Application of the ConNECT framework to precision health and health disparities

Usha Menon, Kimlin Ashing, Mei Wei Chang, Shannon M. Christy, Katarina Friberg-Felsted, Virginia Gil Rivas, Clement K. Gwede, Qian Lu, Cathy D. Meade, Jamila Sly, Monica Wang, Betina Yanez, Karen Yeary, Jean C. Yi, Kassandra I. Alcaraz

Research output: Contribution to journalArticlepeer-review

12 Scopus citations

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.

Original languageEnglish
Pages (from-to)99-109
Number of pages11
JournalNursing Research
Volume68
Issue number2
DOIs
StatePublished - 1 Mar 2019

Keywords

  • ConNECT Framework
  • health disparities
  • precision health

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