2006 — 2009 |
Mishra, Shiraz I |
P20Activity Code Description: To support planning for new programs, expansion or modification of existing resources, and feasibility studies to explore various approaches to the development of interdisciplinary programs that offer potential solutions to problems of special significance to the mission of the NIH. These exploratory studies may lead to specialized or comprehensive centers. |
Planning Grant For Bowie State/University of Maryland Cancer Research Training An @ University of Maryland Baltimore
[unreadable] DESCRIPTION (provided by applicant): Cancer in Maryland, and its impact on the health of minority and underserved rural populations, is a particularly serious health care dilemma. In fact, Maryland now ranks 7th nationally in cancer incidence, and significant disparities are seen between African American and Caucasian populations in stage of diagnosis, access to early detection, cancer screening follow-up, treatment, and health services utilization. The unequal burden of cancer in minority and underserved communities nationally and in Maryland's minority and underserved communities is a compelling crisis that requires intensive scientific, community outreach and translation and application of research. Bowie State University (BSU), a Minority Serving Institution (MSI) and the University of Maryland School of Medicine (UMSOM) and its Program In Oncology and the Marlene and Stewart Greenebaum Cancer Center propose to establish a partnership with the overall goal of reducing and eventually eliminating cancer health disparities experienced by minority populations in Prince George's county and Baltimore City, Maryland by increasing the number of minority scientists pursuing successful cancer research careers and developing effective cancer education programs specifically targeting minority students and faculty, and the community. The specific aims of the BSU-UMSOM partnership are: (1) To collaboratively develop and implement a joint minority cancer research career development training program ("Cancer Research Training Program") in cancer health disparities research for BSU junior faculty; (2) To collaboratively enhance the science curriculum at BSU through the development, implementation, and evaluation of a cancer health disparities education curriculum ("Undergraduate Cancer Education Program") to prepare BSU students for mentored undergraduate cancer research training at UMSOM; and (3) To collaboratively develop, implement, and pilot test an enhanced community-based caner outreach education program ("Community Cancer Outreach Education Program") in price George's County specifically targeting minority, underserved communities (i.e., African Americans). The partnership's objectives blend the existing expertise at the collaborating institutions in the form of high- quality educational programs and a rich source of talent at BSU and the state-of-the-art cancer research, investigator training, and community outreach programs at UMSOM. This partnership is based on prior informal collaborations between members of faculty at BSU and UMSOM. The proposed partnership between BSU and UMSOM will address both community and institutional needs to effectively address cancer health disparities. [unreadable] [unreadable] [unreadable] [unreadable]
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0.958 |
2009 |
Baquet, Claudia Rose Mishra, Shiraz I. |
RC2Activity Code Description: To support high impact ideas that may lay the foundation for new fields of investigation; accelerate breakthroughs; stimulate early and applied research on cutting-edge technologies; foster new approaches to improve the interactions among multi- and interdisciplinary research teams; or, advance the research enterprise in a way that could stimulate future growth and investments and advance public health and health care delivery. This activity code could support either a specific research question or propose the creation of a unique infrastructure/resource designed to accelerate scientific progress in the future. |
Maryland Telehome Care Network (Mtcn) @ University of Maryland Baltimore
DESCRIPTION (provided by applicant): This application addresses the National Center on Minority Health and Health Disparities'(NCMHD's) Social Determinants of Health Initiative high priority area for funding under the NIH Research and Research Infrastructure Grand Opportunity. The project is a collaborative effort between the University of Maryland School of Medicine (UMSOM), its established educational partners-Eastern Shore Area Health Education Center (ESAHEC) located in rural Eastern Shore Maryland and the Western Maryland Area Health Education Center (WMAHEC) located in rural Western Maryland, and its rural health care delivery partners- Garrett County Health Department Home Health Agency (GCHDHHA, in rural Western Maryland) and the Chesapeake Potomac Home Health Agency (CPHHA, in rural Southern Maryland). The broad goals of the project are to reduce disparities, within the broad context of social determinants of health, in chronic disease management among minority, low-income white, and medically underserved patients residing in rural geographies by building an innovative telehome care (THC) capacity and generating theoretically-based, scientifically rigorous and high quality evidence on the ability of the technology to enhance access to specialty care, improve clinical outcomes, and positively impact medical resource utilization in rural and medically underserved communities. With these broad goals, the project aims to refocus attention and resources towards high value translational research approaches that help transform health care practices using novel technologies. The specific aims are: (1) To use a cross-over, prospective cohort design to test the efficacy of a structured 90 day time-limited THC program to enhance access to evidence based best practices in the clinical management of Metabolic Syndrome/Diabetes Mellitus (DM), Chronic Heart Failure (CHF), Hypertension (HTN), and Chronic Obstructive Pulmonary Disease (COPD);(2) To evaluate the impact of this 90 day time-limited THC program on medical resource utilization and effects on Quality of Life;and, (3) To evaluate a patient and health care professional education program on THC to enhance acceptability and satisfaction. The project, guided by the socioecological theory of health and the community based participatory framework, will be implemented in rural Western and Southern Maryland counties among 250 eligible patients receiving home health care through GCHDHHA and CPHHA. Informed by the social determinants of health and the socioecological theory of health, the project's measures examine, besides individual-level factors, social/ interpersonal, community/institutional, and societal factors and their relationships to chronic diseases and its management. The patients will be assessed at baseline, 30-days, and 90-days on medication history, number of emergency department visits and/or hospitalizations, and Quality of Life. The analytical strategy includes the use of summary measures, repeated measure ANOVA, and generalized estimating equations. The project also has a rigorous process evaluation component to monitor and triangulate delivery of the THC program. Benefits of the project include the preservation of 12 jobs and creation of 14 new jobs, the promotion of economic recovery among rural communities in Maryland, and insights into the applicability of e-health technologies in the cost-effective management of chronic diseases. With the focus on rural populations facing serious health disparities, evidence of improved access to care and clinical outcomes will prove to be an invaluable investment towards us achieving the national priority of elimination of health disparities within the multi-factorial social determinants of health perspective. The project will have an impact on our understanding of the ability of cost-efficient technologies to deliver high quality medical specialty care to rural settings, thus reducing chronic disease management disparities among the minorities, low-income white, and the medically underserved residing in rural settings.
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0.958 |