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Principal Investigator: Vera Borkowski
Organization: VANDERBILT UNIVERSITY
Fiscal Year: 2024
Award: $31,709
Funding agency: National Institute of Nursing Research
PROJECT SUMMARY
Social determinants of health (SDoH) are associated with poor health outcomes and health disparities. The
National Academies of Sciences, Engineering, and Medicine’s Future of Nursing Report encourages clinicians
to address SDoH, which are the environmental conditions in which people live, learn, work, play, and worship,
that can affect health, functioning, and quality-of-life. While there is a large corpus of knowledge associating
SDoH with childhood asthma, a gap exists on screening of SDoH in school-based health centers (SBHCs).
SBHCs care for children pre-kindergarten to 18 years of age, working collaboratively with the school nurse to
advance the health and well-being of all youth. Although SBHCs have access to individual-level health
information about the child, SBHC providers do not have easy access to SDoH information at the
neighborhood and community level. Screening pediatric families for SDoH in a systematic way can facilitate
connection to pertinent resources. However, there is a dearth of information regarding SDoH screening and the
role of SBHCs in pediatric SDoH interventions. This project focuses on the critical need to identify the
facilitators and barriers of SDoH information gathering behaviors in SBHCs. Through an exploratory sequential
design, the project will include the development of an informatics resource providing SDoH information to
SBHC providers. Asthma will serve as the first clinical condition for this novel work. The investigators will
address three specific aims: Aim 1. Describe the information gathering behaviors for SDoH and asthma
performed by school-based health providers (i.e., nurse practitioners, physicians, physician assistants) for
preventative asthma care, and what barriers exist for information gathering. Aim 2. Develop and evaluate an
informatics resource that provides actionable SDoH information related to the preventative management of
asthma. Aim 3: Evaluate the feasibility of an informatics resource comprising SDoH among school-based
health providers for use in the preventative management of asthma. The PI will receive research training
through the rich scientific environment of Vanderbilt University. Training goals will focus on acquiring
knowledge and skills in biomedical informatics, research methodology, qualitative focus groups, SDoH, and
responsible conduct of research. The highly experienced mentorship team will provide support to make
continued progress toward independence in a program of research focused on SDoH in school-based health
centers, of which this project is a key component. Upon successful completion of the proposed study,
contributions are expected to fill a critical knowledge gap with evidence that supports screening for SDoH by
school-based health providers. These contributions will be significant because they are expected to provide a
way to operationalize SDoH, to prevent asthma exacerbations, and address social needs to improve the lives
of school-age children. The proposed study supports the mission of NINR through inquiry that addresses both
the SDoH and Health Equity research lenses in the unique setting of school-based health centers.
Terms: <0-11 years old><18 year old><18 years of age><Academy><Address><Affect><Air><Asthma><Asthma in Children><Awareness><Behavior><Bronchial Asthma><Caring><Child><Child Care><Child Youth><Childhood><Childhood Asthma><Children (0-21)><Chronic><Clinical><Communities><Data><Detection><Development><Discipline of Nursing><Doctor's Assistants><Economics><Education><Educational aspects><Effectiveness><Engineering><Environment><Family><Feedback><Fellowship><Focus Groups><Funding><Future><Geographic Area><Geographic Locations><Geographic Region><Geographical Location><Goals><Health><Health Care Providers><Health Expenditures><Health Inequity><Health Personnel><Health equity research><Healthcare Providers><Healthcare worker><Impoverished><Individual><Inequalities in Health><Inequities in Health><Informatics><Intervention><Intervention Strategies><Interview><Investigators><Knowledge><Knowledge acquisition><Learning><Link><Low Income Population><Low income group><Machine Learning><Medicine><Mentors><Mentorship><Minority><Mission><Modeling><National Academy of Sciences><National Institute of Nursing Research><Neighborhoods><Nurse Practitioners><Nursery Schools><Nursing><Nursing Field><Nursing Profession><On-Line Systems><Online Systems><Outcome><Participant><Pediatric asthma><Personal Satisfaction><Persons><Physician Assistants><Physicians><Physicians' Extenders><Play><Policies><Postdoc><Postdoctoral Fellow><Poverty><Preventative care><Prevention><Preventive care><Provider><Puericulture><QOL><Quality of life><Recommendation><Reporting><Research><Research Associate><Research Methodology><Research Methods><Research Personnel><Research Resources><Research Training><Research in health equity><Researchers><Resource Informatics><Resources><Role><School Health Nursing><School Nursing><School-Age Population><Schools><Secure><Social Behavior><Strategic Planning><Structure><Technical Expertise><Techniques><Testing><Training><United States National Academy of Sciences><Universities><Visualization><Work><Youth><Youth 10-21><age 18 years><asthma attack><asthma exacerbation><asthma patient><asthma prevention><asthmatic patient><biomed informatics><biomedical informatics><cost><dashboard><design><designing><developmental><digital><disparity in health><economic><eighteen year old><eighteen years of age><empowerment><exacerbation in asthma><exacerbation prone asthma><exacerbation prone asthmatic><experience><food security><geographic site><health care expenditure><health care personnel><health care service><health care worker><health data><health disparity><health equity><health equity-focused research><health in school><health inequalities><health knowledge><health outcome disparity><health outcome inequality><health outcome inequity><health provider><health service use><health service utilization><health workforce><healthcare expenditure><healthcare personnel><healthcare service><housing instability><implementation intervention><improved><inequitable health outcome><information gathering><instably housed><interventional strategy><kids><lens><lenses><low income individual><low income people><machine based learning><medical expenditure><medical personnel><novel><online computer><pediatric><poor health outcome><post-doc><post-doctoral><post-doctoral trainee><pre-k><pre-kindergarten><preschool><prevent><preventing><programs><reduced health outcome><research and methods><research associates><research on health equity><research related to health equity><research study><research to attain health equity><responsible research conduct><school age><school based health center><school based health clinic><school health><school health center><school health clinic><screening><screenings><skills><social><social health determinants><social influence><social role><sociobehavior><sociobehavioral><technical skills><tool><treatment provider><unequal health outcome><unstable housing><unstably housed><usability><virtual><walkability><walkable><web based><well-being><wellbeing><worse health outcome><youngster>