Community Partnership for Telehealth Solutions to Counter Misinformation and Achieve Equity (PRIME)

反虚假信息和实现公平的远程医疗解决方案社区合作伙伴关系 (PRIME)

• 批准号: 10608871
• 负责人: GLORIA D CORONADO
• 金额: $ 133.35万
• 依托单位: KAISER FOUNDATION RESEARCH INSTITUTE
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-18 至 2027-04-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10608871
• 关键词: Address; Adoption; Adult; Advisory Committees; Area; Awareness; Behavior; Caring; Clinic; Clinical; Clinical Medicine; Colorectal Cancer; Communication; Communities; Community Networks; Data; Detection; Disease; Effectiveness; Emotional; Ensure; Ethnic Origin; Evaluation; Face; Food; Gastroenterology; Geographic Information Systems; Goals; Guidelines; Health; Health Services Accessibility; Health Services Research; Health system; Healthcare; Individual; Interdisciplinary Study; Intervention; Knowledge; Language; Latinx; Latinx population; Link; Logistics; Los Angeles; Malignant Neoplasms; Measures; Methods; Misinformation; Modeling; Neighborhood Health Center; Neighborhoods; Outcome; Patients; Pattern; Population; Preventive; Preventive care; Preventive service; Process; Program Effectiveness; Program Sustainability; Reach Effectiveness Adoption Implementation and Maintenance; Research; Research Methodology; Research Personnel; Resources; Scientist; Screening for cancer; Services; Site; Subgroup; Survival Rate; Technology; Testing; Text Messaging; Transportation; Trust; aged; barrier to care; base; cancer care; cancer prevention; cancer survival; care delivery; care systems; clinical practice; colorectal cancer screening; community based service; community organizations; community partnership; design; disparity reduction; effectiveness testing; evidence base; follow-up; health disparity; health equity; implementation facilitators; implementation framework; implementation science; improved; member; novel; patient engagement; patient oriented; prevention service; programs; rapid technique; scale up; screening; screening disparities; screening services; social; social health determinants; success; systems research; telehealth; telehealthcare; tool; uptake; video delivery

ABSTRACT Use of cancer screening services for Latinx populations has lagged far behind the use for non-Latinx White populations; this has led to later stage detection and worse survival for Latinx people. Clinic-delivered video- texting combined with neighborhood-level navigation services is a telehealth-community solution that offers great promise for addressing cancer screening disparities, as it reduces multi-level barriers to care. Our proposed project, Community Partnership for Telehealth Solutions to Counter Misinformation and Achieve Equity (PRIME), will leverage partnerships among research centers, clinics, and community organizations to provide personalized support services informed by local knowledge and neighborhood-level data, and apply and evaluate novel technical and communication solutions. The goal of PRIME will be to improve colorectal cancer-related care delivery and reduce disparities in telehealth access and care by developing and testing telehealth tools and technologies using novel research methods. This research will use rapid methods and adaptive-evaluation processes and will apply the Health Equity Implementation Framework and components of the Reach Effectiveness-Adoption Implementation Maintenance (RE-AIM) framework, with an emphasis on effects on disparities in implementation and evaluation. PRIME will assess neighborhood-level social determinants of health and adapt and optimize a telehealth-solution to improve the quality, reach, and effectiveness of colorectal cancer screening in predominantly Latinx clinic populations aged 45-54 (Aim 1); test technical and communication solutions that use video-text messages to educate patients about colorectal cancer screening, link them to community-based services, and provide personalized navigation to support to improve uptake of screening and follow-up care, using a pragmatic stepped-wedge design (12 neighborhoods; 3,000 patients aged 45-54; Aim 2); and assess multi-level moderators of program effectiveness (including neighborhood-level social determinants of health, ethnicity, and preferred language) and organizational-level barriers and facilitators to implementation; and scale-up the program across neighborhoods and partnering clinical practice sites (n = 4; Aim 3). This project will leverage local resources and strengthen connections among health systems and trusted community-based organizations, increasing the likelihood of program sustainment. To ensure the project’s success, we have assembled an engaged group of community partners, including payers, health centers, community-based organizations, and patients, along with a multi-disciplinary research team of nationally renowned clinicians and scientists. If successful, the program will result in ready-to- implement strategies to reduce cancer-related disparities and improve preventive cancer care access, quality, and health outcomes for Latinx populations.

抽象的 拉丁裔人群癌症筛查服务的使用远远落后于非拉丁裔白人 人群；这导致了诊所提供的视频的晚期检测和较差的生存率。 短信与邻里级导航服务相结合是一种远程医疗社区解决方案，可提供 解决癌症筛查差异的巨大希望，因为它减少了护理的多层次障碍。 拟议项目“反错误信息远程医疗解决方案社区合作伙伴关系”和 实现公平（PRIME），将利用研究中心、诊所和社区之间的合作伙伴关系 组织根据当地知识和社区级别提供个性化支持服务 PRIME 的目标是： 改善结直肠癌相关的护理服务并减少远程医疗获取和护理方面的差异 这项研究将使用新颖的研究方法来开发和测试远程医疗工具和技术。 快速方法和适应性评估流程，并将应用健康公平实施框架 以及达到有效性-采用实施维护 (RE-AIM) 框架的组成部分， PRIME 将重点评估社区层面的差异性影响。 健康的社会决定因素，并调整和优化远程医疗解决方案，以提高质量、覆盖范围和 结直肠癌筛查对 45-54 岁拉丁裔临床人群的有效性（目标 1 测试）； 使用视频文本消息对患者进行结肠直肠教育的技术和通信解决方案 癌症筛查，将其与基于社区的服务联系起来，并提供个性化导航以支持 使用务实的阶梯式楔形设计（12 个社区； 3,000 名 45-54 岁的患者；目标 2)；并评估项目有效性的多级调节因素（包括 社区层面的健康、种族和首选语言的社会决定因素）和组织层面 实施的障碍和促进因素；并在社区和伙伴关系中扩大该计划 临床实践地点（n = 4；目标 3）。 在卫生系统和值得信赖的社区组织之间，增加项目的可能性 为了确保该项目的成功，我们组建了一群积极参与的社区合作伙伴， 包括付款人、卫生中心、社区组织和患者，以及多学科的 由全国知名的超级明星和科学家组成的研究团队如果成功，该计划将带来准备就绪的成果。 实施战略，减少与癌症相关的差异，改善预防性癌症护理的可及性、质量、 和拉丁裔人口的健康结果。