Imperial County Clinical Research Network for Health Equity

帝国县健康公平临床研究网络

基本信息

批准号：
10631785
负责人：
GUADALUPE X AYALA
金额：
$ 132.61万
依托单位：
SAN DIEGO STATE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2022
资助国家：
美国
起止时间：
2022-09-24 至 2024-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10631785
关键词：
Address Advisory Committees Award Awareness Border Community Breastfed infant California Clinical Research Cohort Studies Collaborations Common Data Element Communities Complex Computerized Medical Record County Data Data Analyses Data Collection Development Disease Effectiveness Ensure Evaluation Exclusive Breastfeeding Family Fostering Funding Goals Health Health Disparities Research Health Promotion Healthcare Healthcare Systems Household Human Resources Income Infrastructure Institutional Review Boards Interdisciplinary Study Knowledge Lactation Language Logic Medical center Mental Health Methods Mexico Modeling National Institute on Minority Health and Health Disparities Obesity Outcome Participant Patients Personal Satisfaction Phase Pilot Projects Plant Roots Poaceae Policies Population Postdoctoral Fellow Practice based research Prenatal care Procedures Process Protocols documentation Research Research Infrastructure Research Personnel Research Priority Research Support Resources Risk Rural Rural Community Scientific Inquiry Site System Testing Time TimeLine Treatment Efficacy U-Series Cooperative Agreements Underserved Population Weight career clinical practice clinical research site contextual factors data harmonization data sharing effectiveness trial follow-up health disparity health equity implementation efforts infrastructure development innovation member minority health disparity novel strategies overweight child pragmatic trial programs protocol development response secondary analysis shared decision making social determinants student participation suburb

Address Advisory Committees Award Awareness Border Community Breastfed infant California Clinical Research Cohort Studies Collaborations Common Data Element Communities Complex Computerized Medical Record County Data Data Analyses Data Collection Development Disease Effectiveness Ensure Evaluation Exclusive Breastfeeding Family Fostering Funding Goals Health Health Disparities Research Health Promotion Healthcare Healthcare Systems Household Human Resources Income Infrastructure Institutional Review Boards Interdisciplinary Study Knowledge Lactation Language Logic Medical center Mental Health Methods Mexico Modeling National Institute on Minority Health and Health Disparities Obesity Outcome Participant Patients Personal Satisfaction Phase Pilot Projects Plant Roots Poaceae Policies Population Postdoctoral Fellow Practice based research Prenatal care Procedures Process Protocols documentation Research Research Infrastructure Research Personnel Research Priority Research Support Resources Risk Rural Rural Community Scientific Inquiry Site System Testing Time TimeLine Treatment Efficacy U-Series Cooperative Agreements Underserved Population Weight career clinical practice clinical research site contextual factors data harmonization data sharing effectiveness trial follow-up health disparity health equity implementation efforts infrastructure development innovation member minority health disparity novel strategies overweight child pragmatic trial programs protocol development response secondary analysis shared decision making social determinants student participation suburb

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项目摘要

PROJECT SUMMARY This 5-year effort titled “Leveraging a Regional Clinical Practice Research Network for Health Equity in the Rural, Border Region of Imperial County, California (Imperial County Clinical Research Network)” seeks to advance minority health and health disparities research by establishing the personnel and systems (policies and procedures) infrastructure to support clinical research within a regional medical center that serves a rural, border community in Southern California. It accomplishes this by bringing together three primary organizations and their respective leaders to develop a disease-agnostic research agenda consistent with the needs of patients, diverse clinicians and multi-sectoral community stakeholders. Infrastructure will be developed to support both observational (e.g., cohort studies; secondary analyses using electronic medical record [EMR] data) and intervention (from efficacy to effectiveness trials) research. During the UG3 phase, we propose to develop the research infrastructure to support the implementation of a pragmatic trial as this provides the strongest possible infrastructure for supporting PP2, which will be determined through a competitive process. The UG3 phase also will advance data sharing activities including identifying a set of common data elements across Network sites, and developing and testing protocols and systems for sharing data, including EMR data from multiple systems. During the UH3 phase (Y3-5), both PPs will be launched following final approval from the Multidisciplinary Research Council and the SDSU IRB committee. PP1 proposes to test a robust Lactation Support Program to promote engagement in prenatal care and exclusive breastfeeding to ultimately reduce the rates of childhood overweight and obesity in Imperial County. The UH3 phase will continue to advance data sharing and promote dissemination through the development of protocols and systems for data verification, data harmonization, and meaningful interpretation of data given contextual factors (e.g., language of administration). The proposed timeline plans for data sharing and harmonization to occur with the PPs as early as possible (here in Y3), and with sufficient time at the end to complete final follow-up data collection from participants, and data submitted to the Coordinating Center in Y5. All of these efforts will be guided by the involvement of a Patient Advisory Committee (5 members), a Clinician Advisory Committee (15 diverse clinician types), and a Community Stakeholder Committee (12 diverse sector members). The ultimate goal of this effort is to identify feasible, sustainable, and translatable approaches to promote health and well-being in rural, border communities.

项目摘要这项为期5年的努力为“利用农村地区卫生公平的区域临床实践研究网络，加利福尼亚帝国县边境地区（帝国县临床研究网络）试图促进少数民族健康和健康差异研究通过建立人员和系统（政策和程序）基础设施以支持一个为崎border的区域医疗中心内的临床研究南加州的社区。它通过将三个主要组织及其来实现各自的领导者发展与患者的需求相一致的疾病反应研究议程临床医生和多部门社区利益相关者。将开发基础架构以支持观察性（例如，队列研究；使用电子病历[EMR]数据进行二次分析）和干预（从有效性到有效试验）研究。在UG3阶段，我们建议开发研究基础设施以支持实施实用试验的实施，因为这提供了最强大的可能支持PP2的基础架构，这将通过竞争过程确定。 UG3阶段也将推进数据共享活动，包括确定跨网络站点的一组常见数据元素，以及开发和测试用于共享数据的协议和系统，包括来自多个系统的EMR数据。在UH3阶段（Y3-5）期间，两个PP将在多学科的最终批准后启动研究委员会和SDSU IRB委员会。 PP1建议测试强大的哺乳支持计划促进从事产前护理和独家母乳喂养的参与，以最终降低童年的速度帝国县的超重和肥胖。 UH3阶段将继续推进数据共享和促进通过开发协议和系统来传播数据验证，数据协调和对给定上下文因素的数据（例如，管理语言）的有意义解释。提议数据共享和协调的时间表计划尽早与PPS（在Y3中）和结束时有足够的时间来完成参与者的最终后续数据收集，并提交给参与者的数据 Y5的协调中心。所有这些努力将以患者咨询的参与为指导委员会（5名成员），一个临床咨询委员会（15名潜水员临床类型）和一个社区利益相关者委员会（12名潜水部门成员）。这项工作的最终目标是确定可行的，可持续且可翻译的方法，以促进粗糙的边境社区的健康和福祉。