Application of the ConNECT Framework to Precision Health and Health Disparities.

Health Equity / standards Healthcare Disparities / standards Humans Interdisciplinary Communication Nursing Research / standards Precision Medicine / nursing Primary Health Care / standards

Journal

Nursing research
ISSN: 1538-9847
Titre abrégé: Nurs Res
Pays: United States
ID NLM: 0376404

Informations de publication

Date de publication:
Historique:
pubmed: 13 12 2018
medline: 19 11 2019
entrez: 13 12 2018
Statut: ppublish

Résumé

An emphasis on precision health (PH) has stimulated precision medicine studies to focus on the interplay of biological, behavioral, and environmental factors with disease risks, treatments, prognoses, and outcomes affecting health disparities. It is imperative, as well, that improving health equity among underserved populations remains central to the efforts and aims of PH. The aim if this study was to apply the transdisciplinary ConNECT Framework: A Model for Advancing Behavioral Medicine Science and Practice to Foster Health Equity to PH by integrating a population health agenda for reducing health disparities. There are five ConNECT principles: (a) integrating context; (b) fostering a norm of inclusion; (c) ensuring equitable diffusion of innovations; (d) harnessing communication technology; and (e) prioritizing specialized training as an organizing framework to PH, including examples of how to integrate behavioral and socioecological determinants to better understand the contexts of individuals, systems, and place to design targeted treatments and interventions. We describe proactive, actionable strategies for the systematic application of ConNECT Framework principles to address health equity via the PH initiative. Context and implications for nursing research and practice are also described. The ConNECT Framework emphasizes that diversity inclusion is imperative for true population health benefit from PH, broadly in public health, behavioral medicine, medicine, and nursing, to equip health researchers and practitioners to account for contextual socioecologic data that can be aligned with biologic data for more population responsive and individually tailored interventions to prevent, diagnose, and treat diseases.

Sections du résumé

BACKGROUND
An emphasis on precision health (PH) has stimulated precision medicine studies to focus on the interplay of biological, behavioral, and environmental factors with disease risks, treatments, prognoses, and outcomes affecting health disparities. It is imperative, as well, that improving health equity among underserved populations remains central to the efforts and aims of PH.
OBJECTIVES
The aim if this study was to apply the transdisciplinary ConNECT Framework: A Model for Advancing Behavioral Medicine Science and Practice to Foster Health Equity to PH by integrating a population health agenda for reducing health disparities.
METHODS
There are five ConNECT principles: (a) integrating context; (b) fostering a norm of inclusion; (c) ensuring equitable diffusion of innovations; (d) harnessing communication technology; and (e) prioritizing specialized training as an organizing framework to PH, including examples of how to integrate behavioral and socioecological determinants to better understand the contexts of individuals, systems, and place to design targeted treatments and interventions.
RESULTS
We describe proactive, actionable strategies for the systematic application of ConNECT Framework principles to address health equity via the PH initiative. Context and implications for nursing research and practice are also described.
DISCUSSION
The ConNECT Framework emphasizes that diversity inclusion is imperative for true population health benefit from PH, broadly in public health, behavioral medicine, medicine, and nursing, to equip health researchers and practitioners to account for contextual socioecologic data that can be aligned with biologic data for more population responsive and individually tailored interventions to prevent, diagnose, and treat diseases.

Identifiants

DOI: 10.1097/NNR.0000000000000329 PMID: 30540700 PMC: PMC6863736
pubmed: 30540700
doi: 10.1097/NNR.0000000000000329
pmc: PMC6863736
mid: NIHMS1515885
doi:

Types de publication

Journal Article Research Support, N.I.H., Extramural

Langues

eng

Sous-ensembles de citation

IM

Pagination

99-109

Subventions

Organisme : NCI NIH HHS
ID : K01 CA204456
Pays : United States
Organisme : NCI NIH HHS
ID : R25 CA090314
Pays : United States
Organisme : NIH HHS
ID : OT2 OD026549
Pays : United States
Organisme : NIH HHS
ID : UG3 OD023171
Pays : United States
Organisme : NCI NIH HHS
ID : U54 CA203000
Pays : United States

