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Bridging the evidence-to-practice gap: Evaluating practice facilitation as a strategy to accelerate translation of a systems-level adherence intervention into safety net practices

Award Number: R01MD013769
ORGANIZATION: NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

Group Awards By Issue Date FY or Funding FY:

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ABSTRACT COVID-19 has shed light on the significant and long-standing disparities in underserved communities. Current data still show hospitalization rates among Black and Latinx individuals in the United States are 4 times greater than that of Whites. The Rapid Acceleration of Diagnostics for Underserved Populations (RADx-UP) initiative supports supplements to individual NIH awards to identify the determinants of COVID-19 testing among underserved populations. For this proposal, we will leverage the infrastructure of a NIMHD-funded project in the Family Health Centers (FHCs) of NYU Langone Health, a network of federally qualified health centers in NYC that serves over 125,000 low-income and racially and ethnically diverse patients. In the current application, we propose a three-phase community-engaged study that will employ a multipronged, sequential mixed methods design (i.e., one methodology builds on the findings of the other) to gain a comprehensive understanding of the multilevel factors that drive uptake of testing (and future vaccination) for COVID-19 of Black and Latinx patients (primary outcome), and participation in follow-up care offered by safety-net health systems. Phase 1 will consist of three steps: In step 1, we will leverage a well-characterized electronic health record database (~75% Black and Latinx) to examine differences in the individual-level factors associated with receiving a positive versus negative PCR test for COVID-19 among 400 Black and Latinx patients who receive care at the FHCs. We will also capture the community- and structural-level determinants of testing in this sample using validated self-report measures (e.g., NIH PhenX Tool Kit). In step 2, we will compare these multilevel factors across three patient groups: Group 1- patients who tested positive and received follow-up care and/or services; Group 2- patients who tested positive but did not receive follow-up care and/or services; and Group 3- patients who were eligible for testing (based on symptoms and probable exposure), but did not get tested. In step 3, we will employ predictive modeling to correctly identify patients at high-risk (group 3). In Phase 2, we will combine data from the previous phase with qualitative data (i.e., ethnographic observations, document analyses, and focus groups with FHC staff, providers, administrators, patients and community members) to capture organizational (e.g., FHC staff/provider attitudes and communications with patients, organizational culture) and ethical issues (e.g., data transparency and privacy) to shed light on important social, cultural, and contextual factors associated with uptake of COVID-19 testing and potential vaccine. Finally, in Phase 3, in collaboration with our Community Oversight Task Force, we will integrate Phase 1 and 2 data to refine, test, and disseminate tailored toolkits and ethical governance guidelines (e.g. clinical trials transparency and data privacy). These toolkits will be designed to increase knowledge and awareness of COVID-19 testing and vaccine research and will be widely disseminated among the FHCs, local community, NYULH, and the RADx-UP Coordination and Data Collection Center.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2024 ( Subtotal = -$10 )
2024	2023	NEW YORK UNIVERSITY	550 1ST AVE	NEW YORK	NY	10016	NEW YORK	USA	Minority Health and Health Disparities Research	002	5	4/17/2024	NON-COMPETING CONTINUATION	$0
2024	2022	NEW YORK UNIVERSITY	550 1ST AVE	NEW YORK	NY	10016	NEW YORK	USA	Trans-NIH Research Support	000	4	11/7/2023	SUPPLEMENT FOR EXPANSION	-$8
2024	2021	NEW YORK UNIVERSITY	550 1ST AVE	NEW YORK	NY	10016	NEW YORK	USA	Trans-NIH Research Support	001	3	11/7/2023	SUPPLEMENT FOR EXPANSION	-$2
														Subtotal = -$10

