Can Promotoras Change Clinical Outcomes for Chronic Diseases in El Paso, Texas

Promotoras 能否改变德克萨斯州埃尔帕索慢性病的临床结果

• 批准号: 7249370
• 负责人: Maria O. Duarte-Gardea
• 金额: $ 41.25万
• 依托单位: UNIVERSITY OF TEXAS EL PASO
• 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/7249370
• 关键词: Address; Adult; Area; Behavior; Behavioral; Binding; Cardiovascular Diseases; Cardiovascular Models; Cardiovascular system; Child; Chronic Disease; Cities; Clinical; Collaborations; Communities; Community Actions; Community Health; Community Outreach; Community Participation; Control Groups; Costs and Benefits; County; Development; Diabetes Mellitus; Diet; Disease; Educational Intervention; Elements; Experimental Designs; Family; Focus Groups; Funding; Future; Goals; Health; Health Sciences; Health Services; Health Services Accessibility; Health behavior; Health education; Healthcare; Heart; Hispanics; Individual; Inequality; Intervention; Latino; Lead; Measures; Methods; Mexico; Mission; Modeling; Morbidity - disease rate; Nature; Neighborhoods; Outcome; Physical activity; Pilot Projects; Policies; Prevention; Prevention approach; Process; Public Health; Public Health Schools; Purpose; Research; Research Infrastructure; Research Personnel; Risk Factors; System; Target Populations; Testing; Texas; Universities; Work; base; cardiovascular disorder risk; catalyst; college; community based participatory research; community intervention; cost; cost effective; cost effectiveness; design; experience; health disparity; interest; men; modifiable risk; mortality; outreach; performance site; programs; tool

DESCRIPTION (provided by applicant): With a commitment to the development of strong academic-community partnerships, the University of Texas at El Paso in collaboration with the UT School of Public Health El Paso regional campus, along with several academic-community partners propose to address cardiovascular health disparities experienced by residents in a Texas community along the US-Mexico border region. The project proposes to develop a plan that employs a community health worker (CHW)/Promotoras approach to effectively promote cardiovascular health among Hispanics in order to brake the cycle of behaviors that place individuals and their families at risk for cardiovascular disease (CVD). Specific aims are to develop a Community Advisory Board (CAB) to lead the participatory research process; perform a community needs/assets assessment to guide the research process; and conduct a pilot intervention to identify an optimal CHW outreach approach. Participating border community is geographically bound within the Lower Valley and Mission Valley of El Paso, Texas. Strategies for involving the community at initiation of the project include community forums, focus groups, and monthly round table working discussions with many community partners from the targeted population. The participation of the community in the research process will be formally established via the CAB. Salud para su Corazon (Health for your Heart) intervention will serve as catalyst for discussion of a community action plan.This dialogue generated from the collaborative relationships will drive the design of a two-year pilot intervention based upon community needs. The research team seeks to employ a field experimental design with random assignment to intervention and control groups of 330 Hispanic adults with two or more CVD risk factors for the two year pilot study. The outcome variables of interest include behavioral and clinical measures. The ultimate goal of the project is to consolidate partnerships as part of a unified approach to prevention and control of CVD prevalent in the US-Mexico border area. These partnerships will help solidify and infrastructure within El Paso County that will enable communities to contribute to national efforts aimed at reducing and eliminating health inequalities. This academic-community partnership will engage in public discourse about health challenges experienced by border communities with the purpose of developing a culturally competent plan to adequately address them. performance site(S) (organization, city, state) UTEP-College of Health Sciences, El Paso, Texas

描述（由申请人提供）：在致力于发展强大的学术社区合作伙伴关系的承诺中，德克萨斯大学El Paso大学与UT公共卫生学院El Paso地区校园合作，以及几个学术社区伙伴，并提出了一些学术 - 社区健康差异，这是在US-MexiCo Borderegeard of Us-Mexico Border Border Encordebore the-Mexas社区中经历的心血管健康差异。该项目提议制定一项计划，该计划采用社区卫生工作者（CHW）/Proportoras方法有效地促进西班牙裔人的心血管健康，以制动使个人及其家人处于患心血管疾病风险（CVD）风险的行为周期。具体目的是开发社区顾问委员会（CAB）以领导参与式研究过程；执行社区需求/资产评估以指导研究过程；并进行试点干预以确定最佳的CHW外展方法。参与的边境社区在德克萨斯州埃尔帕索的下山谷和任务山谷内受到地理约束。参与该项目启动的社区的策略包括社区论坛，焦点小组和每月与目标人群的许多社区合作伙伴进行讨论。社区参与研究过程将通过驾驶室正式建立。 Salud Para su Corazon（您的心脏健康）干预将作为讨论社区行动计划的催化剂。此对话从协作关系中产生的对话将推动根据社区需求设计为期两年的飞行员干预的设计。研究小组试图采用现场实验设计，并将其随机分配给330名西班牙裔成年人的干预组和对照组，其中两个或多个CVD风险因素为两年试点研究。感兴趣的结果变量包括行为和临床措施。该项目的最终目标是将合作伙伴关系巩固，这是美国 - 墨西哥边境地区普遍预防和控制CVD的统一方法的一部分。这些伙伴关系将有助于巩固埃尔帕索县的基础设施，这将使社区能够为旨在减少和消除健康不平等的国家努力做出贡献。这种学术社区伙伴关系将对边境社区所经历的健康挑战进行公开讨论，目的是制定具有文化胜任的计划来充分解决这些挑战。德克萨斯州埃尔帕索的绩效网站（S）（组织，城市，州）卫生科学的Utep-College