Application of the ConNECT Framework to Precision Health and Health Disparities

被引:11
|
作者
Menon, Usha [1 ]
Ashing, Kimlin [2 ,3 ]
Chang, Mei Wei [4 ]
Christy, Shannon M. [5 ]
Friberg-Felsted, Katarina [6 ]
Rivas, Virginia Gil [7 ]
Gwede, Clement K. [8 ]
Lu, Qian [9 ]
Meade, Cathy D. [8 ,10 ]
Sly, Jamila [11 ]
Wang, Monica [12 ,13 ]
Yanez, Betina [14 ,15 ]
Yeary, Karen [16 ]
Yi, Jean C. [17 ]
Alcaraz, Kassandra I. [18 ]
机构
[1] Univ S Florida, Coll Nursing, Res, Tampa, FL USA
[2] City Hope Med Ctr, Beckman Res Inst, Ctr Community Alliance Res Educ, Duarte, CA USA
[3] City Hope Med Ctr, Beckman Res Inst, Dept Populat Sci, Duarte, CA USA
[4] Ohio State Univ, Coll Nursing, Columbus, OH 43210 USA
[5] H Lee Moffitt Canc Ctr & Res Inst, Div Populat Sci, Dept Hlth Outcomes & Behav, Tampa, FL USA
[6] Univ Utah, Coll Nursing, Salt Lake City, UT 84112 USA
[7] Univ N Carolina, Dept Psychol Sci, Charlotte, NC 28223 USA
[8] H Lee Moffitt Canc Ctr & Res Inst, Div Populat Sci, Tampa, FL USA
[9] Univ Texas MD Anderson Canc Ctr, Dept Hlth Dispar Res, Houston, TX 77030 USA
[10] Univ S Florida, Coll Med, Dept Oncol Sci, Tampa, FL USA
[11] Icahn Sch Med Mt Sinai, Dept Oncol Sci, New York, NY 10029 USA
[12] Boston Univ, Sch Publ Hlth, Dept Community Hlth Sci, Boston, MA USA
[13] Harvard TH Chan Sch Publ Hlth, Dept Social & Behav Sci, Boston, MA USA
[14] Northwestern Univ, Feinberg Sch Med, Dept Med Social Sci, Chicago, IL 60611 USA
[15] Northwestern Univ, Feinberg Sch Med, Robert H Lurie Comprehens Canc Ctr, Chicago, IL 60611 USA
[16] Univ Arkansas Med Sci, Fay W Boozman Coll Publ Hlth, Little Rock, AR 72205 USA
[17] Fred Hutchinson Canc Res Ctr, Biobehav Sci, 1124 Columbia St, Seattle, WA 98104 USA
[18] Amer Canc Soc, Behav Res Ctr, Hlth Dispar Res, Atlanta, GA 30329 USA
基金
美国国家卫生研究院;
关键词
ConNECT Framework; health disparities; precision health; SOCIAL DETERMINANTS; MEDICINE; SCIENCE; GENOMICS; PATIENT; CARE; RECOMMENDATIONS; PARTICIPATION; INTERVENTION; TECHNOLOGIES;
D O I
10.1097/NNR.0000000000000329
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
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.
引用
收藏
页码:99 / 109
页数:11
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