Addressing health disparities by providing evidence-based treatment in the Black Church

通过在黑人教会提供循证治疗来解决健康差异

• 批准号: 10721580
• 负责人: Ayana Jordan
• 金额: $ 10万
• 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: 2023-09-01 至 2024-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10721580
• 关键词: Address; Administrative Supplement; African American population; Alcohol consumption; Black Populations; Black church; Black race; COVID-19; Caring; Church; Clinical Trials; Communities; Community Health; Complex; Coupled; Evidence based treatment; Funding; Health; Health Services Accessibility; Healthcare; Illicit Drugs; Improve Access; Individual; Information Dissemination; Medical; Participant; Pathway interactions; Population; Positioning Attribute; Research; Resources; Role; System; Technology; Transportation; Travel; Treatment outcome; Trust; United States; addiction; air filter; alcohol abuse therapy; alcohol use disorder; arm; clinical trial participant; evidence base; health disparity; improved; low socioeconomic status; member; novel; personal protective equipment; racial population; randomized, clinical trials; recruit; retention rate; risk mitigation; social stigma

The proposed administrative supplement will not alter the specific aims nor the central themes in the research strategy of this randomized clinical trial, however, the funds requested from the supplement will enhance recruitment of Black individuals who want to reduce their alcohol use, which was comprised due to COVID-19. Black/African-Americans use alcohol and illicit drugs at the same rates as their White counterparts but are much more likely to suffer negative substance related consequences. Moreover, they are less likely to initiate treatment when compared with other racial groups; and when they do, are significantly less likely to complete treatment or to be offered evidence-based treatments. Stigma, mistrust of the medical system, lack of health care coverage, complex pathways to care, lower socioeconomic status, and the scarcity of culturally informed treatment may all be factors underlying low treatment initiation and engagement. Thus, offering treatment in alternative settings, such as the Black Church, a highly trusted entity in Black communities, is a novel, and potentially highly disseminable strategy for improving both access to evidence-based treatments and alcohol treatment outcomes for this important population. We are requesting additional funds through the administrative supplement to aid in the initiation and retention of Black individuals’ in addiction treatment. Past participants of this clinical trial have expressed challenges in accessing treatment, so we have allocated a portion of the supplement to be utilized for transportation. We have also proposed to use bus passes to enable research team members to travel greater distances for recruitment and connections with community partners. These efforts will result in greater dissemination of information regarding the clinical trial. As indicated above, Black individuals also have lower retention rates in addiction treatment than their White counterparts. The largest portion of the requested supplement will be utilized to increase the effort of the project’s, Community Health Representative position. This role will serve as a direct contact for participants to interact with, and provide support and resources for individuals who may have challenges accessing treatment in either arm of the study. Lastly, funding for personal protective equipment (PPE) and risk mitigation strategies, such as air filters are included in this supplement to account for the anticipated increase of participants due to our enhanced efforts. Funds for the Church-based Health Advisor role will also be required for increased engagement. This vital role will continue to engage with participants as they complete the evidence based CBT4CBT modules in the Black Church arm of the study. Moreover, if the utilization of CBT4CBT in this novel setting coupled with enhanced efforts for recruitment and engagement is demonstrated to be effective, this would represent an inexpensive and disseminable strategy to address health disparities among Black individuals with alcohol use disorders in the United States.

拟议的行政补充不会改变研究的具体目标或中心主题 然而，该随机临床试验的策略，从补充中请求的资金将增强 招募想要减少饮酒的黑人，其中包括因 COVID-19 造成的。 黑人/非裔美国人使用酒精和非法药物的比例与白人信用额相同，但 此外，他们更有可能遭受与物质相关的负面后果。 与其他种族群体相比，他们完成治疗的可能性明显较低； 治疗或提供循证治疗 耻辱、对医疗系统的不信任、缺乏健康。 护理覆盖范围、复杂的护理途径、较低的社会经济地位以及缺乏文化知识 治疗可能都是导致治疗启动率和参与度较低的因素。 另类设置，例如黑人教会，一个在黑人社区中高度信任的实体，是一种小说，并且 提高循证治疗和酒精获取机会的潜在高度传播策略 这一重要人群的治疗结果。 我们正在通过行政补充申请额外资金，以帮助启动和保留 该临床试验的过去参与者表达了对成瘾治疗的挑战。 接受治疗，因此我们分配了一部分补助金用于交通。 还提议使用公交车通行证，使研究团队成员能够走更远的距离 这些努力将导致更多的传播。 如上所述，黑人个体的保留率也较低。 成瘾治疗比他们的白人侄子要求的补充的最大部分将是。 用于增加项目的社区健康代表职位的努力。 参与者可以与可能的个人互动并提供支持和资源的直接联系方式 在研究的任一方面都面临着获得治疗的挑战，最后，为个人防护提供资金。 设备（PPE）和风险缓解策略，例如空气过滤器包含在本补充中，以说明 由于我们加强了教会健康基金的努力，预计参与者会增加。 为了增加参与度，还需要顾问角色，这一重要角色将继续参与。 参与者完成黑人教会研究部分中基于证据的 CBT4CBT 模块。 此外，如果在这种新颖的环境中利用 CBT4CBT 并加强招募和培训工作， 参与是为了证明是有效的，这将代表一种廉价且可传播的策略 解决美国患有酒精使用障碍的黑人之间的健康差异。

项目成果

Structural Adaptations to Methadone Maintenance Treatment and Take-Home Dosing for Opioid Use Disorder in the Era of COVID-19.

COVID-19 时代对美沙酮维持治疗和阿片类药物使用障碍的带回家剂量的结构调整。

• DOI: 10.2105/ajph.2021.306654
• 发表时间: 2022
• 期刊: American journal of public health
• 影响因子: 12.7
• 作者: Suen,LeslieW;Coe,WilliamH;Wyatt,JananP;Adams,ZoeM;Gandhi,Mona;Batchelor,HannahM;Castellanos,Stacy;Joshi,Neena;Satterwhite,Shannon;Pérez-Rodríguez,Rafael;Rodríguez-Guerra,Esther;Albizu-Garcia,CarmenE;Knight,KellyR;Jordan,A
• 通讯作者: Jordan,A

Federal and State Regulatory Changes to Methadone Take-Home Doses: Impact of Sociostructural Factors.

联邦和州对美沙酮带回家剂量的监管变化：社会结构因素的影响。

• DOI: 10.2105/ajph.2022.306806
• 发表时间: 2022
• 期刊: American journal of public health
• 影响因子: 12.7
• 作者: Wyatt,JananP;Suen,LeslieW;Coe,WilliamH;Adams,ZoeM;Gandhi,Mona;Batchelor,HannahM;Castellanos,Stacy;Joshi,Neena;Satterwhite,Shannon;Pérez-Rodríguez,Rafael;Rodríguez-Guerra,Esther;Albizu-Garcia,CarmenE;Knight,KellyR;Jordan,A
• 通讯作者: Jordan,A