以支持使用务实的跨跨街区设计（12个社区； 3,000名45-54岁的患者；目标2）;并评估程序有效性的多层次主持人（包括邻里级别的健康，种族和首选语言的社会决定者）和组织级别实施的障碍和促进者；并扩大跨社区和合作的计划临床实践部位（n = 4;目标3）。该项目将利用当地资源并加强联系在卫生系统和可信赖的社区组织中，增加了计划的可能性维持。为了确保该项目的成功，我们聚集了一群社区合作伙伴，包括付款人，卫生中心，基于社区的组织和患者，以及多学科国家著名临床医生和科学家的研究团队。如果成功，该计划将导致现成实施策略以减少与癌症相关的差异并改善预防性癌症护理的获取，质量，和拉丁人种群的健康成果。