Références

Am J Prev Med. 2013 Aug;45(2):228-36
pubmed: 23867031
Cancer. 2015 Dec 15;121(24):4407-15
pubmed: 26348661
Prev Chronic Dis. 2010 Jul;7(4):A71
pubmed: 20550829
J Am Med Inform Assoc. 2016 Mar;23(2):407-12
pubmed: 26174867
Br Med Bull. 2007;81-82:21-37
pubmed: 17284541
Health Aff (Millwood). 2016 Aug 1;35(8):1367-73
pubmed: 27503959
Nurs Inq. 2010 Sep;17(3):269-80
pubmed: 20712665
Soc Sci Med. 2014 Aug;114:26-37
pubmed: 24908172
Nature. 2016 Oct 12;538(7624):161-164
pubmed: 27734877
Cancer. 2015 Jan 15;121(2):243-50
pubmed: 25209923
JAMA Oncol. 2016 Aug 1;2(8):1070-4
pubmed: 27366979
J Cardiovasc Transl Res. 2015 Nov;8(8):449-57
pubmed: 26271459
Cancer J. 2014 Jan-Feb;20(1):91-5
pubmed: 24445771
JAMA. 2016 Nov 8;316(18):1865-1866
pubmed: 27802499
Am J Public Health. 2005 Feb;95(2):312-23
pubmed: 15671470
New Dir Child Adolesc Dev. 2015 Fall;2015(149):11-23
pubmed: 26375188
Gen Hosp Psychiatry. 2013 Jul-Aug;35(4):332-8
pubmed: 23664503
BMC Med Genomics. 2016 May 10;9(1):23
pubmed: 27160306
J Med Internet Res. 2012 May 31;14(3):e78
pubmed: 22652979
J Clin Epidemiol. 2009 May;62(5):464-75
pubmed: 19348971
Prog Community Health Partnersh. 2015;9 Suppl:51-9
pubmed: 26213404
Health Aff (Millwood). 2002 Sep-Oct;21(5):90-102
pubmed: 12224912
Am J Public Health. 2013 Sep;103(9):1693-9
pubmed: 23865659
JAMA. 2016 Oct 4;316(13):1357-1358
pubmed: 27541310
Medicine (Baltimore). 2018 May;97(19):e0677
pubmed: 29742712
J Natl Cancer Inst. 2015 Jul 03;107(7):
pubmed: 26142446
Scand J Public Health. 2011 Mar;39(6 Suppl):43-9
pubmed: 21382847
Prev Chronic Dis. 2010 Jul;7(4):A76
pubmed: 20550834
J Am Med Inform Assoc. 2016 Jul;23(4):787-90
pubmed: 26977101
Patient Educ Couns. 2010 Dec;81 Suppl:S100-10
pubmed: 21067884
Implement Sci. 2015 May 04;10:64
pubmed: 25935849
Am J Public Health. 2009 Dec;99(12):2123-7
pubmed: 19833993
J Cardiopulm Rehabil Prev. 2009 Jan-Feb;29(1):13-21; quiz 22-3
pubmed: 19158582
J Community Genet. 2014 Oct;5(4):313-27
pubmed: 24664489
Food Nutr Bull. 2009 Jun;30(2 Suppl):S207-14
pubmed: 20496613
Am J Public Health. 2013 Jun;103(6):e38-46
pubmed: 23597377
Proc Natl Acad Sci U S A. 2015 Oct 6;112(40):12240-2
pubmed: 26392553
Acad Med. 2016 Aug;91(8):1098-107
pubmed: 27306969
Cancer. 2014 Apr 1;120 Suppl 7:1113-21
pubmed: 24643649
Adv Mind Body Med. 2015 Summer;29(3):19-26
pubmed: 26026153
Am J Public Health. 2014 Dec;104(12):2259-65
pubmed: 25320901
Genet Med. 2017 Feb;19(2):157-159
pubmed: 27490116
Nurs Outlook. 2017 Nov - Dec;65(6):726-736
pubmed: 28711216
Prev Chronic Dis. 2010 Jul;7(4):A73
pubmed: 20550831
J Health Commun. 2011;16 Suppl 1:77-89
pubmed: 21843097
Nurs Inq. 2017 Apr;24(2):
pubmed: 27325179
IEEE Trans Biomed Eng. 2017 Feb;64(2):263-273
pubmed: 27740470
Am Econ Rev. 2016 Apr;106(4):855-902
pubmed: 29546974
J Behav Med. 2017 Feb;40(1):23-38
pubmed: 27509892
Nurs Outlook. 2010 Jan-Feb;58(1):26-35
pubmed: 20113752
Prev Chronic Dis. 2010 Jul;7(4):A69
pubmed: 20550827
Nurs Outlook. 2013 Jul-Aug;61(4):196-204
pubmed: 23219004
J Med Internet Res. 2013 Apr 15;15(4):e32
pubmed: 23587561

