VietAmerican Health Pilot Study

越美健康试点研究

• 批准号: 10057686
• 负责人: Uyen-Sa Duc Tran Nguyen
• 金额: $ 22.9万
• 依托单位: UNIVERSITY OF NORTH TEXAS HLTH SCI CTR
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-07-25 至 2022-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10057686
• 关键词: Acculturation; Address; Adopted; Adult; American; Area; Asia; Asian Americans; Asians; Assimilations; Awareness; Belief; Caring; Caucasians; China; Chinese People; Chronic; Cohort Studies; Communities; Community Surveys; Data; Degenerative polyarthritis; Descriptive Epidemiology; Disadvantaged; Disease; Education; Enrollment; Goals; Hand; Hand Osteoarthritis; Health; Health Care Costs; Health Care Seeking Behavior; Healthcare; High Prevalence; Hip Osteoarthritis; Home environment; Individual; Intervention; Joints; Knee; Knee Osteoarthritis; Knowledge; Language; Life Style; Linguistics; Longitudinal Studies; Longitudinal cohort study; Low Prevalence; Manuals; Methods; Musculoskeletal; Musculoskeletal Diseases; Obesity; Occupations; Pain; Participant; Patient Education; Patients; Pilot Projects; Population; Prevalence; Prevention; Prevention approach; Protocols documentation; Provider; Psyche structure; Race; Reporting; Research; Risk; Risk Factors; Roentgen Rays; Sample Size; Severities; Socioeconomic Status; Standardization; Stress; Surveys; Symptoms; System; Testing; Texas; Translating; Underserved Population; Vietnam; Vulnerable Populations; Work; aging population; base; cohort; comparison group; coping; cost effective; design; disability; effective therapy; ethnic difference; functional disability; health care service utilization; health disparity; instrument; medically underserved population; middle age; pain perception; population based; racial difference; recruit; sedentary; social disadvantage; Acculturation; Address; Adopted; Adult; American; Area; Asia; Asian Americans; Asians; Assimilations; Awareness; Belief; Caring; Caucasians; China; Chinese People; Chronic; Cohort Studies; Communities; Community Surveys; Data; Degenerative polyarthritis; Descriptive Epidemiology; Disadvantaged; Disease; Education; Enrollment; Goals; Hand; Hand Osteoarthritis; Health; Health Care Costs; Health Care Seeking Behavior; Healthcare; High Prevalence; Hip Osteoarthritis; Home environment; Individual; Intervention; Joints; Knee; Knee Osteoarthritis; Knowledge; Language; Life Style; Linguistics; Longitudinal Studies; Longitudinal cohort study; Low Prevalence; Manuals; Methods; Musculoskeletal; Musculoskeletal Diseases; Obesity; Occupations; Pain; Participant; Patient Education; Patients; Pilot Projects; Population; Prevalence; Prevention; Prevention approach; Protocols documentation; Provider; Psyche structure; Race; Reporting; Research; Risk; Risk Factors; Roentgen Rays; Sample Size; Severities; Socioeconomic Status; Standardization; Stress; Surveys; Symptoms; System; Testing; Texas; Translating; Underserved Population; Vietnam; Vulnerable Populations; Work; aging population; base; cohort; comparison group; coping; cost effective; design; disability; effective therapy; ethnic difference; functional disability; health care service utilization; health disparity; instrument; medically underserved population; middle age; pain perception; population based; racial difference; recruit; sedentary; social disadvantage

