Project Type/Research Category: Disability and Rehabilitation Research Projects (DRRPs).
Funding Priority: Capacity Building for Rehabilitation Research and Training.
For more information on NIDRR's funding priorities, read about NIDRR's Core Areas of Research at http://www.ed.gov/rschstat/research/pubs/core-area.html.
Center on Health Outcomes Research and Capacity Building for Underserved Populations with SCI and TBI.Medical University of South Carolina.
College of Health Professions, Department of Health Science and Research.
77 President Street, Suite C101
Charleston, SC 29425.
Principal Investigator: James S. Krause, PhD.
PI Phone: 843/792-1337.
Public Contact: Karla Swayngim Reed.
Public Contact Phone: 843/792-7051.
Project Number: H133A080064.
Start Date: October 1, 2008.
Length: 60 months.
NIDRR Officer: Shelley Reeves.
NIDRR Funding: FY 08 $353,133; FY 09 $353,134; FY 10 $353,134; FY 11 $354,133; FY 12 $353,133; FY 13 $0; FY 14 $0.
Abstract: This project builds the capacity of institutions that address the needs of underserved populations by: (1) conducting two innovative studies to generate new knowledge on the health of three underserved racial-ethnic groups with traumatic neurologic injuries; (2) providing capacity building through collaboration with South Carolina State University, a historically Black university, specialized instruction of undergraduate and graduate students, and widespread training to institutions and organizations that represent underserved populations; and (3) providing technical assistance to a wide array of target audiences to enhance the capacity to meet the needs of underserved populations. In Study 1, researchers interview 500 African Americans from population-based surveillance systems with spinal cord injuries (SCI) or traumatic brain injuries (TBI) and compare their health behaviors, access to services, and the prevalence of chronic diseases with African Americans in the general population (based on CDC surveillance). Researchers then identify the extent to which disparities observed in the general population are magnified after injury. Study 2 involves interviews with 836 participants with SCI, 575 of whom come from underserved populations (African Americans, Hispanics, and American Indians) in order to identify psychological, environmental, and behavioral predictors of secondary health conditions. Mediational models are tested to identify the risk and protective factors most strongly associated with disparities in health outcomes (e.g., pain, depression, pressure ulcers) and the extent to which disparities disappear when accounting for these factors. Researchers also determine whether the predictive model is invariant across race-ethnicity (i.e., whether the significant predictors are the same across different racial-ethnic groups) and, if not, which predictors are most important for each. Capacity-building efforts include workshops, mentorship of undergraduate and graduate students, and technical assistance.
Descriptors: Brain injuries, Health promotion, Minorities, Outcomes, Secondary conditions, Spinal cord injuries.
Documents in REHABDATA:
A comparison of health behaviors between African Americans with spinal cord injury and those in the general population.
Association of race, socioeconomic status, and health care access with pressure ulcers after spinal cord injury.
Association of spasticity and life satisfaction after spinal cord injury.
Gender, race, pain, and subjective well-being of adults with spinal cord injury.
Health, employment, & longevity project news & updates, Spring 2014.
Longevity after injury project news and updates, Fall 2012.
Longevity after injury project news and updates, Spring 2013.
Longevity after injury project news and updates, Fall 2013.
Race-ethnicity and poverty after spinal cord injury.
Racial disparities in depression and life satisfaction after spinal cord injury: A mediational model.
SCI research team newsletter, Spring 2012.
Stability of vocational interests after recent spinal cord injury.
The relationship of pressure ulcers, race, and socioeconomic conditions after spinal cord injury.
Vocational interests after recent spinal cord injury: Comparisons related to sex and race.
Youth and aging.