DP19-001, University of Iowa Prevention Research Center for Rural Health

DP19-001，爱荷华大学农村健康预防研究中心

• 批准号: 10244863
• 负责人: Rima Afifi
• 金额: $ 139万
• 依托单位: UNIVERSITY OF IOWA
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-09-30 至 2024-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10244863
• 关键词: DP19; 001; University; Iowa; Prevention

Project Summary/Abstract Of the 31 million adults living in rural regions in the US, 21.6 million are overweight and obese, increasing their risk of cancer and cardiovascular disease. Physical activity can reduce and prevent obesity and the health consequences of obesity. Dissemination and implementation research can address the urgent needs of health promotion and disease prevention by accelerating the translation and adoption of effective evidence-based interventions into practice. Micropolitan communities in rural states are a particular concern as they suffer from greater economic and social disadvantages, including higher poverty and unemployment rates, than either metropolitan or nonmicropolitan rural areas. The Prevention Research Center for Rural Health (PRC-RH), with a focus on obesity, addresses the health challenges of residents of micropolitan and other rural communities in Iowa through a variety of Center activities and resources as well as the implementation of the research project, Active Iowa. PRC-RH Center activities include maintenance of an infrastructure with a focus on translation and communication of PRC-RH research and best practices; training of public health professionals, students and community members; and evaluation of PRC-RH activities. The PRC-RH has vibrant partnerships with the Iowa Department of Public Health, and an active Community Advisory Board. The PRC-RH implementation research project, Active Iowa focuses on translation of Active Ottumwa across Iowa and the neighboring states. Specific Aims include: 1)Translating Active Ottumwa into Active Iowa, guided by the Consolidated Framework for Implementation Research (CFIR), into three clusters of micropolitan communities in Iowa. 2) Rigorously evaluating the implementation and behavioral outcomes of Active Iowa using a randomized cluster stepped-wedge design to a) examine facilitators, barriers, and contextual factors associated with the adoption, implementation, and sustainability of Active Iowa, and b) Evaluate Active Iowa using the Reach Effectiveness Adoption Implementation and Maintenance framework (RE-AIM), applying mixed research methods to evaluate implementation at multiple levels of influence and with multiple stakeholders across clusters;3) Disseminate Active Iowa in Iowa, Nebraska, Missouri, and Kansas (CDC Region G). PRC-RH research and activities will address a major evidence gap by knowledge of how best to translate and evidence-based interventions in the rural Midwest.

项目摘要/摘要 在美国农村地区的3100万成年人中，有2160万人超重和肥胖， 增加其癌症和心血管疾病的风险。体育锻炼可以减少和 预防肥胖和肥胖的健康后果。传播和实施 研究可以通过 加速和采用有效的基于证据的干预措施 实践。农村国家的微型社区特别关心 更大的经济和社会缺点，包括更高的贫困和失业 比率，比大都市或非大都市地区。预防研究 农村健康中心（PRC-RH）以肥胖为重点，解决了健康挑战 爱荷华州微型大都会和其他农村社区的居民通过各种中心 活动和资源以及研究项目的实施，爱荷华州。 PRC-RH中心活动包括维护基础设施，重点是翻译 以及PRC-RH研究和最佳实践的交流；培训公共卫生 专业人士，学生和社区成员；和PRC-RH活动的评估。这 PRC-RH与爱荷华州公共卫生部建立了充满活力的合作伙伴关系，并且有活跃的 社区顾问委员会。 PRC-RH实施研究项目，活跃的爱荷华州 着重于在爱荷华州和邻近州的活动奥图姆瓦翻译。具体的 目的包括：1）在合并的指导下将活动的Otumwa转换为Active Iowa 实施研究框架（CFIR），分为微政的三个集群 爱荷华州的社区。 2）严格评估实施和行为结果 使用随机群集阶梯式设计设计为Active Iowa a）检查促进者， 与采用，实施以及 主动爱荷华州的可持续性，b）使用覆盖效果评估爱荷华州的主动性爱荷华州 采用实施和维护框架（RE-AIM），应用混合研究 评估在多个影响层面和多个影响下的实施的方法 集群中的利益相关者； 3）在爱荷华州，内布拉斯加州，密苏里州和 堪萨斯州（CDC区G）。 PRC-RH研究和活动将解决一个主要的证据差距 通过了解如何最好地翻译和基于证据的干预措施。