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

Abstract:

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.

journal_name

Nurs Res

journal_title

Nursing research

authors

Menon U,Ashing K,Chang MW,Christy SM,Friberg-Felsted K,Rivas VG,Gwede CK,Lu Q,Meade CD,Sly J,Wang M,Yanez B,Yeary K,Yi JC,Alcaraz KI

doi

10.1097/NNR.0000000000000329

subject

Has Abstract

pub_date

2019-03-01 00:00:00

pages

99-109

issue

2

eissn

0029-6562

issn

1538-9847

journal_volume

68

pub_type

杂志文章
  • Nurses' satisfaction with their work situation.

    abstract::Although job satisfaction is related to performance within the work setting, precise definitions and methods of measuring satisfaction are lacking, especially in medical settings. This article describes a two-year research project that investigated the concept of occupational satisfaction and methods of measuring thi...

    journal_title:Nursing research

    pub_type: 杂志文章

    doi:

    authors: Slavitt DB,Stamps PL,Piedmont EB,Haase AM

    更新日期:1978-03-01 00:00:00

  • Health literacy and nurses' communication with type 2 diabetes patients in primary care settings.

    abstract:BACKGROUND:The use of the interactive communication loop has been recommended as an effective method to enhance patient understanding and recall of information. OBJECTIVE:The aim of the study was to examine the application of interactive communication loops, use of jargon, and the impact of health literacy (HL) when n...

    journal_title:Nursing research

    pub_type: 杂志文章

    doi:10.1097/NNR.0000000000000055

    authors: Al Sayah F,Williams B,Pederson JL,Majumdar SR,Johnson JA

    更新日期:2014-11-01 00:00:00

  • The influence of relationships on children's and adolescents' participation in research.

    abstract:BACKGROUND:Since the 1950s, children and adolescents have been defined as a vulnerable group for research participation. In 1998, federal mandates were issued to include children in clinical research. OBJECTIVES:The purpose of this qualitative study was to describe children and adolescents' understanding of research a...

    journal_title:Nursing research

    pub_type: 杂志文章

    doi:10.1097/00006199-200305000-00009

    authors: Broome ME,Richards DJ

    更新日期:2003-05-01 00:00:00

  • Family decision-making to withdraw life-sustaining treatments from hospitalized patients.

    abstract:BACKGROUND:With a national trend toward less aggressive treatment of hospitalized terminally ill patients, families increasingly participate in decisions to withdraw life-sustaining treatment. Although prior research indicates decision making is stressful for families, there have been no psychometric reports of actual ...

    journal_title:Nursing research

    pub_type: 杂志文章

    doi:10.1097/00006199-200103000-00006

    authors: Tilden VP,Tolle SW,Nelson CA,Fields J

    更新日期:2001-03-01 00:00:00

  • Fear of hypoglycemia in women and men with type 1 diabetes.

    abstract:BACKGROUND:Severe hypoglycemia is a serious complication of type1 diabetes feared by many who have the disease. OBJECTIVES:The aim of this study was to investigate specific fears related to hypoglycemia in adults with type 1 diabetes and to investigate how aspects of fear of hypoglycemia may differ between genders. M...

    journal_title:Nursing research

    pub_type: 杂志文章

    doi:10.1097/NNR.0000000000000020

    authors: Gjerløw E,Bjørgaas MR,Nielsen EW,Olsen SE,Asvold BO

    更新日期:2014-03-01 00:00:00

  • Alterations in circadian excretion of urinary variables and physiological indicators of stress following surgery.

    abstract::Alterations in level, timing, and coupling of circadian excretion of catecholamine metabolites, adrenal cortical hormones, sodium, potassium, creatinine, and vital signs in acute-care surgical patients were measured. Data were examined to determine if a relationship exists between the degree of circadian alteration an...

    journal_title:Nursing research

    pub_type: 杂志文章

    doi:

    authors: Farr L,Keene A,Samson D,Michael A

    更新日期:1984-05-01 00:00:00

  • Barthel Index of activities of daily living: item response theory analysis of ratings for long-term care residents.

    abstract:BACKGROUND:The Barthel Index (BI) is a frequently used measure of independence in the activities of daily living (ADLs). Item functioning of various versions of the BI have been examined using Rasch analysis. Item response theory (IRT) models for ordered polytomous responses may provide more insight into item functioni...

