Addressing Low Cardiac Rehabilitation Participation among Patients with Low Socioeconomic Status

解决社会经济地位低的患者心脏康复参与率低的问题

基本信息

批准号：
10591638
负责人：
Lena Molly Mathews
金额：
$ 17.71万
依托单位：
JOHNS HOPKINS UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2023
资助国家：
美国
起止时间：
2023-02-06 至 2028-01-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10591638
关键词：
Accounting Address Age Award Behavior Behavior Therapy Behavioral Biometry Cardiac rehabilitation Cardiology Cardiovascular Diseases Characteristics Clinical Clinical Investigator Clinical Research Communities Community Health Aides Complex Counseling Data Development Plans Disparity Education Electronic Health Record Eligibility Determination Enrollment Ensure Environment Epidemiology Evaluation Event Face Feasibility Studies Feedback Fellowship Foundations Future Gender Goals Health Health system Healthcare Systems Heart Hospitalization Human Resources Individual Intervention Intervention Trial Interview Knowledge Learning Life Style Link Medical Mentored Patient-Oriented Research Career Development Award Mentors Mentorship Methods Modeling Morbidity - disease rate Motivation Names Obesity Outcome Participant Patients Persons Phase Ia Trial Phase Ib Trial Population Prevention strategy Prevention therapy Process Provider Qualitative Methods Race Randomized, Controlled Trials Recurrence Research Research Methodology Research Personnel Scientist Secondary Prevention Social support Socioeconomic Status Structure System Testing Theory of Change Training Underserved Population United States National Institutes of Health Universities Woman Work acceptability and feasibility arm behavior change cardiovascular disorder prevention cardiovascular disorder risk cardiovascular health career career development community based participatory research community engagement comorbidity disease disparity efficacy testing ethnic minority ethnic minority population evidence base exercise training experience feasibility testing health disparity high risk implementation science improved low socioeconomic status marginalized population medically underserved population mortality multi-component intervention navigator intervention patient engagement patient navigator patient oriented research professor programs public health priorities racial minority racial minority population recruit satisfaction skill acquisition skills sociodemographics theories therapy design therapy development

项目摘要

PROJECT SUMMARY/ABSTRACT Lena Mathews, MD, MHS is an Assistant Professor in the Division of Cardiology at Johns Hopkins University. Dr. Mathews is applying for a Mentored Patient-Oriented Research Career Development Award in order to obtain the skills, knowledge and research experience to provide the foundation for a career as an independent investigator using implementation science to address cardiovascular health disparities. Dr. Mathews’s career development plan includes interdisciplinary mentorship from Drs. Kunihiro Matsushita, Chiadi E. Ndumele, and Kristin Riekert; didactics and directed learning; and mentored clinical research adapting and implementing a theory-based multi-component intervention to increase cardiac rehabilitation (CR) use among individuals with low socioeconomic status. The specific aims of the research agenda are to: 1) Quantitatively evaluate barriers to CR referral and enrollment in a diverse hospitalized population by SES, accounting for race, gender and other sociodemographic characteristics; 2) Qualitatively elucidate perceived barriers to CR utilization in a diverse clinical population with low socioeconomic status; 3) Adapt and test the feasibility and acceptability of a navigator intervention, delivered by community health workers and refined by engagement of community stakeholders, to increase CR utilization among individuals with low socioeconomic status. She seeks to build upon her research fellowship training in epidemiology and biostatistics, and her clinical background as a Cardiologist and the Director of Cardiac Rehabilitation at Johns Hopkins, by acquiring additional skills and expertise required to achieve her career goals. This Mentored Patient-Oriented Research Career Development (K23) Award will provide her with the opportunity to: 1) develop skills in advanced epidemiology and health utilization research using electronic health records 2) develop expertise in qualitative methods, to inform intervention design and evaluation 3) develop skills in behavior change theory to develop clinical interventions that engage patients with low socioeconomic status; 4) acquire skills in implementation science methods including community based participatory research; 5) engage in additional career development activities to enable her transition to independence as a clinician-investigator. Developing these skills during the award period will support Dr. Mathews’ long-term goal of becoming an independent clinical investigator, leading efforts to improve the delivery of CVD prevention therapies to marginalized populations, with the ultimate goal of reducing CVD disparities.

项目概要/摘要 Lena Mathews，医学博士、MHS 是约翰霍普金斯大学心脏病学部的助理教授。马修斯博士正在申请以患者为导向的研究职业发展奖，以便获得技能、知识和研究经验，为独立的职业生涯奠定基础研究人员利用科学来解决马修斯博士的职业生涯。发展计划包括来自 Kunihiro Matsushita 博士、Chiadi E. Ndumele 博士的跨学科指导 Kristin Riekert；教学法和定向学习；并指导临床研究的调整和实施基于理论的多成分干预，以增加心脏康复（CR）患者的使用研究议程的具体目标是： 1) 定量评估障碍。由 SES 考虑种族、性别和不同住院人群的 CR 转诊和登记其他社会人口特征；2) 定性阐明 CR 使用的障碍 3）适应和测试社会经济地位较低的临床多样化人群的可行性和可接受性；导航干预，由社区卫生工作者提供并通过社区参与进行完善她致力于提高社会经济地位较低的个人对 CR 的利用。基于她在流行病学和生物统计学方面的研究奖学金培训，以及她作为一名医生的临床背景约翰·霍普金斯大学的心脏病专家和心脏康复主任，通过获得额外的技能和实现她的职业目标所需的专业知识指导了以患者为导向的研究职业发展。 (K23) 奖项将为她提供以下机会：1）培养高级流行病学和健康方面的技能使用电子健康记录进行研究利用 2) 发展定性方法方面的专业知识，以提供信息干预设计和评估 3) 培养行为改变理论技能以制定临床干预措施吸引社会经济地位较低的患者；4) 获得实施科学方法的技能；包括基于社区的参与性研究；5) 参与额外的职业发展活动使她能够在获奖期间发展这些技能，成为一名独立的临床医生。期间将支持马修斯博士成为一名独立临床研究者的长期目标，领导改善对边缘化人群的心血管疾病预防工作，最终目标减少 CVD 差异。