The African-American Health Improvement Partnership

非裔美国人健康改善伙伴关系

• 批准号: 7057503
• 负责人: SHERMAN A JAMES
• 金额: $ 46.72万
• 依托单位: DUKE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-09-30 至 2008-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7057503
• 关键词: African American; behavioral /social science research tag; cardiovascular disorder education; clinical research; community; counseling; diabetes education; education evaluation /planning; educational resource design /development; focus groups; health behavior; health disparity; health service demonstration project; health surveys; human subject; human therapy evaluation; hypertension; noninsulin dependent diabetes mellitus; primary care physician; questionnaires; social support network; socioeconomics

DESCRIPTION (provided by applicant): This three-year project combines planning activities and pilot intervention research to develop replicable interventions to improve the health of working and middle class African-Americans in Durham, North Carolina. Based on published (albeit limited) data on local health disparities, and on the prior experiences of the research team, the project will likely focus on the management of type 2 diabetes and hypertension in African American adults. It is likely that the interventions will also emphasize developing social supports within and across social class lines as a vehicle to achieve sustainable improvements in health. In keeping with the principles of community-based participatory research (CBPR), however, the determination of disease focus, as well as the intervention design and strategy, will be made through a CBPR planning process. The project has five stages: 1) Establish operating norms and an agenda for the Community Advisory Board (CAB) that will promote informed, effective, and collaborative consensus-based decision-making by the CAB and project team; 2) Assess community needs, assets, health priorities, and existing health initiatives; and develop a plan to implement and test an intervention to create sustainable changes in the health of African-American adults, and in community-level and health system factors impacting their health; 3) Implement pilot intervention research; 4) Disseminate findings to the Durham community, and develop and submit a full intervention research plan; 5) Disseminate findings to the larger health services community. Relevance: The literature documents significant disparities between the health status and health care of White Americans and African-Americans. The proposed project will contribute to our knowledge of disparities and how to reduce them in two ways. First, despite the fact that racial disparities exist within the middle class, most interventions and most CBPR projects have focused on working-class African-Americans. Second, the project will develop interventions that address social factors within and outside the health care system that appear to contribute to health disadvantages in the African American population.

描述（由申请人提供）：这个为期三年的项目结合了计划活动和试点干预研究，以开发可复制的干预措施，以改善北卡罗来纳州达勒姆市的工作和中产阶级非裔美国人的健康状况。 根据已发布的（尽管有限）的当地健康差异数据以及研究团队的先前经验，该项目可能会集中于2型糖尿病和非裔美国人成年人的高血压的管理。 干预措施可能还会强调在社会阶层内部和整个社会阶层内部建立社会支持，以此作为实现健康改善的工具。 但是，将与基于社区的参与性研究（CBPR）的原则保持一致，但是，将通过CBPR计划过程制定疾病的确定以及干预设计和战略。 该项目有五个阶段：1）建立经营规范和社区顾问委员会（CAB）的议程，该委员会将促进出租车和项目团队基于共识的知情，有效和协作的决策； 2）评估社区需求，资产，健康重点和现有健康计划；并制定一项计划，以实施和测试一项干预措施，以对非裔美国人的健康以及社区级别和卫生系统的影响产生可持续变化，从而影响其健康； 3）实施试点干预研究； 4）向达勒姆社区传播发现，并制定并提交完整的干预研究计划； 5）向更大的卫生服务社区传播发现。 相关性：文献记录了美国白人和非裔美国人的健康状况与卫生保健之间的显着差异。 拟议的项目将有助于我们对差异的了解以及如何通过两种方式减少它们。 首先，尽管中产阶级中存在种族差异，但大多数干预措施和大多数CBPR项目都集中在工人阶级的非裔美国人上。 其次，该项目将制定干预措施，以解决医疗保健系统内部和外部的社会因素，这些因素似乎导致了非裔美国人人口中的健康状况。