UMass Worcester Prevention Research Center

麻省大学伍斯特分校预防研究中心

• 批准号: 9126268
• 负责人: Stephenie C. Lemon
• 金额: $ 81.4万
• 依托单位: UNIV OF MASSACHUSETTS MED SCH WORCESTER
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-09-30 至 2019-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9126268
• 关键词: UMass; Worcester; Prevention; Research; Center

DESCRIPTION (provided by applicant): This proposal seeks support for the UMass Worcester Prevention Research Center (UMW-PRC), initially funded by the CDC in 2009 as a developmental PRC. Funding will support the growth and enhancement of a comprehensive core infrastructure that fosters applied public health research partnerships with state and local departments of public health and numerous community partners. Our faculty conduct intervention research, implementation research and public health practice-based research that targets the CDC Winnable Battles of nutrition, physical activity and obesity in the Worcester, MA area. The UMW-PRC has six priority areas: racial and ethnic health disparities, the built environment and systems, comorbid obesity and mental health, child and adolescent health, worksite health promotion, and community-clinical linkages. In the proposed funding cycle, the UMW-PRC will further its role as 1) an institutional leader in applied public health research, 2) an integral part of the collaborative public health system within Worcester, MA, 3) a statewide resource for applied public health research expertise, and 4) a national model for bidirectional applied public health research that integrates academic medicine, public health, health care and communities. This will be accomplished through innovations in each of the PRC programmatic components: administration and infrastructure, community engagement and technical assistance, communication and dissemination, training, and evaluation. Building from this infrastructure, our proposed applied public health prevention research project will be implemented in the racial/ethnically diverse Union Hill neighborhood, which the City of Worcester has prioritized for revitalization due to its high rates of crime, poverty and unemployment, deteriorating built environment, and high chronic disease burden. Targeted resource investments aim to improve crime and safety and economic development. Simultaneously, Union Hill will be targeted by a Massachusetts Department of Public Health (MDPH) Mass in Motion/Community Transformation Grant (MiM- CTG) to implement public policy and environmental improvements to promote physical activity and healthy eating and reduce obesity. Perceived social norms, limited parental efficacy to influence child obesogenic behaviors and limited parenting skills related to child obesogenic behaviors may reduce the impact of built environment interventions. The proposed study will test the impact of the built environment intervention plus a family-focused community health worker (CHW)-delivered component to improve ability of families to navigate their environment and promote healthy eating and activity through improvements in social norms, parental efficacy, and parenting skills, compared to the built environment intervention plus an attention control CHW- delivered component. The study uses a quasi-experimental design to assess impact on child and parent diet, physical activity and BMI. We will use MDPH statewide child BMI data to compare impact of the combined built environment interventions in Union Hill to the MiM-CTG program only in comparable MA urban communities.

描述（由申请人提供）：本提案寻求对麻省大学伍斯特分校预防研究中心 (UMW-PRC) 的支持，该中心最初由 CDC 于 2009 年作为发展性 PRC 资助。资金将支持综合核心基础设施的发展和增强，以促进与州和地方公共卫生部门以及众多社区合作伙伴的应用公共卫生研究伙伴关系。我们的教师开展干预研究、实施研究和基于公共卫生实践的研究，目标是疾病预防控制中心在马萨诸塞州伍斯特地区营养、身体活动和肥胖方面的胜利之战。 UMW-PRC 有六个优先领域：种族和民族健康差异、建筑环境和系统、共病肥胖和心理健康、儿童和青少年健康、工作场所健康促进以及社区临床联系。在拟议的资助周期中，UMW-PRC 将进一步发挥其作用：1）应用公共卫生研究领域的机构领导者，2）马萨诸塞州伍斯特合作公共卫生系统的组成部分，3）全州范围内应用公共健康资源健康研究专业知识，4) 整合学术医学、公共卫生、医疗保健和社区的双向应用公共卫生研究国家模型。这将通过中国每个计划组成部分的创新来实现：管理和基础设施、社区参与和技术援助、沟通和传播、培训和评估。在此基础设施的基础上，我们提出的应用公共卫生预防研究项目将在种族/民族多元化的 Union Hill 社区实施，由于该社区犯罪率高、贫困率高、失业率高、建筑环境恶化，伍斯特市已将其优先考虑振兴。 ，以及高慢性疾病负担。有针对性的资源投资旨在改善犯罪和安全以及经济发展。同时，Union Hill 将获得马萨诸塞州公共卫生部 (MDPH) 大众运动/社区转型补助金 (MiM-CTG) 的支持，以实施公共政策和环境改善，以促进身体活动和健康饮食并减少肥胖。认知的社会规范、影响儿童肥胖行为的父母效能有限以及与儿童肥胖行为相关的养育技能有限可能会降低建筑环境干预措施的影响。拟议的研究将测试建筑环境干预措施以及以家庭为中心的社区卫生工作者 (CHW) 提供的部分的影响，以提高家庭驾驭环境的能力，并通过改善社会规范、父母效能、和养育技能，与建筑环境干预加注意力控制 CHW 提供的组件相比。该研究采用准实验设计来评估对儿童和家长饮食、体力活动和体重指数的影响。我们将使用 MDPH 全州儿童 BMI 数据来比较 Union Hill 的综合建筑环境干预措施与 MiM-CTG 计划（仅在可比较的马萨诸塞州城市社区）的影响。