    journal_title:Nursing research

    pub_type: 杂志文章

    doi:10.1097/NNR.0000000000000072

    authors: Liu W,Unick J,Galik E,Resnick B

    更新日期:2015-03-01 00:00:00

  • Selected National League for Nursing achievement test scores as predictors of state board examination scores.

    abstract::In a study to formulate regression equations which could be used to predict performance on the licensing examinations of graduates of an associate degree nursing program, selected sets of National League for Nursing achievement test scores were found to be effective predictors of state board examination (SBE) scores. ...

    journal_title:Nursing research

    pub_type: 杂志文章

    doi:

    authors: Deardorff M,Denner P,Miller C

    更新日期:1976-01-01 00:00:00

  • Diabetes Distress, Depressive Symptoms, and Cardiovascular Health in Adults With Type 1 Diabetes.

    abstract:BACKGROUND:The prevalence of adults with Type 1 diabetes (T1D) is increasing, and their risk of cardiovascular disease is high. Comorbid diabetes distress and depressive symptoms may affect their cardiovascular health. OBJECTIVES:The purpose of this study was to describe the relationship between diabetes distress and ...

    journal_title:Nursing research

    pub_type: 杂志文章

    doi:10.1097/NNR.0000000000000387

    authors: McCarthy MM,Whittemore R,Gholson G,Grey M

    更新日期:2019-11-01 00:00:00

  • An Integrative Review of Measuring Caregiver Burden in Substance Use Disorder.

    abstract:BACKGROUND:Family caregivers contribute to engagement in treatment and adherence, reduced substance misuse and relapse, and increased well-being of recipients with substance use disorder. However, providing care has also been associated with negative emotional and physical health outcomes for caregivers. The purpose of...

    journal_title:Nursing research

    pub_type: 杂志文章,评审

    doi:10.1097/NNR.0000000000000442

    authors: Tyo MB,McCurry MK

    更新日期:2020-09-01 00:00:00

  • Parent-Child Dyad's Collective Family Efficacy and Risky Adolescent Health Behaviors.

    abstract:BACKGROUND:Parents play an influential role in their children's health behaviors. Research has shown that individuals' efficacy beliefs (personal and collective efficacy) are closely related to their behaviors and can be modified to improve health outcomes. Existing evidence confirms the effect of self-efficacy on vari...

    journal_title:Nursing research

    pub_type: 杂志文章

    doi:10.1097/NNR.0000000000000465

    authors: Kao TA,Ling J,Dalaly M,Robbins LB,Cui Y

    更新日期:2020-11-01 00:00:00

  • A summary of findings of a five-year comparison study of primary and team nursing.

    abstract::This study compared primary and team nursing in three areas: quality of care, impact on nursing staff, and cost. Eight medical units in one hospital were evaluated. The study was conducted over a four-year period utilizing three phases: one preintervention phase and two postintervention phases. The study used multiple...

    journal_title:Nursing research

    pub_type: 杂志文章

    doi:

    authors: Gardner K

    更新日期:1991-03-01 00:00:00

  • Impact of patient-level risk adjustment on the findings about nurse staffing and 30-day mortality in veterans affairs acute care hospitals.

    abstract:BACKGROUND:Studies about nurse staffing and patient outcomes often lack adequate risk adjustment because of limited access to patient information. OBJECTIVE:The aim of this study was to examine the impact of patient-level risk adjustment on the associations of unit-level nurse staffing and 30-day inpatient mortality. ...

    journal_title:Nursing research

    pub_type: 杂志文章

    doi:10.1097/NNR.0b013e318295810c

    authors: He J,Almenoff PL,Keighley J,Li YF

    更新日期:2013-07-01 00:00:00

  • Feasibility of Hair Collection for Cortisol Measurement in Population Research on Adolescent Health.

    abstract:BACKGROUND:Black-White disparities in adolescent health are widespread and thought to be explained, in part, by exposure to chronic stress. Cortisol assayed from hair is increasingly recognized as a valid and reliable measure for chronic physiological stress, but the feasibility of collecting hair among large probabili...

    journal_title:Nursing research

    pub_type: 杂志文章

    doi:10.1097/NNR.0000000000000154

    authors: Ford JL,Boch SJ,McCarthy DO

    更新日期:2016-05-01 00:00:00

  • A diffusion survey of coronary precautions.

    abstract::A national survey of a stratified random sample (n = 240) of accredited hospitals with critical care units (CCU) was conducted in order to describe the current practice of restrictions imposed upon myocardial infarction (MI) patients. A cross-sectional correlational survey with a two-stage mailing was used. The first-...

