Community, Health Center, and Academic Medicine Partnership Project-(CHAMPP)

社区、健康中心和学术医学合作项目-(CHAMPP)

• 批准号: 7068820
• 负责人: LeRoi S Hicks
• 金额: $ 27.73万
• 依托单位: HARVARD MEDICAL SCHOOL
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-06-15 至 2008-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7068820
• 关键词: African American; Hispanic Americans; behavioral /social science research tag; clinical research; community health services; diabetes mellitus; focus groups; health care service availability; health care service evaluation; health care service planning; health services research tag; human subject; hypertension; medically underserved population; outcomes research; racial /ethnic difference

DESCRIPTION (provided by applicant): Racial and ethnic minority groups suffer a disproportionately larger burden from hypertension and diabetes compared to whites. African-Americans and Hispanics are at a higher risk of having hypertension or diabetes, are less likely to be aware that they are hypertensive, are more likely to have target organ damage, and have significantly higher age-adjusted diabetes and hypertension-related mortality compared to whites. As part of our community-based participatory research program, we have developed a partnership among health services researchers from the Harvard Medical School, a community-based health advocacy organization and seven community health centers located in four Boston neighborhoods with a large representation of non-Hispanic Black and Hispanic residents (Mattapan, Dorchester, Jamaica Plain, and Roxbury). As collaborators for this study investigators from the Community, Health Center, and Academic Medicine Partnership Project (CHAMPP) academic research team1 are working with: (1) the Center for Community Health Education, Research, and Service (CCHERS), and (2) a community advisory committee comprised of medical directors from neighborhood community health centers and community residents in leadership positions in community-based advocacy organizations. The goals of the proposed project are to assess the needs of non-Hispanic Blacks and Hispanics with hypertension or diabetes within the four Boston neighborhoods, and to examine the barriers and plausible approaches to improving care provided to these residents. During this two year study, we will conduct focus groups of non-Hispanic black and Hispanic patients who receive care for diabetes or hypertension in our participating community health centers. We will interview health center staff and directors about the relationship of health centers' organizational structure with disparities in cardiovascular risks among minority patients with diabetes and hypertension. After conducting these information-gathering activities, we will develop both a patient focused and a health center focused intervention to pilot test in a randomized trial within four neighborhood community health centers. Through sharing the information gained through this collaborative effort, researchers and community-based organizations will be provided with the information necessary to design practical and generalizable interventions to reduce racial and ethnic disparities in hypertension and diabetes outcomes.

描述（由申请人提供）：与白人相比，少数种族和族裔群体承受着不成比例的高血压和糖尿病负担。与非裔美国人和西班牙裔美国人相比，非裔美国人和西班牙裔人患高血压或糖尿病的风险更高，不太可能意识到自己患有高血压，更有可能出现靶器官损伤，并且年龄调整后的糖尿病和高血压相关死亡率显着更高到白人。作为我们基于社区的参与性研究计划的一部分，我们在来自哈佛医学院的健康服务研究人员、一个基于社区的健康倡导组织和位于波士顿四个社区的七个社区健康中心之间建立了合作伙伴关系，这些社区中有大量非社区居民。西班牙裔黑人和西班牙裔居民（马塔潘、多切斯特、牙买加平原和罗克斯伯里）。作为本研究的合作者，来自社区、健康中心和学术医学合作项目 (CHAMPP) 学术研究团队 1 的研究人员正在与：(1) 社区健康教育、研究和服务中心 (CCHERS) 合作，以及 (2)社区咨询委员会由邻里社区卫生中心的医疗主任和社区倡导组织中担任领导职务的社区居民组成。拟议项目的目标是评估波士顿四个社区内患有高血压或糖尿病的非西班牙裔黑人和西班牙裔人的需求，并研究改善为这些居民提供的护理的障碍和可行的方法。在这项为期两年的研究中，我们将对在我们参与的社区卫生中心接受糖尿病或高血压护理的非西班牙裔黑人和西班牙裔患者进行焦点小组研究。我们将采访卫生中心的工作人员和主任，了解卫生中心的组织结构与少数糖尿病和高血压患者心血管风险差异的关系。开展这些信息收集活动后，我们将制定以患者为中心和以健康中心为中心的干预措施，在四个邻里社区卫生中心的随机试验中进行试点测试。通过分享通过这一合作努力获得的信息，研究人员和社区组织将获得设计实用且普遍的干预措施所需的信息，以减少高血压和糖尿病结果的种族和民族差异。