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Principal Investigator: Kathleen R Page
Organization: JOHNS HOPKINS UNIVERSITY
Fiscal Year: 2024
Award: $193,908
Funding agency: National Institute of Nursing Research
Dr. Page is an Associate Professor of Medicine and infectious disease specialist engaged in clinical care, and
public health research with a focus on expanding access to care for marginalized populations through
community-engaged program building and evaluation. Over the last 15 years, her research has focused on: 1)
Elucidating the impact on health of stressors associated with migration and poverty; 2) Implementing and
evaluating culturally and linguistically adapted interventions to improve access to care and utilization among
underserved populations; and 3) Bridging the gap between scientific advances and real-world implementation
to reach communities at highest risk of disease. She is the co-founder of Centro SOL (Center for Salud &
Opportunities for Latinos), and has established a community coalition that has developed culturally and
linguistically appropriate interventions to reduce health disparities among low-income limited Englih proficiency
Latino communities. The objectives of this application are to support a program for mentoring junior
investigators interested in health disparities, and to foster innovative epidemiology and implementation science
research through interdisciplinary and community-engaged approaches. The research strategy proposed in
this award capitalizes on existing multi-stakeholder community-academic-public health partnerships, as well as
the infrastructure of Centro SOL and multiple independently funded research studies. This Mid-Career award
explores the multi-level barriers and facilitators of engagement in healthcare and research through peers and
technology (hybrid methods) that leverage social networks, mobile health (mHealth) and trusted community
health workers. Informed by the Information-Motivation-Behavioral Skills model (IMB) and Social Network
Theory, Aim 1 will determine the efficiency and acceptability of hybrid methods to promote healthcare
engagement among low income LEP Latinos. In Aim 2, the study will determine the efficiency and acceptability
of using hybrid methods for recruitment, data collection, and research engagement among Latinos by
comparing traditional convenience sampling approaches to sampling using technology-based methods. Using
the Consolidated Framework for Implementation Research (CFIR) and Research Effectiveness-Adoption
Implementation Maintenance (RE-AIM) framework, semi-structured interviews will be conducted with key
stakeholders to assess and inform implementation determinants and outcomes of hybrid methods to inform
future broad scale implementation (Aim 3). This proposal creates a platform for trainees to learn and apply
skills in community-based research, implementation science, mHealth, network analysis, epidemiology, and
health disparities. This work also seeks to improve diversity, equity, and inclusion in research by prioritizing
community engagement and training opportunities for early-stage investigators who are under-represented in
medicine and health-related sciences
Terms: <Access to Care><Address><Adoption><Aggregated Data><Applied Skills><Assess implementation><Award><Behavioral><COVID crisis><COVID epidemic><COVID pandemic><COVID-19><COVID-19 crisis><COVID-19 epidemic><COVID-19 era><COVID-19 exposure><COVID-19 global health crisis><COVID-19 global pandemic><COVID-19 health crisis><COVID-19 pandemic><COVID-19 period><COVID-19 public health crisis><COVID-19 years><CV-19><Caring><Classification><Clinic><Cognitive Discrimination><Communicable Diseases><Communities><Community Health Aides><Consolidated Framework for Implementation Research><Consolidated Framework for Implementation Science><Consolidated Framework for Implementing Change><Coronavirus Infectious Disease 2019><Data Aggregation><Data Collection><Decrease health disparities><Dedications><Discrimination><Economics><Electronics><Ensure><Environment><Epidemiology><Ethnic Group><Ethnic Origin><Ethnic People><Ethnic Population><Ethnic individual><Ethnicity><Ethnicity People><Ethnicity Population><Evaluation><Exclusion><Faculty><Family><Fostering><Friends><Funding><Future><Generations><Goals><Health><Health Insurance><Health Services><Health Services Accessibility><Health disparity mitigation><Health disparity reduction><Health system><Healthcare><Healthcare promotion><Hospital Admission><Hospitalization><Hotlines><Hybrids><Immigration><Implementation assessment><Impoverished><Improve Access><Incentives><Inequity><Infectious Disease Pathway><Infectious Diseases><Infectious Disorder><Infrastructure><Institution><Intervention><Intervention Strategies><Interview><Investigators><Knowledge><Language><Latino><Latino Population><Latino group><Latino individual><Latino people><Latinos><Leadership><Learning Skill><Limited