HEART Study: Development of the Health Equitability Assessment and Readiness Tool

HEART 研究：健康公平评估和准备工具的开发

基本信息

批准号：
10722851
负责人：
Whitney Chivonne Irie
金额：
$ 46.95万
依托单位：
BOSTON COLLEGE
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：
2023-08-10 至 2028-07-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10722851
关键词：
AIDS prevention Acceleration Address Assessment tool Award Biomedical Research Black Populations Black race COVID-19 Child Client Clinical Communicable Diseases Communities Complex Conceptual Domain Data Development Device or Instrument Development Disease Disparity Disparity population Ensure Epidemic Equity Evaluation Evidence based intervention Future Generations Geography HIV Health Priorities Health Professional Health system Hospitalization Human Papillomavirus Incidence Inequity Influenza Intervention Investments Link Longitudinal Studies Maps Measurable Measurement Measures Methods Mission Monkeypox Not Hispanic or Latino Outcome Pathway interactions Policy Maker Positioning Attribute Prevalence Prevention Principal Investigator Process Psychometrics Public Health Readiness Reporting Reproducibility Research Research Design Research Personnel Resources Services Sorting Structure Surveys System Testing United States Vaccination Vaccines Validation Visualization black men black women cognitive interview concept mapping coronavirus disease design disorder prevention flu health equity health inequalities implementation evaluation implementation science improved innovation instrument outcome disparities population health premature prevent preventable death programs public health priorities racial disparity sexual minority social determinants tool usability

项目摘要

PROJECT SUMMARY Even though highly efficacious biomedical prevention and treatment interventions exist for a range of infectious diseases, implementation has been marred by pervasive and unacceptable racialized disparities and led to inequitable population health effects. While public health increasingly recognizes health equity as a priority, at present we lack — and urgently need — a scientifically grounded, empirically supported, tool to assess the equity capacity or equitability of public health programming and implementation. Such an instrument would enable researchers, practitioners, and policymakers to advance equitable outcomes through anticipating gaps before they occur, direct context-specific capacities, target improvements and resources and thereby accelerate progress toward health equity. The Health Equitability Assessment and Readiness Tool (HEART) will address this significant gap by completing the following specific aims 1) use a formal set of mixed method activities to support the conceptual development and concept mapping of equitability into measurable domains, 2) develop the content, structure, and design of the HEART measure and conduct preliminary psychometric analysis to assess validity and internal reliability, and 3) to implement and evaluate HEART in various HIV program settings. The expected outcome is a scientifically validated and practical measure of public health program’s equitability that can be easily integrated in community and clinical settings. The principal investigator is well-positioned to lead the study activities with the support of her established team of collaborators with complementary expertise in infectious disease prevention, health equity, implementation science, and measurement development. The proposed project is in alignment with the New Innovator’s Award’s mission to support “risky…innovative and high impact research concepts that will advance key concepts on broad, important problems in biomedical research.”

项目概要尽管针对一系列传染病存在高效的生物医学预防和治疗干预措施疾病的实施因普遍存在的、不可接受的种族差异而受到损害，并导致尽管公共卫生越来越认识到健康公平是一个优先事项，但目前我们缺乏——而且迫切需要——一个有科学依据、有经验支持的工具来评估这样一个文书将使研究人员、从业者和政策制定者能够通过预测差距来推动公平的结果在其发生之前，指导针对具体情况的能力、目标改进和资源，从而加快实现健康公平的进程。健康公平评估和准备工具（HEART）将通过完成以下具体目标来解决这一重大差距 1) 使用一套正式的混合方法支持公平性概念发展和概念映射到可衡量领域的活动， 2) 制定 HEART 测量的内容、结构和设计并进行初步心理测量分析以评估有效性和内部可靠性，以及 3) 在各种 HIV 中实施和评估 HEART 计划设置的预期结果是经过科学验证且实用的公共卫生衡量标准。项目的公平性可以很容易地融入社区和临床环境中。在她建立的合作者团队的支持下，她有能力领导研究活动公平疾病预防、健康实施科学和拟议的项目符合新创新者奖的使命：支持“有风险的……创新和高影响力的研究概念，这些概念将在广泛的、生物医学研究中的重要问题。”