U.S. Department of Health and Human Services: Addressing Health Disparities through Effective Interventions among Immigrant Populations (R21 Clinical Trial Optional)
The immigrant health initiative seeks to support research to design and implement effective interventions to reduce the health disparities among immigrant populations (particularly migrant workers and recent and 1st generation immigrants) and address issues that promote health equity. The term “1st generation” refers to people who were born in their native country and relocated to the U.S. The term “2nd generation” refers to the U.S. born children of 1st generation immigrants.
The initiative will support research focusing on the design and implementation of effective interventions that will address immigrant-specific factors to reduce health disparities among immigrants, particularly among migrant workers and recent and 1st generation immigrants. Intervention research should be aimed at improving the health outcome among immigrant groups by targeting the causes or consequences of health disparities. Multi-level interventions that include a combination of individual, group (such as peers, family members, etc.), and/or community-level intervention components have been shown to be effective in improving health outcomes. Multi-level interventions (i.e., ranging from individuals to societies) in addressing immigrant health disparities are strongly encouraged.
Research topics of specific interest on interventions may include but are not limited to:
- Improve health care access and utilization among newly arrived immigrant populations or migrant workers and 1st generation immigrants
- Address stress related to stigma, discrimination, social isolation, other experiences faced by immigrants that affect health
- Address adversity and chronic stress that result in worsened health outcomes
- Address culture specific beliefs and practices for health promotion and disease prevention among various immigrant sub-populations, specifically where traditional health practices may be the preferred and/or used with western healthcare systems
- Develop culturally consistent ways of treating and/or preventing the spread of infectious diseases that increase health risks among recent immigrants or migrant workers or immigrants that travel back and forth between the U.S. and the native country
- Utilize technology to address language and other barriers in accessing health care and health information among immigrant populations with limited English proficiency
- Design and implement culturally appropriate strategies to address immigrant specific risk factors to improve the health and quality of life of immigrant populations
- Examine patterns and quality of health care for immigrants who travel back and forth from the U.S. to the native country and receive care in both countries;
- Address health care team or organizational-level factors (systems) that facilitate the treatment delivery and follow up care to medically underserved immigrants
- Address systematic barriers to care and accommodate cultural and individual diversity for multiple immigrant sub-populations
- Adapt evidence-based interventions to ensure cultural relevance for those with Limited-English proficiency and low health literacy in low-resource settings to improve quality of care and health outcomes among immigrants
- Develop and test health behavior interventions aiming at reducing illness risks, including interventions in tobacco control, diet and physical activity, and other health promotion efforts
- Develop tailored prevention strategies for different immigrant sub-populations to address screening disparities for preventable diseases or conditions
- Develop strategies focusing on key transition points across the lifespan and associated risk and protective factors for immigrant populations to improve overall health
- Examine how multilevel intervention components may address social determinants (such as housing, employment and educational systems) to increase reach/access to prevention and care in low-resource settings for immigrant (sub)populations
- Studies that test prevention and treatment interventions for excessive drinking, alcohol use disorders, other substance use other substance use and other common co-occurring mental health disorders (e.g., depression, PTSD, other anxiety disorders, etc.) among U.S. based immigrant populat ions
Note: The R21 activity code is intended to encourage new, exploratory, and developmental research projects. For example, such projects could assess the feasibility of a novel area of investigation or a new methodology that has the potential to enhance health-related research. Another example could include the unique and innovative use of an existing methodology to explore a new scientific area. These studies may involve considerable risk but may lead to a breakthrough in a particular area, or to the development of novel techniques, agents, methodologies, models, or applications that could have a major impact on a field of biomedical, behavioral, or clinical research. Applications for R21 awards should describe projects distinct from those supported through the traditional R01 activity code. For example, long-term projects or projects designed to increase knowledge in a well-established area will not be considered for R21 awards. Applications submitted through the R21 activity co de should be exploratory and novel. These studies should break new ground or extend previous discoveries toward new directions or applications.
Amount: The total grant award, over a two year project period, may not exceed $275,000. No more than $200,000 may be requested in any single year.
Eligibility: Higher education institutions; nonprofit organizations; for-profit organizations; governments; and other, including independent school districts, public housing authorities/Indian housing authorities, Native American tribal organizations, faith-based or community-based organizations, and regional organizations.
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