Brain Injury Outpatient Education and Care Navigation -Supplement

脑损伤门诊教育与护理导航-补充

基本信息

批准号：
10841278
负责人：
Nathalia Jimenez
金额：
$ 6.63万
依托单位：
SEATTLE CHILDREN'S HOSPITAL
依托单位国家：
美国
项目类别：
财政年份：
2023
资助国家：
美国
起止时间：
2023-09-01 至 2025-04-30
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10841278
关键词：
Adopted Area Brain Injuries Caring Child Clinical Communities Consolidated Framework for Implementation Research Education Goals Hispanic Institution Intervention Interview Latinx Latinx population Linear Regressions Measurement Mentors Methods Modeling Modification Outpatients Participant Patients Peripheral Population Populations at Risk Research Research Activity Research Project Grants Review Literature SET Domain Scientist Severities Site Testing Time Training Activity Translating Traumatic Brain Injury bilingualism career development contextual factors deprivation design evidence base functional outcomes health care service utilization hispanic community implementation science indexing intervention effect parent grant pilot test programs research and development response socioeconomic disadvantage treatment adherence

项目摘要

PROJECT SUMMARY Celeste Garcia’s long-term goal is to become a research-scientist with a focus on implementation science directed to the needs of the Latinx/Hispanic community. She proposes two years of research and career development activities under mentoring of Drs. Nathalia Jimenez (PI for the parent grant and primary mentor for the diversity supplement), Ramirez, Ko and Zhou. Career development and training activities include comprehensive literature review, coursework, and mentoring directly relevant to the proposed research project. The primary research activity takes advantage of the multicenter design of the 1stBIEN parent grant. The diversity supplement proposes two complementary projects that explore inner and outer setting domains of the Consolidated Framework for Implementation Research (CFIR) related to the Latinx population. Study 1 assesses in real time implementation related domains of the 1stBIEN intervention at each of the participant sites. Study 2 evaluates outer context by pilot testing a population level measurement of socioeconomic disadvantage (The Area Deprivation Index ADI) as an independent predictor for post-TBI health care utilization and functional outcomes among Latinx/Hispanic children; and evaluate its effect on the response to the 1stBIEN intervention. This proposal uses mixed methods. Study 1 uses in depth interviews and thematic analysis grounded on CFIR to identify barriers and facilitators for program implementation of 1stBIEN core components and modifications in peripheral components to accommodate for institutional needs. Study 2 uses bivariate analysis examining the correlation coefficient between ADI and treatment adherence, and ADI and post-TBI function. To test if ADI modifies the intervention effects, subsequent linear regression models test the association between treatment adherence and post-TBI function and ADI, while controlling for intervention and baseline TBI severity. Findings from this study can facilitate prioritization of at-risk populations and strategies for institutional implementation of patient centric bilingual programs.

项目概要 Celeste Garcia 的长期目标是成为一名专注于实施科学的研究科学家针对拉丁裔/西班牙裔社区的需求，她提议进行两年的研究和职业生涯。 Nathalia Jimenez 博士（家长补助金和主要导师的 PI）指导下的开发活动供多元化补充），Ramirez、Ko 和 Zhou 包括职业发展和培训活动。与拟议研究项目直接相关的全面文献综述、课程作业和指导。主要研究活动利用了 1stBIEN 家长资助的多中心设计。多样性补充提出了两个互补的项目，探索内部和外部环境领域与拉丁裔人口研究 1 相关的实施研究综合框架 (CFIR)。实时评估每个参与者的 1stBIEN 干预的相关实施领域研究 2 通过对社会经济的人口水平测量进行试点测试来评估外部环境。劣势（面积剥夺指数 ADI）作为 TBI 后医疗保健利用率的独立预测因子拉丁裔/西班牙裔儿童的功能结果；并评估其对反应的影响； 1stBIEN 干预研究 1 采用了深度访谈和专题的混合方法。基于 CFIR 的分析，以确定 1stBIEN 核心计划实施的障碍和促进因素组件和外围组件的修改以满足研究 2 的使用需求。双变量分析检查 ADI 与治疗依从性之间的相关系数，以及 ADI 与治疗依从性之间的相关系数为了测试 ADI 是否改变了干预效果，随后的线性回归模型测试了 TBI 后的功能。治疗依从性与 TBI 后功能和 ADI 之间的关联，同时控制干预和这项研究的结果有助于确定高危人群和策略的优先顺序。用于机构实施以患者为中心的双语计划。

项目成果

期刊论文数量（1）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Bilingual randomized controlled trial design, of a telephone-based intervention to promote rehabilitation adherence; A study focus on recruitment of Hispanic children with traumatic brain injury.

双语随机对照试验设计，基于电话的干预措施，以促进康复依从性；

DOI：
10.1016/j.cct.2023.107362
发表时间：
2023
期刊：
Contemporary clinical trials
影响因子：
2.2
作者：
Jimenez,Nathalia;Williams,CydniN;Keenan,Heather;Rinaldi,Robert;Fuentes,Molly;Woodward,Danielle;Rivara,FrederickP;Zhou,Chuan;Ko,LindaK;Bell,Kathleen
通讯作者：
Bell,Kathleen