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Leveraging the Clinical Translational Science Award Network to Advance Family Medicine Research.
J Am Board Fam Med
December 2024
From the University of New Mexico Clinical Translational Sciences Center, Department of Family & Community Medicine, University of New Mexico Health Sciences Center (NP); Department of Family and Community Medicine, Penn State College of Medicine, Community-Engaged Research Core, Penn State Clinical and Translational Science Institute (AEZ); Iowa Research Network (IRENE), Department of Family Medicine, College of Pharmacy, University of Iowa (KK); Department of Family and Community Medicine, Penn State College of Medicine (WJT); Department of Family and Community Medicine, Penn State College of Medicine (DPR).
In this commentary, the authors present opportunities for the family medicine's strategic plan for research to build and expand research infrastructure by leveraging the federally funded Clinical and Translational Science and Clinical and Translational Research Awards programs. These include engaging patients and communities historically underrepresented in research throughout the research design, development, implementation, and dissemination process; building and expanding practice-based research networks; leveraging research resources, facilities, trainings, and mentorship opportunities; obtaining pilot funding; using informatics expertise to improve care quality; and embedding dissemination and implementation science expertise to promote the use of evidence-based interventions in real world clinical primary care settings.
View Article and Find Full Text PDFAdapting Advance Care Planning Interventions for Hispanic Communities Across the U.S.
Am J Hosp Palliat Care
December 2024
Penn State College of Medicine, Hershey, PA, USA.
Context: Health inequities in Hispanic populations require community-engaged solutions. Engaging Hispanic communities in research related to advance care planning (ACP) is critical to inform the development and evaluation of culturally appropriate interventions.
Objectives: To understand how to best adapt and implement Spanish-language ACP interventions in Hispanic communities across the US.
Gaps and opportunities for measuring equity with the Translational Science Benefits Model: Recommendations from the Center for American Indian and Alaska Native Diabetes Translation Research.
J Clin Transl Sci
October 2024
Department of Health Systems, Management and Policy, Centers for American Indian and Alaska Native Health, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Translational research needs to show value through impact on measures that matter to the public, including health and societal benefits. To this end, the Translational Science Benefits Model (TSBM) identified four categories of impact: Clinical, Community, Economic, and Policy. However, TSBM offers limited guidance on how these areas of impact relate to equity.
View Article and Find Full Text PDFSchool-Based Health Centers Addressing Health Equity for LGBTQ + Patients (SBHCs HELP): protocol for a stepped-wedge trial to implement innovations promoting structural competency.
BMC Health Serv Res
November 2024
Pacific Institute for Research and Evaluation (PIRE) Southwest Center, 851 University Blvd SE, Suite 101, Albuquerque, NM, 87106, USA.
Background: School-based health centers (SBHCs) provide vital behavioral, sexual, and reproductive healthcare services to school-aged youth across the United States. Adolescents who are sexual and gender diverse (SGD) are far more likely to suffer from adverse health outcomes than their cisgender and heterosexual peers. Emerging structural competency frameworks call for cultivating capacities in SBHCs to modify organizational service delivery environments, including provider and staff knowledge and behaviors, to influence SGD adolescent well-being.
View Article and Find Full Text PDFHepatitis C Diagnosis and Treatment Among Indigenous People in a Canadian Context: Challenges and Community-Led Solutions.
Microorganisms
November 2024
Cumming School of Medicine, University of Calgary, Calgary, AB T2N 4N1, Canada.
The historical and ongoing impacts of the influence of colonization are experienced by Indigenous people in systemic racism, inequity in healthcare access, and intergenerational trauma; originating in the disruption of a way of life and seen in a grief response, with links to disparate hepatitis C virus (HCV) prevalence. Despite this, the focus often remains on the increased incidence without a strengths-based lens. Although HCV is a global concern that can result in cirrhosis, liver failure, or cancer, diagnosing and linking people to care and treatment early can prevent advanced liver disease.
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