Communities and Universities Addressing Health Disparities (CUAHD)
Comparative effectiveness research summary guides provide excellent summaries of the evidence comparing methods for treating a wide range of medical conditions. However, despite the potential relevance of research guides to underserved populations, they are likely to have little impact on the health of those populations, for reasons including:
- Language: Both health literacy and English proficiency are often limited, making the research guides difficult for many to understand
- Examples: In their current form, research guides do not offer specific examples and role models
- Delivery Mechanism: Because underserved populations often have less access to clinical information on the internet and less exposure to the health care system and
- Current mechanisms (such as the Internet) for making research guides available to the public are unlikely to reach these groups.
This project seeks to develop tailored research guides on heart disease targeted toward African Americans in Indiana, given the existing disparities among racial/ethnic groups in the area of heart disease, and the prevalence of heart disease among African Americans in the state of Indiana.
- Develop and test culture-centered approaches for training local leaders and members of African American communities on how to tailor comparative effectiveness research guides related to hypertension and how to develop a strategy for creating awareness of these tailored research guides that will work in their local context.
- Develop and test a health disparities hub that can be assessed by community leaders and members seeking to tailor research guides and distribution mechanisms for their local populations.
- Increase the use of tailored hypertension research guides in underserved African American communities in Indiana.
The study uses a combination of the participation-based culture centered approach and message tailoring methods to develop a framework for the development, implementation, evaluation and sustenance of adjusted research guides. These methods include focus groups, in-depth interviews, and tailoring workshops to engage the local communities in the identification of criteria and the development of tailored messages from within the communities.
The health disparities hub was developed using Purdue’s HubZero platform. A baseline survey and a post-intervention survey will be used to assess the impact of the project.
The CUAHD project is developing guidelines and resources for other communities interested in developing culture-centered approaches to healthcare challenges. These will become part of the AHRQ toolkit library and will be available online. It is hoped that these tools will allow others to achieve similar results in shorter time periods and with less initial research needed.
- Supporting Communities of Practice to Improve Healthcare Delivery
- Smart Infusion Pump Alert Threshold Decision Support
- System Impact Measures
- Drug Limit Library Database and Research
- Drug Limit Library Update Process
- Nursing Attitudes and Perceived Causes of IV Pump Workarounds
- Rating Healthcare
- Optimizing Ambulance Positioning to Reduce Response Time
- Clinical Analytics to Support Accountable Care Delivery
- Population Health Management Modeling to Support Accountable Care Delivery
- Transitions in Care Pilot: Evaluate the Impact of Electronic Communications
- Wellness Coaching Impact on Employee Health Outcomes
- Bundled Payments
- Improving Primary Care Delivery through Allocation of Resources
- Patient Sexual Orientation Disclosure to Medical Providers
- Communities and Universities Addressing Health Disparities (CUAHD)
- Gestonurse: A Robotic Surgical Nurse for Handling Surgical Instruments in the Operating Room
- See-What-I-Do: Increasing Mentor and Trainee Sense of Co-Presence in Trauma Surgeries with the STAR Platform
- Hospital Readmissions
- All-Cause Unplanned and Preventable Readmissions Reduction
- Readmissions: Hospital 30-Day Non-Index Readmission Risk Measure and Analysis