Issue Date FY: 2023 ( Subtotal = $714,351 )
2023	2023	NEW YORK UNIVERSITY	550 1ST AVE	NEW YORK	NY	10016	NEW YORK	USA	Minority Health and Health Disparities Research	002	5	12/17/2022	NON-COMPETING CONTINUATION	$642,916
2023	2023	NEW YORK UNIVERSITY	550 1ST AVE	NEW YORK	NY	10016	NEW YORK	USA	Minority Health and Health Disparities Research	005	5	2/6/2023	NON-COMPETING CONTINUATION	$71,435
2023	2022	NEW YORK UNIVERSITY	550 1ST AVE	NEW YORK	NY	10016	NEW YORK	USA	Trans-NIH Research Support	003	4	12/19/2022	SUPPLEMENT FOR EXPANSION	$0
2023	2021	NEW YORK UNIVERSITY	550 1ST AVE	NEW YORK	NY	10016	NEW YORK	USA	Trans-NIH Research Support	006	3	5/11/2023	SUPPLEMENT FOR EXPANSION	$0
2023	2021	NEW YORK UNIVERSITY	550 1ST AVE	NEW YORK	NY	10016	NEW YORK	USA	Trans-NIH Research Support	001	3	11/7/2022	SUPPLEMENT FOR EXPANSION	$0
2023	2021	NEW YORK UNIVERSITY	550 1ST AVE	NEW YORK	NY	10016	NEW YORK	USA	Trans-NIH Research Support	000	2	11/7/2022	SUPPLEMENT FOR EXPANSION	$0
2023	2021	NEW YORK UNIVERSITY	550 1ST AVE	NEW YORK	NY	10016	NEW YORK	USA	Trans-NIH Research Support	004	3	12/19/2022	SUPPLEMENT FOR EXPANSION	$0
														Subtotal = $714,351

Issue Date FY: 2022 ( Subtotal = $1,194,593 )
2022	2022	NEW YORK UNIVERSITY	550 1ST AVE	NEW YORK	NY	10016	NEW YORK	USA	Trans-NIH Research Support	002	4	12/10/2021	SUPPLEMENT FOR EXPANSION	$480,412
2022	2022	NEW YORK UNIVERSITY	550 1ST AVE	NEW YORK	NY	10016	NEW YORK	USA	Minority Health and Health Disparities Research	005	4	4/27/2022	NON-COMPETING CONTINUATION	$71,418
2022	2022	NEW YORK UNIVERSITY	550 1ST AVE	NEW YORK	NY	10016	NEW YORK	USA	Minority Health and Health Disparities Research	000	4	12/7/2021	NON-COMPETING CONTINUATION	$642,763
2022	2022	NEW YORK UNIVERSITY	550 1ST AVE	NEW YORK	NY	10016	NEW YORK	USA	Trans-NIH Research Support	008	4	6/14/2022	SUPPLEMENT FOR EXPANSION	$0
2022	2022	NEW YORK UNIVERSITY	550 1ST AVE	NEW YORK	NY	10016	NEW YORK	USA	Trans-NIH Research Support	010	4	8/4/2022	SUPPLEMENT FOR EXPANSION	$0
2022	2021	NEW YORK UNIVERSITY	550 1ST AVE	NEW YORK	NY	10016	NEW YORK	USA	Trans-NIH Research Support	001	3	12/10/2021	SUPPLEMENT FOR EXPANSION	$0
2022	2021	NEW YORK UNIVERSITY	550 1ST AVE	NEW YORK	NY	10016	NEW YORK	USA	Trans-NIH Research Support	003	2	1/25/2022	SUPPLEMENT FOR EXPANSION	$0
2022	2021	NEW YORK UNIVERSITY	550 1ST AVE	NEW YORK	NY	10016	NEW YORK	USA	Trans-NIH Research Support	009	3	8/4/2022	SUPPLEMENT FOR EXPANSION	$0
2022	2021	NEW YORK UNIVERSITY	550 1ST AVE	NEW YORK	NY	10016	NEW YORK	USA	Trans-NIH Research Support	006	3	5/4/2022	SUPPLEMENT FOR EXPANSION	$0
2022	2021	NEW YORK UNIVERSITY	550 1ST AVE	NEW YORK	NY	10016	NEW YORK	USA	Trans-NIH Research Support	007	3	6/14/2022	SUPPLEMENT FOR EXPANSION	$0
2022	2021	NEW YORK UNIVERSITY	550 1ST AVE	NEW YORK	NY	10016	NEW YORK	USA	Trans-NIH Research Support	004	3	1/25/2022	SUPPLEMENT FOR EXPANSION	$0
2022	2021	NEW YORK UNIVERSITY	550 1ST AVE	NEW YORK	NY	10016	NEW YORK	USA	Trans-NIH Research Support	011	3	8/8/2022	SUPPLEMENT FOR EXPANSION	$0
														Subtotal = $1,194,593