    journal_title:Nursing research

    pub_type: 杂志文章

    doi:

    authors: Kirchhoff KT

    更新日期:1982-07-01 00:00:00

  • Development of an instrument to measure the cognitive structure used to understand personhood in patients.

    abstract::Based on a theory of moral regard for personhood, a criterion-related instrument was developed to measure variations in the cognitive structure used to give meaning to personhood in patients. The cognitive structure, called empathetic maturity, has three hierarchical levels. It is measured indirectly through analysis ...

    journal_title:Nursing research

    pub_type: 杂志文章

    doi:10.1097/00006199-199703000-00004

    authors: Olsen DP

    更新日期:1997-03-01 00:00:00

  • Health-promoting lifestyles of blue-collar, skilled trade, and white-collar workers.

    abstract::The health-promoting lifestyles of blue-collar, skilled trade, and white-collar workers were examined. Specific purposes included determining differences in health-promoting behaviors, especially according to worker category, as well as ethnic identification, age, gender, education, and marital status. A convenience s...

    journal_title:Nursing research

    pub_type: 杂志文章

    doi:

    authors: Lusk SL,Kerr MJ,Ronis DL

    更新日期:1995-01-01 00:00:00

  • To transform or not transform skewed data for psychometric analysis: that is the question!

    abstract:BACKGROUND:Although data transformation is generally recommended, its benefits of have not been widely studied. This report reviews evidence regarding the costs and benefits of transforming skewed data with respect to two statistics commonly used in psychometric analyses: the Cronbach alpha and the Pearson product-mome...

    journal_title:Nursing research

    pub_type: 杂志文章,评审

    doi:10.1097/00006199-200401000-00011

    authors: Norris AE,Aroian KJ

    更新日期:2004-01-01 00:00:00

  • Qualitative research publication rates in top-ranked nursing journals: 2002-2011.

    abstract:BACKGROUND:Journal publication is the traditional means of disseminating research. Few top-ranked general medical and health services and policy research journals publish qualitative research. OBJECTIVES:This study examined qualitative research publication rates in top-ranked nursing journals with varying characterist...

    journal_title:Nursing research

    pub_type: 杂志文章

    doi:10.1097/NNR.0000000000000022

    authors: Gagliardi AR,Umoquit M,Webster F,Dobrow M

    更新日期:2014-05-01 00:00:00

  • Strategic directions for nursing research in tobacco dependence.

    abstract::Tobacco use continues to be the leading cause of preventable death in the United States, causing approximately 440,000 deaths a year. Even with significant progress in the last decades, there are over 45 million smokers in the United States. Despite the efficacy of nurses in providing tobacco cessation interventions, ...

    journal_title:Nursing research

    pub_type: 杂志文章

    doi:10.1097/00006199-200607001-00001

    authors: Sarna L,Bialous SA

    更新日期:2006-07-01 00:00:00

  • Inpatient Maternal Mortality in the United States, 2002-2014.

    abstract:BACKGROUND:Although prior studies of inpatient maternal mortality in the United States provide data on the overall rate and trend in inpatient maternal mortality, there are no published reports of maternal mortality data stratified by timing of its occurrence across the pregnancy continuum (antepartum, intrapartum, and...

    journal_title:Nursing research

    pub_type: 杂志文章

    doi:10.1097/NNR.0000000000000397

    authors: Mogos MF,Liese KL,Thornton PD,Manuck TA,OʼBrien WD Jr,McFarlin BL

    更新日期:2020-01-01 00:00:00

  • Anger in adolescents: sex, ethnicity, age differences, and psychometric properties.

    abstract:BACKGROUND:The State-Trait Anger Expression Inventory (STAXI), a self-report questionnaire, is designed to measure the experience and expression of anger. Reliability and validity of the STAXI have been well established among African and European Americans aged 13 years and older. However, little is known of the use of...

    journal_title:Nursing research

    pub_type: 杂志文章

    doi:10.1097/00006199-200301000-00002

    authors: Reyes LR,Meininger JC,Liehr P,Chan W,Mueller WH

    更新日期:2003-01-01 00:00:00

  • Use of Assistive Devices to Lift, Transfer, and Reposition Hospital Patients.

    abstract:BACKGROUND:Devices to lift, transfer, and reposition patients are recommended for healthcare workers' and patients' safety, but their intended use has yet to be fully realized. OBJECTIVE:The aim of this study was to describe hospital nursing staff use of lift/transfer devices and the presence of factors at the time of...