Auteurs

Usha Menon (U)

Usha Menon, PhD, RN, FAAN, is Professor and Vice Dean of Research, University of South Florida College of Nursing, Tampa, Florida. Kimlin Ashing, PhD, is Founding Director, Center of Community Alliance for Research Education, and Professor, Department of Population Sciences, Beckman Research Institute, City of Hope Medical Center, Duarte, California. Mei Wei Chang, PhD, RN, is Associate Professor, The Ohio State University, College of Nursing, Columbus. Shannon M. Christy, PhD, is Assistant Member, Department of Health Outcomes and Behavior, Division of Population Science, H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida. Katarina Friberg-Felsted, PhD, is Assistant Professor, College of Nursing, University of Utah Salt Lake City. Virginia Gil Rivas, PhD, is Professor, Department of Psychological Science, University of North Carolina at Charlotte. Clement K. Gwede, PhD, MPH, RN, FAAN, is Senior Member, Division of Population Science, H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida. Qian Lu, MD, PhD, is Associate Professor, Department of Health Disparities Research, MD Anderson Cancer Center, Houston, Texas. Cathy D. Meade, PhD, RN, FAAN, is Senior Member, Division of Population Science, H. Lee Moffitt Cancer Center, and Research Institute & Department of Oncological Sciences, University of South Florida, College of Medicine, Tampa, Florida. Jamila Sly, PhD, is Assistant Professor, Department of Oncology Sciences, Icahn School of Medicine at Mount Sinai, New York, New York. Monica Wang, ScD, MS, is Assistant Professor, Department of Community Health Sciences, Boston University School of Public Health, and Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, Massachusetts. Betina Yanez, PhD, is Assistant Professor, Department of Medical Social Sciences and Robert H. Lurie Comprehensive Cancer Center, Northwestern University Feinberg School of Medicine, Chicago, Illinois. Karen Yeary, PhD, is Associate Professor, Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, Little Rock. Jean C. Yi, PhD, is Staff Scientist, Project Director, Biobehavioral Sciences, Fred Hutchinson Cancer Research Center, Seattle, Washington. Kassandra I. Alcaraz, PhD, MPH, is Strategic Director of Health Disparities Research, Behavioral Research Center, American Cancer Society, Atlanta, Georgia.

Kimlin Ashing (K)

Mei Wei Chang (MW)

Shannon M Christy (SM)

Katarina Friberg-Felsted (K)

Virginia Gil Rivas (VG)

Clement K Gwede (CK)

Qian Lu (Q)

Cathy D Meade (CD)

Jamila Sly (J)

Monica Wang (M)

Betina Yanez (B)

Karen Yeary (K)

Jean C Yi (JC)

Kassandra I Alcaraz (KI)

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female

Evaluation of Low-Value Services Across Major Medicare Advantage Insurers and Traditional Medicare.

Ciara Duggan, Adam L Beckman, Ishani Ganguli et al.
1.00
Humans United States Aged Cross-Sectional Studies Medicare Part C

Effectiveness of Virtual Yoga for Chronic Low Back Pain: A Randomized Clinical Trial.

Hallie Tankha, Devyn Gaskins, Amanda Shallcross et al.
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH

questionsmedicales.fr › Qualité, accès, évaluation des soins de santé › Prestations des soins de santé › Accessibilité des services de santé › Équité en santé › Application of the ConNECT Framework to...
questionsmedicales.fr › Qualité, accès, évaluation des soins de santé › Prestations des soins de santé › Disparités d'accès aux soins › Application of the ConNECT Framework to...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Application of the ConNECT Framework to...
questionsmedicales.fr › Sciences de l'information › Communication › Communication interdisciplinaire › Application of the ConNECT Framework to...
questionsmedicales.fr › Administration des services de santé › Gestion des soins aux patients › Services de santé polyvalents › Démarche de soins infirmiers › Recherche en soins infirmiers › Application of the ConNECT Framework to...
questionsmedicales.fr › Professions de santé › Médecine › Médecine clinique › Médecine de précision › Application of the ConNECT Framework to...
questionsmedicales.fr › Administration des services de santé › Gestion des soins aux patients › Services de santé polyvalents › Soins de santé primaires › Application of the ConNECT Framework to...