Center for Chronic Disease Reduction and Equity Promotion Across Minnesota (C2DREAM)

明尼苏达州慢性病减少和公平促进中心 (C2DREAM)

基本信息

批准号：
10494201
负责人：
MICHELE L ALLEN
金额：
$ 414.76万
依托单位：
UNIVERSITY OF MINNESOTA
依托单位国家：
美国
项目类别：
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/10494201
关键词：
Address Adult Automobile Driving Behavioral Medicine Black, Indigenous, People of Color Cardiovascular Diseases Chronic Chronic Disease Cities Clinic Clinical Clinical Sciences Communication Communities Community Networks County Development Diet Disease Outcome Dissemination and Implementation Early Intervention Effectiveness of Interventions Ensure Epidemiology Evaluation Family Funding Grant Hand Health Disparities Research Health Promotion Health Psychology Health Status Health system Healthcare Hospitals Hypertension Immigrant Institutes Institution Intervention Intervention Studies Knowledge Latinx Leadership Longevity Measurement Medicine Mentorship Minnesota Mission Modeling Murder National Center for Advancing Translational Sciences National Institute on Minority Health and Health Disparities Native Americans Obesity Patient Care Personal Satisfaction Physical activity Police Policies Positioning Attribute Primary Health Care Process Psychology Public Health Public Health Schools Refugees Research Research Personnel Research Project Grants Resources Structural Racism System Targeted Research Techniques Training Translating Translational Research Translations Twin Multiple Birth Universities Work Youth base career clinical center community based participatory research community center community engagement disease disparity disorder risk disparity reduction dissemination science evidence base experience health equity health inequalities implementation process implementation science innovation medical schools minority health disparity model design multimodality next generation obesity treatment prevent preventive intervention programs racism safety net smoking cessation

项目摘要

PROJECT SUMMARY/ABSTRACT – Overall A growing body of research documents the profound contribution of structural and interpersonal racism to disparities in chronic disease including cardiovascular disease (CVD) and the related chronic conditions (RCC) of hypertension and obesity. In Minnesota, where the murder of Mr. George Floyd at the hands of police instigated a local, national, and global reckoning on the pervasiveness of racism, there is an urgent need to understand and ultimately address the ways that racism undermines well-being of Black, Indigenous, and people of color (BIPOC) communities. The mission of our proposed Center for Chronic Disease Reduction and Equity Promotion Across Minnesota (C2DREAM) is to reduce disparities in CVD and RCC experienced by BIPOC communities including immigrants and refugees across Minnesota. Our 3 proposed intervention projects target community and primary care approaches to diet, physical activity, smoking cessation, and other proximal contributors to CVD and RCC among Minnesota’s diverse BIPOC communities. C2DREAM will promote innovative, multilevel interventions that target fundamental causes of health inequities among diverse BIPOC communities across Minnesota; generate knowledge, analytical and implementation approaches, and community engagement strategies to understand and develop solutions to address racism at multiple levels; develop and support the next generation of health equity researchers; create and sustain a community-engaged and equity-guided dissemination and implementation processes to translate research results and knowledge regarding addressing chronic disease inequities into action; and employ equity-guided evaluation approaches. All center activities and research projects are aligned with a unifying conceptual model guided by the NIMHD’s Minority Health & Health Disparities Research Framework. C2DREAM is a regional partnership that spans the state among the University of Minnesota (UMN), including the Medical School on the Twin Cities (central) and Duluth (northern) Campuses, and the School of Public Health; Mayo Clinic including Rochester and community-based Mayo Clinic Health System clinics (southern); and Hennepin Healthcare, a county-owned HMO and the state’s largest safety net hospital (central). Our partnership builds on many formal and informal connections across collaborators and institutions, including NCATS-funded UMN Clinical Translational Science Institute (CTSI) and Mayo Clinic Center for Clinical and Translational Sciences (CCaTS) resources, as well as extensive partnerships with key community stakeholders. Our team has rich expertise in measurement of racism at multiple levels, health promotion interventions targeting CVD and related chronic conditions, behavioral medicine, epidemiology, public health, psychology, community based participatory research, policy, communications, and implementation science. This breadth, depth, and regional reach uniquely positions us to rigorously investigate fundamental drivers of health inequities and generate solutions that will impact Minnesota and the nation.

项目概要/摘要——总体越来越多的研究记录了结构性和人际种族主义对慢性疾病的差异，包括心血管疾病（CVD）和相关慢性病（RCC）高血压和肥胖症。在明尼苏达州，乔治·弗洛伊德先生被谋杀。警察发起了地方、国家和全球对种族主义普遍存在的清算，迫切需要了解并最终解决种族主义破坏黑人、原住民和黑人福祉的方式有色人种 (BIPOC) 社区的使命。明尼苏达州的公平促进 (C2DREAM) 旨在减少 CVD 和 RCC 的差距我们的 3 个 BIPOC 社区（包括明尼苏达州的移民和难民）都经历过。拟议的干预项目针对社区和初级保健方法的饮食、身体活动、戒烟以及明尼苏达州不同 BIPOC 中 CVD 和 RCC 的其他直接影响因素 C2DREAM 将促进针对根本原因的创新、多层次干预措施。明尼苏达州 BIPOC 社区之间的健康不平等；产生知识、分析和实施方法和社区参与策略，以了解和制定解决方案解决多个层面的种族主义问题；培养和支持下一代健康公平研究人员；并维持社区参与和公平引导的传播和实施流程，以转化将解决慢性病不平等问题的研究成果和知识转化为行动并加以运用； -所有中心活动和研究项目都遵循统一的指导性公平评估方法。由 NIMHD 的少数民族健康和健康差异研究框架指导的概念模型。 C2DREAM 是明尼苏达大学 (UMN) 跨州的区域合作伙伴关系，包括双城（中部）和德卢斯（北部）校区的医学院，以及公共卫生；梅奥诊所，包括罗切斯特和社区梅奥诊所卫生系统诊所（南部）；以及亨内平医疗保健公司 (Hennepin Healthcare)，这是一家县属 HMO，也是该州最大的安全网医院（中）我们的合作伙伴关系建立在合作者和机构之间的许多正式和非正式联系的基础上，包括 NCATS 资助的 UMN 临床转化科学研究所 (CTSI) 和梅奥诊所中心临床和转化科学 (CCaTS) 资源以及与关键社区的广泛合作伙伴关系我们的团队在多层次衡量种族主义、健康促进方面拥有丰富的专业知识。针对心血管疾病和相关慢性病、行为医学、流行病学、公共卫生、心理学、基于社区的参与性研究、政策、传播和实施科学。这种广度、深度和区域影响力使我们能够严格调查基本驱动因素健康不平等并制定将影响明尼苏达州和国家的解决方案。