R01MD017404
Project Grant
Overview
Grant Description
Transforming Health Equity Research in Integrated Primary Care: Antiracism as a Disruptive Innovation
Increased media attention regarding COVID-related health disparities combined with horrific institutionalized violence against Black Americans have revitalized the call to action to address systemic racism in health care. Among the consequences of systemic racism in health care are significant health disparities in prevalence, diagnosis, and treatment of comorbid physical and mental health conditions. Despite decades of studies acknowledging health disparities based on race and an increased awareness of the social determinants of health, we seem to be lightyears away from significant change.
There are shockingly few evidence-based interventions to change racism attitudes, behaviors, and practices at the provider and organizational-systems level. New paradigms are needed to intervene on, and not just document, racism in health care systems. We propose to develop and test a transformative paradigm for translating basic behavioral and social science into new anti-racism interventions for primary care settings.
The paradigm is the first of its kind to integrate community-based participatory research, systems science, diffusion of innovation theory, and item response theory, leveraging an established framework of early phase translational behavioral and social science to rigorously define new anti-racism interventions within complex health systems and rigorously develop measures to assess impact.
Antiracism is a disruptive innovation in integrated primary care systems in the United States, one that can be rigorously mapped using community-engaged systems science methods. This map identifies "inflection points" likely to result in the most impactful intervention targets, and then established pathways can be used to translate fundamental behavioral and social science discoveries into new interventions at these points.
Systems science modeling can then simulate potential interventions and produce mathematical standards for intervention efficacy in future trials. This transformative paradigm will also detail innovative methods to develop efficient and effective measurement tools to rigorously monitor outcomes.
This transformative paradigm of antiracism as a disruptive innovation will not only revolutionize health equity interventions in integrated primary care systems but will provide a foundation for improving health care racism in other systems.
Increased media attention regarding COVID-related health disparities combined with horrific institutionalized violence against Black Americans have revitalized the call to action to address systemic racism in health care. Among the consequences of systemic racism in health care are significant health disparities in prevalence, diagnosis, and treatment of comorbid physical and mental health conditions. Despite decades of studies acknowledging health disparities based on race and an increased awareness of the social determinants of health, we seem to be lightyears away from significant change.
There are shockingly few evidence-based interventions to change racism attitudes, behaviors, and practices at the provider and organizational-systems level. New paradigms are needed to intervene on, and not just document, racism in health care systems. We propose to develop and test a transformative paradigm for translating basic behavioral and social science into new anti-racism interventions for primary care settings.
The paradigm is the first of its kind to integrate community-based participatory research, systems science, diffusion of innovation theory, and item response theory, leveraging an established framework of early phase translational behavioral and social science to rigorously define new anti-racism interventions within complex health systems and rigorously develop measures to assess impact.
Antiracism is a disruptive innovation in integrated primary care systems in the United States, one that can be rigorously mapped using community-engaged systems science methods. This map identifies "inflection points" likely to result in the most impactful intervention targets, and then established pathways can be used to translate fundamental behavioral and social science discoveries into new interventions at these points.
Systems science modeling can then simulate potential interventions and produce mathematical standards for intervention efficacy in future trials. This transformative paradigm will also detail innovative methods to develop efficient and effective measurement tools to rigorously monitor outcomes.
This transformative paradigm of antiracism as a disruptive innovation will not only revolutionize health equity interventions in integrated primary care systems but will provide a foundation for improving health care racism in other systems.
Awardee
Funding Goals
NOT APPLICABLE
Grant Program (CFDA)
Place of Performance
Tallahassee,
Florida
323105712
United States
Geographic Scope
Single Zip Code
Related Opportunity
Analysis Notes
Amendment Since initial award the total obligations have increased 428% from $627,706 to $3,316,667.
Florida State University was awarded
Revolutionizing Health Equity: Antiracism in Integrated Primary Care
Project Grant R01MD017404
worth $3,316,667
from the National Institute of Allergy and Infectious Diseases in August 2021 with work to be completed primarily in Tallahassee Florida United States.
The grant
has a duration of 4 years 8 months and
was awarded through assistance program 93.310 Trans-NIH Research Support.
The Project Grant was awarded through grant opportunity NIH Directors Transformative Research Awards (R01 Clinical Trial Optional).
Status
(Ongoing)
Last Modified 9/24/25
Period of Performance
8/23/21
Start Date
4/30/26
End Date
Funding Split
$3.3M
Federal Obligation
$0.0
Non-Federal Obligation
$3.3M
Total Obligated
Activity Timeline
Transaction History
Modifications to R01MD017404
Additional Detail
Award ID FAIN
R01MD017404
SAI Number
R01MD017404-801773816
Award ID URI
SAI UNAVAILABLE
Awardee Classifications
Public/State Controlled Institution Of Higher Education
Awarding Office
75NE00 NIH National Insitute on Minority Health and Healh Disparities
Funding Office
75NA00 NIH OFFICE OF THE DIRECTOR
Awardee UEI
JF2BLNN4PJC3
Awardee CAGE
3S772
Performance District
FL-02
Senators
Marco Rubio
Rick Scott
Rick Scott
Budget Funding
| Federal Account | Budget Subfunction | Object Class | Total | Percentage |
|---|---|---|---|---|
| Office of the Director, National Institutes of Health, Health and Human Services (075-0846) | Health research and training | Grants, subsidies, and contributions (41.0) | $1,221,665 | 83% |
| National Institute on Minority Health and Health Disparities, National Institutes of Health, Health and Human Services (075-0897) | Health research and training | Grants, subsidies, and contributions (41.0) | $250,000 | 17% |
Modified: 9/24/25