CONNECTOME-Community Engagement CORE

CONNECTOME-社区参与核心

• 批准号: 10494216
• 负责人: MARY BETH TERRY
• 金额: $ 65.82万
• 依托单位: COLUMBIA UNIVERSITY HEALTH SCIENCES
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-09-24 至 2026-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10494216
• 关键词: Academia; Address; Affect; Behavior; Cardiovascular Diseases; Caring; Centers for Disease Control and Prevention (U.S.); Chronic; Chronic Disease; Cities; Clinical and Translational Science Awards; Communication; Communities; Community Health; Community Outreach; Disease; Disease Outcome; Economics; Ecosystem; Ensure; Ethnic Origin; Family health status; Fostering; Foundations; Funding Mechanisms; Generations; Goals; Grant; Health; Health Policy; Health Promotion; Hospitals; Individual; Infrastructure; Institution; Intervention; Learning; Longevity; Maintenance; Malignant Neoplasms; Measurable; Medical; Medical center; Methods; Minority-Serving Institution; Modeling; Names; Neighborhoods; New York; New York City; Outcome; Patient-Focused Outcomes; Physicians; Plant Roots; Policies; Population; Poverty; Prevention Research; Provider; Psyche structure; Race; Research; Research Institute; Research Personnel; Resources; Shapes; Signs and Symptoms; Social Environment; Sociology; Stage at Diagnosis; System; Time; Translating; Trust; United States; United States Agency for Healthcare Research and Quality; Universities; Vision; Voice; Work; base; burden of illness; community center; community college; community engaged research; community engagement; community partnership; connectome; design; empowered; evidence base; health care delivery; health disparity; health equity; health equity promotion; health inequalities; health training; improved; member; novel; programs; safety net; social; social health determinants; socioeconomics

The Community Core for the Center to Improve Chronic disease Outcomes through Multi-level and Multi- generational approaches Unifying Novel Interventions and Training for health EquitY (COMMUNITY Center) connects all of the projects, pilots, and cores to the diverse communities we serve approximately 2/3 non-white, 1/3 foreign-born, and 1/5 living below the Federal poverty line. As the central hub of the networks throughout the New York City region, we have aptly named the core, the CONNECTOME. The goals of community engagement—to build trust, foster bi-directional communication, create equitable systems and policies that promote and sustain economic, physical, mental and social health—define health equity for communities. While the commitment to community engagement is reflected in a number of major federal initiatives, we have yet to realize its full potential in addressing multiple chronic health conditions in an increasingly diverse United States population. Key reasons for the lack of realization of the full potential is that much research, care, and community outreach still remain focused on single chronic disease and often at later stages of the lifespan and frequently only at one academic institution. We are thrilled that this RFA is specifically designed to serve communities who suffer from multiple chronic diseases and rightly challenge us to have a more integrated approach reaching beyond the boundaries of academe and integrating across the siloed medical model to address upstream effects. This mechanism will provide the resources to develop sustainable interventions to improve community health across the NYC Region. The COMMUNITY Center partners CUIMC, WCMC, Hunter/CUNY and PAGNY (see Overall). To fully tackle the health disparities that exist in the NYC region, we must address the social determinants of health (SDOH) and broader social contexts that shape health and disease. The COMMUNITY Center seeks to tackle the SDOH at the individual, interpersonal/community and societal levels. The COMMUNITY Core (CONNECTOME) supports these efforts by: 1) Synergizing and empowering a growing number New York City-based stakeholders (safety-net provider organizations, community members, community-based organizations, foundations, non-profits, CTSA’s and researchers) using a coalition approach to improving management of multiple chronic diseases, specifically CVD and cancer; 2) Serving as a focal point for organizing and nurturing productive bi-directional relationships between the COMMUNITY connectome members, core directors, investigators in the projects and pilots within and across our communities and stakeholder groups, and 3) Disseminating the information generated by the COMMUNITY program through the connectome to diverse audiences including our local communities, public and community colleges, and faith and community-based organization in New York and regional and national policy leaders to enact meaningful change. Integral to these aims are novel methods for engagement which includes community micro-projects and a Vision to Voice—Project to Policy component of the COMMUNITY Center.

该中心通过多层次和多层次改善慢性疾病结果的社区核心 世代相传的方法统一新颖的干预措施和卫生公平培训（社区） 中心）将所有项目，飞行员和核心连接到我们服务大约2/3的潜水员社区 非白人，1/3外国出生和1/5生活在联邦贫困线以下。作为网络的中心枢纽 通过纽约市地区，我们恰当地命名为Connectome核心。目标 社区参与 - 建立信任，建立双向交流，创建公平的系统和 促进和维持经济，身体，精神和社会健康的政策 - 定义健康公平 社区。虽然对社区参与的承诺反映在许多主要联邦 倡议，我们尚未意识到它在解决多种慢性健康状况中的全部潜力 美国人口越来越多。缺乏全部潜力的关键原因是 大量的研究，护理和社区外展仍然专注于单一慢性疾病，并且经常在以后 寿命的阶段，通常仅在一个学术机构中。我们很高兴这个RFA专门 旨在为患有多种慢性疾病的社区服务，并正确地挑战我们 更综合的方法超出了学术界的界限，并在整个孤立的医学中融合 解决上游效果的模型。这种机制将提供发展可持续的资源 改善纽约市地区社区健康的干预措施。社区中心合作伙伴Cuimc， WCMC，Hunter/Cuny和Pagny（请参阅总体上）。充分解决纽约市现有的健康分布 地区，我们必须处理健康的社会决定者（SDOH）和更广泛的社会环境，以塑造健康 和疾病。社区中心旨在针对个人，人际/社区和 社会层面。社区核心（Connectome）通过：1）协同和 授权越来越多的位于纽约市的利益相关者（安全网络提供商组织， 社区成员，基于社区的组织，基金会，非营利组织，CTSA和研究人员）使用 一种改善多种慢性疾病的管理的联盟方法，特别是CVD和癌症； 2） 作为组织和培育生产性双向关系的焦点 社区Connectome成员，核心董事，项目和飞行员的调查员 我们的社区和利益相关者群体以及3）传播社区产生的信息 通过Connectome向我们的潜水受众群体进行计划 纽约的学院以及信仰和社区组织以及地区和国家政策领导人 实施有意义的变化。这些目标不可或缺的是包括社区在内的新型参与方法 微项目和声音的愿景 - 对社区中心的政策组成部分进行项目。