    journal_title:Nursing research

    pub_type: 杂志文章

    doi:10.1097/NNR.0000000000000325

    authors: Schoenfisch AL,Kucera KL,Lipscomb HJ,McIlvaine J,Becherer L,James T,Avent S

    更新日期:2019-01-01 00:00:00

  • A decision-analytic approach to clinical nursing.

    abstract::The purpose of this study was to explore the usefulness of applying decision analysis to nursing decisions about a complex, emergent patient problem. A convenience sample of 31 nurses quantified their intuitive ideas into five mutually exclusive decision alternatives. A decision-analytic process and a preference analy...

    journal_title:Nursing research

    pub_type: 杂志文章

    doi:

    authors: Panniers TL,Walker EK

    更新日期:1994-07-01 00:00:00

  • Functional trajectory 6 months posthospitalization: a cohort study of older hospitalized patients in Taiwan.

    abstract:BACKGROUND:Although it is well-recognized that hospitalization often precipitates functional decline in older patients, there have been few studies to examine these functional changes carefully over multiple points in time. OBJECTIVE:To describe functional trajectory during and 6 months posthospitalization and to asce...

    journal_title:Nursing research

    pub_type: 杂志文章

    doi:10.1097/01.NNR.0000313485.18670.e2

    authors: Chen CC,Wang C,Huang GH

    更新日期:2008-03-01 00:00:00

  • The efficacy of developmentally sensitive interventions and sucrose for relieving procedural pain in very low birth weight neonates.

    abstract:BACKGROUND:Procedural pain management for very low birth weight (VLBW) neonates has been minimal or nonexistent in most neonatal intensive care units (NICUs). OBJECTIVES:To compare the efficacy of developmentally sensitive behavioral interventions (nonnutritive sucking via a pacifier, positioning) and sucrose for reli...

    journal_title:Nursing research

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1097/00006199-199901000-00006

    authors: Stevens B,Johnston C,Franck L,Petryshen P,Jack A,Foster G

    更新日期:1999-01-01 00:00:00

  • Use of Rogers's conceptual system in research: comments.

    abstract::This exposition examines testing of Rogers's theoretical constructs in the unitary man model, reflecting upon one published research article. It addresses two critical points of importance: (1) adequacy and appropriateness of the logic used to derive the research hypotheses; and (2) appropriateness of the research met...

    journal_title:Nursing research

    pub_type: 杂志文章

    doi:

    authors: Kim HS

    更新日期:1983-03-01 00:00:00

  • Parental attitude and adjustment to childhood epilepsy.

    abstract::Parenteral attitudes and adjustment to epilepsy were assessed for 50 parents of children aged 6 to 14 with epilepsy. Fishbein's Expectancy-Value Model of Attitude was used to assess parental attitudes. Parental adjustment was measured both by a self-report instrument and by an independent psychosocial assessment condu...

    journal_title:Nursing research

    pub_type: 杂志文章

    doi:

    authors: Austin JK,McBride AB,Davis HW

    更新日期:1984-03-01 00:00:00

  • Integrative Review of Gut Microbiota and Expression of Symptoms Associated With Neonatal Abstinence Syndrome.

    abstract:BACKGROUND:Neonatal exposure and subsequent withdrawal from maternal substance use disorder are a growing problem and consequence of the current opioid epidemic. Neonatal abstinence syndrome (NAS) is defined by a specified cluster of symptoms with treatment guided by the expression and severity of these symptoms. The m...

    journal_title:Nursing research

    pub_type: 杂志文章

    doi:10.1097/NNR.0000000000000452

    authors: Sealschott SD,Pickler RH,Fortney CA,Bailey MT

    更新日期:2020-09-01 00:00:00

  • Pressure ulcer preventive device use among elderly patients early in the hospital stay.

    abstract:BACKGROUND:Clinical guidelines for the prevention of pressure ulcers advise that pressure-reducing devices should be used for all patients at risk of or with pressure ulcers and that all pressure ulcers should be documented in the patient record. Adherence to these guidelines among elderly hospital patients early in th...

    journal_title:Nursing research

    pub_type: 杂志文章

    doi:10.1097/NNR.0b013e31818fce8e

    authors: Rich SE,Shardell M,Margolis D,Baumgarten M

    更新日期:2009-03-01 00:00:00