University of Michigan Multi-disciplinary Coordinating Center for the Community Firearm Injury Prevention Network

密歇根大学社区枪械伤害预防网络多学科协调中心

• 批准号: 10611747
• 负责人: Patrick M. Carter
• 金额: $ 553.22万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-15 至 2025-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10611747
• 关键词: Address; Archives; Area; Attention; Cessation of life; Childhood; Collaborations; Communication; Communities; Complex; Complex Analysis; Consultations; Cost Analysis; Criminal Justice; Data; Data Store; Distress; Economic Factors; Economic Policy; Economics; Ensure; Epidemic; Epidemiology; Ethics; Ethnic Origin; Evaluation Research; Evidence based intervention; Faculty; Fatality rate; Firearms; Funding; Goals; Gun injury; Homicide; Infrastructure; Injury; Institutes; Interdisciplinary Study; Intervention; Knowledge; Lead; Leadership; Link; Logistics; Mental Health; Methodology; Methods; Michigan; Morbidity - disease rate; National Institute of Child Health and Human Development; Outcome; Parents; Police; Policy Analysis; Policy Maker; Population; Positioning Attribute; Post-Traumatic Stress Disorders; Postdoctoral Fellow; Prevention Research; Prevention program; Public Health; Race; Request for Proposals; Research; Research Design; Research Methodology; Research Personnel; Research Project Grants; Research Support; Resources; Risk; Rural; Science; Science Policy; Statistical Methods; Substance Use Disorder; Suicide; Surveys; Survivors; Teenagers; Testing; Training; Translations; United States National Institutes of Health; Universities; Urban Community; Veterans; Violence; Voice; Work; Youth; active shooter; archive data; archived data; assault; base; black men; cohesion; community based participatory research; community center; community engagement; community intervention; community involvement; data collection site; data harmonization; data infrastructure; data repository; economic cost; economic evaluation; efficacy evaluation; environmental change; evidence base; experience; genetic linkage analysis; gun violence; health disparity; implementation evaluation; implementation science; injury prevention; innovation; interest; large scale data; mortality; multidisciplinary; next generation; novel; pre-doctoral; preservation; prevention service; programs; public database; public repository; racism; research to practice; rurality; segregation; sex; social disparities; success; suicide rate; support network; translational pipeline; urban setting; violence prevention

Firearm injury is a major U.S. public health crisis requiring urgent attention. Firearm injuries have increased in the past decade, with >400,000 fatalities and ~1.2 million non-fatal firearm injuries. Disparities exist and are reflective of underlying structural factors (e.g., racism). National organizations highlight the need for evidence-based interventions; yet, few rigorously tested community-engaged interventions addressing firearm violence exist, with even fewer addressing structural factors underlying disparities. Recognizing this gap, NIH launched the Community Interventions for Firearm Violence Prevention initiative. Ten research projects, a steering committee, a stakeholder committee, and the NIH will collaborate in a cohesive network to evaluate efficacy of such interventions across diverse settings and populations with leadership from a Coordinating Center to: (a) integrate key activities; (b) harmonize and link data across the network, as well as to public databases to achieve sufficient statistical power to conduct integrated analyses and examine key differences among sub-populations and/or settings; (c) enhance multi-disciplinary collaboration and knowledge sharing across key areas (e.g., methodology; analytic strategies; implementation; economic/policy analysis); and, (d) augment dissemination. In 2017, NICHD funded the University of Michigan (UM) FACTS consortium to bring together >30 researchers across 14 U.S. Universities to build pediatric firearm research capacity. Along with developing a research agenda and novel research, FACTS built the data infrastructure necessary to conduct complex pooled analyses and archive/store data in a public repository. Building on the FACTS Consortium and our experience leading multiple Centers, the UM established the Institute for Firearm Injury Prevention (IFIP) to expand this research across the broader spectrum of firearm injuries. We propose for the UM IFIP to serve as the network Coordinating Center for this initiative with five aims: AIM #1: Provide centralized administrative, operational, and logistical infrastructure to support network activities and enhance cross-project communication and coordination (Admin Core); AIM #2: Provide expert consultation and technical assistance to network projects regarding research design and statistical methods, as well as establish the data infrastructure to facilitate cross-site data collection, management, harmonization, linkage, and sharing/archiving (Data Core); AIM #3: Enhance the use of community-based participatory research methods, including by facilitating a community ethics review for each project, ensuring community voice in the research design, methods, and results interpretation. (Community Core); AIM #4: Provide expert consultation to projects to incorporate implementation science and economic evaluation methods to enhance sustainability (Implementation Core); AIM #5: Disseminate key findings to academics, policy makers, and community partners utilizing traditional and innovative media (Communication Core). The proposal leverages U-M IFIPs collective expertise, experience, and resources to aid the broader network initiative work to reduce firearm injuries, and associated disparities.

枪伤是美国需要紧急关注的重大公共卫生危机。枪支伤害有所增加 过去十年，造成超过 40 万人死亡和约 120 万人非致命枪伤。差异是存在的并且是 反映潜在的结构性因素（例如种族主义）。国家组织强调需要 基于证据的干预措施；然而，很少有经过严格测试的社区参与的枪支问题干预措施 暴力确实存在，而解决差异背后的结构性因素的就更少了。 NIH 认识到这一差距 发起了“预防枪支暴力社区干预”倡议。十个研究项目，一个 指导委员会、利益相关者委员会和 NIH 将在一个有凝聚力的网络中合作评估 在协调机构的领导下，此类干预措施在不同环境和人群中的有效性 中心旨在： (a) 整合关键活动； (b) 协调和链接整个网络的数据以及公共数据 数据库以获得足够的统计能力来进行综合分析并检查关键差异 在亚人群和/或环境中； (c) 加强多学科合作和知识共享 跨关键领域（例如方法；分析策略；实施；经济/政策分析）；并且，(d) 加强传播。 2017 年，NICHD 资助密歇根大学 (UM) FACTS 联盟，将 来自 14 所美国大学的超过 30 名研究人员共同建设儿科枪支研究能力。连同 FACTS 制定了研究议程和新颖的研究，建立了开展研究所需的数据基础设施 复杂的汇总分析并将数据存档/存储在公共存储库中。以 FACTS 联盟为基础， 根据我们领导多个中心的经验，UM 成立了枪械伤害预防研究所 (IFIP) 将这项研究扩展到更广泛的枪械伤害范围。我们建议 UM IFIP 充当 该计划的网络协调中心有五个目标： AIM #1：提供集中管理、 支持网络活动并加强跨项目沟通的运营​​和后勤基础设施 和协调（管理核心）；目标#2：为网络提供专家咨询和技术援助 有关研究设计和统计方法的项目，以及建立数据基础设施 促进跨站点数据收集、管理、协调、链接和共享/归档（数据核心）； 目标#3：加强基于社区的参与性研究方法的使用，包括通过促进 对每个项目进行社区伦理审查，确保社区在研究设计、方法和 结果解释。 （社区核心）；目标#4：为要纳入的项目提供专家咨询 实施科学和经济评估方法以增强可持续性（实施核心）； 目标#5：利用传统和方法向学者、政策制定者和社区合作伙伴传播重要发现 创新媒体（传播核心）。该提案利用了密歇根大学 IFIP 的集体专业知识、经验、 以及资源来协助更广泛的网络倡议工作，以减少枪支伤害和相关的差异。