让社区和科学合作伙伴参与制定 CIRCL-Chicago 研究方案的过程。

IF 3.4 3区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Ethnicity & Disease Pub Date : 2024-04-24 eCollection Date: 2023-12-01 DOI:10.18865/ed.DECIPHeR.18
Justin D Smith, Allison J Carroll, Olutobi A Sanuade, Rebecca Johnson, Emily M Abramsohn, Hiba Abbas, Faraz S Ahmad, Alice Eggleston, Danielle Lazar, Stacy Tessler Lindau, Megan McHugh, Nivedita Mohanty, Sarah Philbin, El A Pinkerton, Linda L Rosul, James L Merle, Yacob G Tedla, Theresa L Walunas, Paris Davis, Abel Kho
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引用次数: 0

摘要

目标:在美国,每 3 个成年人中就有 1 人患有高血压,非裔美国人受到的影响尤为严重。凯泽医疗集团(Kaiser Permanente)证明,以证据为基础的 "捆绑 "干预措施可显著提高血压控制率。本文介绍了在双相奖(UG3/UH3)的规划阶段,为在资源匮乏、心血管健康存在差异的城市社区实施凯撒捆绑疗法制定试验方案的多年过程:该方案由信仰社区成员、社区卫生中心实践研究网络代表以及在健康差异、实施科学、社区参与研究、社会护理干预和健康信息学方面具有专长的学术科学家合作制定。来自美国国立卫生研究院和 "通过协调干预消除差异,预防和控制心肺疾病风险(DECIPHeR)联盟 "其他受赠方的科学家也为我们制定方案做出了贡献:该方案是一项混合型 3 效能-实施研究,采用平行分组随机试验的方法,以检验实践促进对社区卫生中心实施凯泽捆绑疗法的影响,并与没有促进的实施情况进行比较。凯泽捆绑疗法的一项核心策略是通过信仰组织和其他社区组织协调实施,以招募和引导与健康相关的社会风险资源:建议的研究通过以新的方式将社区实体和医疗机构联系起来,有可能改善资源不足社区的血压识别、诊断和控制。基于信仰的组织是非裔美国人社区中值得信赖的声音,可以在消除差异方面发挥重要作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Process of Engaging Community and Scientific Partners in the Development of the CIRCL-Chicago Study Protocol.

Objectives: Hypertension affects 1 in 3 adults in the United States and disproportionately affects African Americans. Kaiser Permanente demonstrated that a "bundle" of evidence-based interventions significantly increased blood pressure control rates. This paper describes a multiyear process of developing the protocol for a trial of the Kaiser bundle for implementation in under-resourced urban communities experiencing cardiovascular health disparities during the planning phase of this biphasic award (UG3/UH3).

Methods: The protocol was developed by a collaboration of faith-based community members, representatives from community health center practice-based research networks, and academic scientists with expertise in health disparities, implementation science, community-engaged research, social care interventions, and health informatics. Scientists from the National Institutes of Health and the other grantees of the Disparities Elimination through Coordinated Interventions to Prevent and Control Heart and Lung Disease Risk (DECIPHeR) Alliance also contributed to developing our protocol.

Results: The protocol is a hybrid type 3 effectiveness-implementation study using a parallel cluster randomized trial to test the impact of practice facilitation on implementation of the Kaiser bundle in community health centers compared with implementation without facilitation. A central strategy to the Kaiser bundle is to coordinate implementation via faith-based and other community organizations for recruitment and navigation of resources for health-related social risks.

Conclusions: The proposed research has the potential to improve identification, diagnosis, and control of blood pressure among under-resourced communities by connecting community entities and healthcare organizations in new ways. Faith-based organizations are a trusted voice in African American communities that could be instrumental for eliminating disparities.

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来源期刊
Ethnicity & Disease
Ethnicity & Disease 医学-公共卫生、环境卫生与职业卫生
CiteScore
6.30
自引率
0.00%
发文量
43
审稿时长
6-12 weeks
期刊介绍: Ethnicity & Disease is an international journal that exclusively publishes information on the causal and associative relationships in the etiology of common illnesses through the study of ethnic patterns of disease. Topics focus on: ethnic differentials in disease rates;impact of migration on health status; social and ethnic factors related to health care access and health; and metabolic epidemiology. A major priority of the journal is to provide a forum for exchange between the United States and the developing countries of Europe, Africa, Asia, and Latin America.
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