Issue Date FY: 2021 ( Subtotal = $1,853,062 )
2021	2021	NEW YORK UNIVERSITY	550 1ST AVE	NEW YORK	NY	10016	NEW YORK	USA	Trans-NIH Research Support	005	3	5/17/2021	SUPPLEMENT FOR EXPANSION	$0
2021	2021	NEW YORK UNIVERSITY	550 1ST AVE	NEW YORK	NY	10016	NEW YORK	USA	Trans-NIH Research Support	006	3	8/3/2021	SUPPLEMENT FOR EXPANSION	$299,997
2021	2021	NEW YORK UNIVERSITY	550 1ST AVE	NEW YORK	NY	10016	NEW YORK	USA	Minority Health and Health Disparities Research	001	3	12/10/2020	NON-COMPETING CONTINUATION	$642,806
2021	2021	NEW YORK UNIVERSITY	550 1ST AVE	NEW YORK	NY	10016	NEW YORK	USA	Trans-NIH Research Support	002	3	12/14/2020	SUPPLEMENT FOR EXPANSION	$686,370
2021	2021	NEW YORK UNIVERSITY	550 1ST AVE	NEW YORK	NY	10016	NEW YORK	USA	Trans-NIH Research Support	004	2	5/17/2021	SUPPLEMENT FOR EXPANSION	$0
2021	2021	NEW YORK UNIVERSITY	550 1ST AVE	NEW YORK	NY	10016	NEW YORK	USA	Minority Health and Health Disparities Research	003	3	3/15/2021	NON-COMPETING CONTINUATION	$71,422
2021	2021	NEW YORK UNIVERSITY	550 1ST AVE	NEW YORK	NY	10016	NEW YORK	USA	Trans-NIH Research Support	000	2	11/12/2020	SUPPLEMENT FOR EXPANSION	$152,467
														Subtotal = $1,853,062

Issue Date FY: 2020 ( Subtotal = $718,623 )
2020	2020	NEW YORK UNIVERSITY	550 1ST AVE	NEW YORK	NY	10016	NEW YORK	USA	Minority Health and Health Disparities Research	000	2	12/27/2019	NON-COMPETING CONTINUATION	$718,623
														Subtotal = $718,623

Issue Date FY: 2019 ( Subtotal = $738,623 )
2019	2019	NEW YORK UNIVERSITY	550 1ST AVE	NEW YORK	NY	10016	NEW YORK	USA	Minority Health and Health Disparities Research	001	1	5/7/2019	NEW	$0
2019	2019	NEW YORK UNIVERSITY	550 1ST AVE	NEW YORK	NY	10016	NEW YORK	USA	Minority Health and Health Disparities Research	002	1	8/13/2019	NEW	$0
2019	2019	NEW YORK UNIVERSITY	550 1ST AVE	NEW YORK	NY	10016	NEW YORK	USA	Minority Health and Health Disparities Research	000	1	4/9/2019	NEW	$738,623
														Subtotal = $738,623

Grand Total All Awards = $5,219,242

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Bridging the evidence-to-practice gap: Evaluating practice facilitation as a strategy to accelerate translation of a systems-level adherence intervention into safety net practices

Award Number: R01MD013769

ORGANIZATION: NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

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