PROJECT SUMMARY/ABSTRACT Osteoarthritis (OA) is the leading cause of functional disabilities in middle-aged and older American adults. The healthcare costs associated with OA is $185 billion per year. One-third of older Americans suffer from OA. Substantial racial and ethnic differences have been reported on the prevalence, symptoms, severity and treatment of OA. However, little is known about OA in Asian Americans, especially Vietnamese-Americans (VietAmericans). Studies conducted in Asia have shown that Vietnamese and Chinese adults have a higher prevalence of knee OA than Caucasians, despite being thinner. VietAmerican adults may have an even higher prevalence of knee OA than their counterparts in Asia, due to increased obesity and more sedentary practices. Little is known about hand OA in VietAmericans, though many work in jobs requiring frequent use of their hands. While the prevalence of knee and hand OA may be disproportionally high, awareness of OA symptoms and appropriate OA management is likely disproportionally low among VietAmericans. Disparities in this population are likely due to many domains of patient factors. Many of these factors are modifiable. By effectively addressing them, studies may help VietAmericans increase awareness and overcome barriers to appropriate OA care and management, and thus make profound impacts on the health and health care of this socially disadvantaged and medically underserved population. Our long-term goal is to decrease health disparities in underserved population, including that of Vietnamese Americans. To fill several critical knowledge gaps, we propose to conduct a pilot study (n=200) of VietAmericans (>=45 years old) living in the greater Dallas-Fort Worth Metroplex (TX) area. The specific aims include: Aim 1, to translate, refine, and pre-test culturally and linguistically appropriate standardized survey instruments of hand and knee OA symptoms and risk factors, OA awareness and management, and related patient factors among a group of VietAmericans from faith-based and community-based organizations in greater Dallas-Fort Worth Metroplex; Aim 2, to demonstrate the feasibility of enrolling and retaining a cohort of VietAmericans, including obtaining X-Rays of their hands and knees, and develop and pilot test a detailed protocol to prepare for a larger longitudinal cohort study; Aim 3, to apply a mixed-methods approach for purposes of providing an initial assessment of possible barriers to OA awareness and approaches to prevention and care, and to examine whether such barriers exist at the patient, provider, and/or system level(s) in a targeted group of VietAmerican participants with OA. Feasibility data will be gathered to refine the study protocol for the larger cohort study to more systematically study OA in a population with little data on OA, including its prevention and optimal care. These data will be used to conceptualize and generate testable hypotheses and will help us to design a larger cohort study of OA in VietAmericans living in the US, with the potential to compare results with that of Vietnamese in Vietnam and other racial groups in the US, as well as provide evidence for more targeted interventions.

项目摘要/摘要 骨关节炎（OA）是中年和年长的美国成年人功能障碍的主要原因。这 与OA相关的医疗保健费用为每年1850亿美元。三分之一的美国人患有OA。 已经报道了有关症状，严重程度和种族差异的实质性差异 OA的处理。但是，在亚裔美国人，尤其是越南裔美国人的OA知之甚少 （越野裔）。在亚洲进行的研究表明，越南和中国成年人的成年人较高 膝关节OA的患病率比高加索人的患病率更瘦。越野裔成年人可能更高 膝盖OA的患病率比亚洲对应的人的患病率增加，这是由于肥胖症增加和久坐的习惯。 关于越野士的手OA知之甚少，尽管许多工作需要经常使用其工作 手。虽然膝盖和手OA的患病率可能过高，但对OA症状的意识 越野裔人中，适当的OA管理可能过分低。这方面的差异 人口可能是由于许多患者因素的领域。这些因素中的许多都是可修改的。经过 有效地解决这些问题，研究可能有助于越越境者提高认识，并克服了 适当的OA护理和管理，从而对此产生深远影响 在社会上处于弱势群体和医疗服务不足的人群。我们的长期目标是降低健康 服务不足的人口的差异，包括越南美国人的差异。填写几个批判知识 差距，我们建议进行越来越大的越野士（> = 45岁）的试点研究（n = 200） 达拉斯 - 沃思 - 沃思大都会区（TX）区域。具体目的包括：目标1，翻译，完善和预测试 在文化和语言上适当的标准化调查工具的手和膝关节症状以及 一群越野士的风险因素，OA意识和管理以及相关的患者因素 来自大达拉斯 - 沃思堡Metroplex的基于信仰和社区的组织；目标2，to 证明参加和保留一系列越野将的可行性，包括获得X射线 他们的手和膝盖，并开发和试点测试详细的方案，为更大的纵向队列做准备 学习;目标3，应用混合方法的方法，以提供可能的初步评估 OA意识和预防和护理方法的障碍，并检查是否存在这种障碍 在患者，提供者和/或系统级别的患者中，有针对性的越野与OA的参与者。 将收集可行性数据，以完善较大队列研究的研究方案，以更系统地 在人群中研究OA，几乎没有OA数据，包括预防和最佳护理。这些数据将是 用于概念化和生成可检验的假设，并将帮助我们设计更大的OA研究 在居住在美国的越野裔人中，有可能将结果与越南和越南的结果进行比较 美国的其他种族群体，并为更有针对性的干预措施提供证据。