The Application of a Theoretical Framework to Assess the Acceptability of a Health-Related Social Needs Screening Tool Among Black Patients In New York City

应用理论框架评估纽约市黑人患者对健康相关社会需求筛查工具的接受程度

• 批准号: 10826205
• 负责人: Deborah Onakomaiya
• 金额: $ 4.75万
• 依托单位: NEW YORK UNIVERSITY SCHOOL OF MEDICINE
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-19 至 2026-09-18
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10826205
• 关键词: Academy; Accountability; Active Learning; Address; Admission activity; Affective; Area; Attitude; Black Populations; Black race; Cardiovascular system; Caregivers; Caring; Chronic Disease; Clinical; Cognitive; Communities; Community Health; Development; Diabetes Mellitus; Dimensions; Disease Management; Disparity population; Effectiveness; Emotional; Ethics; Factor Analysis; Feeling; Food; Goals; Health; Health Disparities Research; Health Services; Health Services Research; Health system; Housing; Infrastructure; Integrated Health Care Systems; Intervention; Joint Commission on Accreditation of Healthcare Organizations; Knowledge; Learning; Measures; Medicine; Mentors; Mentorship; Methods; Minority Groups; National Institute on Minority Health and Health Disparities; National Research Service Awards; New York City; Outcome; Parents; Patient-Centered Care; Patients; Persons; Physicians; Population; Positioning Attribute; Preventive; Procedures; Provider; Psychometrics; Public Health Practice; Questionnaires; Recommendation; Research; Research Design; Research Methodology; Research Training; Resources; Risk; Safety; Sampling; Screening procedure; Self Efficacy; Shame; Shapes; Signal Transduction; Stroke; Structural Racism; System; Testing; Training; Transportation; Trust; United States Centers for Medicare and Medicaid Services; black patient; burden of illness; career; ethnic minority; experience; food insecurity; food security; health care settings; health inequalities; housing instability; implementation science; improved; insight; interest; intimate partner violence; opportunity cost; patient population; patient screening; poor health outcome; racial minority; response; screening; social; social disparities; social health determinants; statistics; support tools; theories; tool

This NRSA F31 diversity proposal for Ms. Deborah Onakomaiya aims to provide mentorship, training, and advance research experiences to prepare Ms. Onakomaiya for an independent research career in implementation science and health disparities research. The research portion of this proposal aims to conduct a mixed-methods study, informed by the theoretical framework of acceptability (TFA), to develop a multidimensional understanding of the Accountable Health Communities Health-Related Social Needs Screening (AHC-HRSN) screening tool among Black patients who receive care at NYU Langone Health (NYULH). Recent studies suggest major gaps in how best to identify patients’ health-related social needs (HRSNs) and offer assistance in a respectful way that upholds patient trust. The few studies that explored the acceptability of HRSN tools largely focused on physician and caregiver perspectives and do not define acceptability of HRSN or the drivers for acceptability of HRSN. To date, no study has utilized a theory-driven approach to systematically assess the acceptability of HRSN screening tools among Black patients, who are most likely to experience a high burden of HRSN. An essential first step or precursor in successfully addressing HRSN is to examine the acceptability of screening tools among those who will be screened (e.g. patients). Additionally, with the 2024 Centers for Medicare & Medicaid Services and Joint Commission on Accreditation of Healthcare Organizations mandates to increase HRSN screening, there is a need for studies that demonstrate the acceptability of HRSN tools. TFA is well positioned to capture nuanced factors that drive patient acceptability. If an intervention, practice, or treatment is considered acceptable, patients are more likely to adhere to the recommendations and benefit from improved clinical outcomes. Also the training plan for this proposal is composed of mentored research, didactic and informal training, experiential learning and professional development activities. The applicant will be supported by several resources at NYULH and by a strong mentorship team with expertise in health services research, implementation science, health disparities research and mixed-methods research. The research-training plan will allow Ms. Onakomaiya to prepare for a research career by a) Learning and applying rigorous implementation and psychometric methods; b) developing expertise in health services and health disparities research; and c) generating and disseminating scientific knowledge to inform public health practice. This study covers a high priority area for NIMHD and will be one of the first in the U.S. to examine the proposed project in an integrated health system like NYULH . As this project will leverage NYULH’s infrastructure which is primed to implement system-wide screening for HSRNs among its patient population. This project will support NIMHDs goals to promote research to understand and to improve the health of racial/ethnic minorities (NIMHD- goal 1) and second, create and improve scientific methods, metrics, measures, and tools that support health disparities research (NIMHD-goal 4).

Deborah Onakomaiya女士的NRSA F31多样性提案旨在提供指导，培训和 提前研究经验为Onakomaiya女士做好准备，从事独立研究职业 实施科学与健康差异研究。该提案的研究部分旨在进行 由可接受性的理论框架（TFA）告知的混合方法研究，以开发 对责任健康社区与健康相关的社会需求的多维理解 在NYU Langone Health接受护理的黑人患者中筛查（AHC-HRSN）筛查工具 （NYULH）。最近的研究表明，如何最好地确定患者与健康相关的社会需求 （HRSNS）并以一种尊重患者信任的方式提供帮助。探讨了少数研究 HRSN工具的可接受性主要集中在物理学和看护人的观点上，并且不定义 HRSN或HRSN可接受性的可接受性。迄今为止，尚无理论驱动的研究 在黑人患者中，系统地评估HRSN筛查工具的可接受性的方法 最有可能体验到HRSN的高燃烧。成功解决的基本第一步或前身 HRSN将检查将筛选的筛查工具的可接受性（例如患者）。 此外，在2024年Medicare＆Medicaid服务中心以及合格的联合委员会 医疗保健组织要求增加HRSN筛查，需要研究证明 HRSN工具的可接受性。 TFA良好的位置可以捕获促进患者可接受性的细微因素。 如果认为可以接受干预，练习或治疗，则患者更有可能遵守 建议并受益于改善临床结果。此提案的培训计划也是 由指导的研究，教学和非正式培训，经验丰富的学习和专业 发展活动。申请人将得到NYULH的几个资源的支持，并得到强大的资源 拥有卫生服务研究，实施科学，卫生分配研究专业知识的识别团队 和混合方法研究。研究培训计划将使Onakomaiya女士可以为研究做准备 通过a）学习和应用严格的实施和心理测量方法； b）发展专业知识 卫生服务和健康差异研究； c）生成和传播科学知识 告知公共卫生实践。这项研究涵盖了NIMHD的高优先级，将是该领域的第一项 美国在NYULH等综合卫生系统中检查拟议项目。因为这个项目将利用 NYULH的基础设施旨在在其患者中对HSRN进行全系统筛查 人口。该项目将支持NIMHDS目标，以促进研究以了解和改善健康状况 种族/族裔少数民族（NIMHD目标1），其次，创建和改善科学方法，指标， 支持健康差异研究的措施和工具（NIMHD-CAL 4）。