English Proficiency><Linguistic><Linguistics><Low income><Lower health disparities><Maintenance><Medical><Medicine><Mentors><Methodology><Methods><Migrant><Mitigate health disparities><Modeling><Motivation><NIH><National Institutes of Health><Network Analysis><Non-Hispanic><Nonhispanic><Not Hispanic or Latino><On-Line Systems><Online Systems><Outcome><Pathway Analysis><Persons><Policies><Population><Poverty><Public Health><RADx Underserved Populations><RADx-UP><Race><Races><Rapid Acceleration in Diagnostics for Underserved Populations><Rapid Acceleration of Diagnostics Underrepresented Persons><Rapid Acceleration of Diagnostics Underserved Populations><Reduce health disparities><Research><Research Personnel><Research Resources><Researchers><Resources><SARS-CoV-2 epidemic><SARS-CoV-2 exposure><SARS-CoV-2 global health crisis><SARS-CoV-2 global pandemic><SARS-CoV-2 pandemic><SARS-CoV2 exposure><SARS-coronavirus-2 epidemic><SARS-coronavirus-2 pandemic><Sampling><Science><Scientific Advances and Accomplishments><Severe Acute Respiratory Syndrome CoV 2 epidemic><Severe Acute Respiratory Syndrome CoV 2 pandemic><Severe acute respiratory syndrome coronavirus 2 epidemic><Severe acute respiratory syndrome coronavirus 2 exposure><Severe acute respiratory syndrome coronavirus 2 pandemic><Social Network><Specialist><Structure><Students><Survey Instrument><Surveys><Systematics><Technology><Telephone Hotlines><Testing><Text Messaging><Time><Touch><Touch sensation><Training><Trust><Underserved Population><United States National Institutes of Health><Vaccinated><Vaccination><Vulnerable Populations><Work><access to health services><access to services><access to treatment><accessibility to health services><associate faculty><associate professor><availability of services><behavior change><bilingual><bilingualism><care access><career><clinical care><community based design><community based research><community building><community engaged approach><community engaged approaches><community engaged participatory research><community engaged research><community engaged strategies><community engaged strategy><community engagement><community health worker><community partnered approach><community partnered research><community partnered strategy><community-engaged study><community-partnered study><coronavirus disease 2019><coronavirus disease 2019 crisis><coronavirus disease 2019 epidemic><coronavirus disease 2019 exposure><coronavirus disease 2019 global health crisis><coronavirus disease 2019 global pandemic><coronavirus disease 2019 health crisis><coronavirus disease 2019 pandemic><coronavirus disease 2019 public health crisis><coronavirus disease crisis><coronavirus disease epidemic><coronavirus disease pandemic><coronavirus disease-19><coronavirus disease-19 global pandemic><coronavirus disease-19 pandemic><coronavirus infectious disease-19><digital><disease risk><disorder risk><disparity in health><diversity, equity, and inclusiveness><economic><effectiveness research><electronic><electronic device><engagement with communities><epidemiologic><epidemiological><equity, diversity, and inclusion><ethnic subgroup><ethnicity group><evaluate implementation><evaluation of implementation><evidence base><experience><exposure to COVID-19><exposure to SARS-CoV-2><exposure to SARS-CoV2><exposure to Severe acute respiratory syndrome coronavirus 2><exposure to coronavirus disease 2019><health care><health disparity><health equity><health equity promotion><health insurance plan><health literacy><health service access><health services availability><high risk><implementation determinants><implementation evaluation><implementation factors><implementation outcomes><implementation research><implementation science><improved><innovate><innovation><innovative><interest><interventional strategy><interventions leveraging social networks><m-Health><mHealth><marginalized group><marginalized individual><marginalized people><marginalized population><mid-career faculty><midcareer faculty><migration><mobile health><online computer><pandemic><pandemic disease><peer><programs><promote health equity><public health research><racial><racial background><racial origin><recruit><reinforced behavior><research study><scientific accomplishments><scientific advances><service availability><severe acute respiratory syndrome coronavirus 2 global health crisis><severe acute respiratory syndrome coronavirus 2 global pandemic><short message service><skills><social><social network based intervention><social network intervention><social stigma><socio-economic><socio-economically><socioeconomically><socioeconomics><stigma><stressor><success><tactile sensation><texting><theories><training opportunity><treatment access><under served group><under served individual><under served people><under served population><underserved group><underserved individual><underserved people><uptake><vulnerable group><vulnerable individual><vulnerable people><web based>