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

• 批准号: 10223700
• 负责人: Denise A Dillard
• 金额: $ 98.38万
• 依托单位: SOUTHCENTRAL FOUNDATION
• 依托单位国家: 美国
• 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/10223700
• 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; Evaluation Research; 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; Medical; Medicare/Medicaid; Mentors; Metabolism; Native American Research Center for Health; Native-Born; Nicotine; Not Hispanic or Latino; Outcome; Palliative Care; Patients; Pharmaceutical Preparations; Population; Prediabetes syndrome; Primary Health 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; base; bean; beneficiary; career; chronic liver disease; design; diabetes risk; dissemination research; effective intervention; effectiveness evaluation; effectiveness implementation design; effectiveness implementation study; ethical legal 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; primary care services; programs; referral services; screening services; skills; skills training; smoking cessation; success; tribal health; tribal healthcare; tribal member; tribal organization

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.

项目概要 - 总体 阿拉斯加原住民和美洲印第安人 (ANAI) 的平均预期寿命比非阿拉斯加原住民和美洲印第安人 (ANAI) 短 10 岁 西班牙裔白人和 ANAI 因糖尿病、心脏病和糖尿病等疾病而死亡率较高 然而，ANAI 社区的医疗保健服务资金严重不足。 为 ANAI 患者提供服务的组织需要证据证明有效实施 改善 ANAI 健康结果的干预措施 医疗保健组织拥有屡获殊荣的医疗保健提供和重新设计模式，因此提出了一套 该中心应用程序中五项独立但相关的努力，“传播和传播能力建设” 部落医疗保健系统的实施研究。”SCF 是主要申请人，并将领导该研究。 这些与阿拉斯加原住民部落健康联盟和阿拉斯加大学当地合作伙伴的努力， 以及华盛顿大学、梅奥诊所和阿肯色大学的国家合作伙伴 医学科学。阿拉斯加州内外的其他专家将提供额外的支持。 实施为牙科诊所开发的糖尿病筛查和转诊服务 阿拉斯加城市原住民医疗机构 (RP1) 将研究基于证据的实施 识别有糖尿病风险的 ANAIs 的干预措施；以代谢知情的护理来援助阿拉斯加原住民； 戒烟 (RP2) 将评估使用尼古丁代谢物比率测试来戒烟的可接受性和可行性 选择戒烟治疗；并启动基于文化的预先护理计划 ANAI 初级保健人员 (RP3) 将评估证据的有效性和实施情况- 针对患有严重疾病的 ANAI 进行基于文化的姑息治疗干预 两项能力建设。 将优化 RP 工作和整个中心的成功。 项目将提供基础研究技能方面的持续培训和指导，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，实施统一。 评估策略，并为 ANAI 研究管理员创建新的职业道路。 将使用两个公认的 D&I 研究框架来评估组件：覆盖范围、有效性、 采用、实施和维护 (RE-AIM) 以及综合框架 实施研究（CFIR）。 拟议的中心将扩大已建立的 ANAI 领导和运营的研究能力 研究部门的具体目标的实现将提高部落医疗保健的能力。 组织和 ANAI 研究人员领导未来的研究，重点是改善 ANAI 的健康。