DP19-001, Health Promotion and Disease Prevention Research Center

DP19-001，健康促进与疾病预防研究中心

• 批准号: 10918031
• 负责人: MICHELLE C KEGLER
• 金额: $ 24.57万
• 依托单位: EMORY UNIVERSITY
• 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/10918031
• 关键词: DP19; 001; Health; Promotion; Disease; DP19; 001; Health; Promotion; Disease

PROJECT SUMMARY/ABSTRACT The obesity epidemic continues to worsen, with low-income and rural populations as well as African American women disproportionately affected. Using community-based participatory research, the Emory Prevention Research Center has developed and rigorously tested an intervention to create home food environments that support healthy eating and weight gain prevention with partners in rural southwest Georgia (SW GA). The proposed core research is a hybrid effectiveness-implementation study of this intervention, called Healthy Homes/Healthy Families, delivered through a regional 2-1-1 system. 2-1-1 is a nationally designated 3-digit telephone exchange, similar to 9-1-1, that links callers to community-based health and social services. Our long-term goal is to leverage this collaborative infrastructure to address the obesity epidemic and scaling up of effective interventions through the national 2-1-1 system. Callers to 2-1-1 are disproportionately low-income, unemployed, uninsured, and have fewer years of education relative to the general population. Specifically, in collaboration with community partners in rural SW GA and four United Way 2-1-1 partners, we propose to conduct a hybrid effectiveness-implementation trial and scalability assessment to rigorously assess: a) the impact of a telephone-based home food environment intervention on weight-related dietary behaviors, b) implementation outcomes (i.e., reach, acceptability, barriers and facilitators), c) cost-effectiveness, and d) the scalability potential of a regional 2-1-1 system to deliver Healthy Homes/Healthy Families and other evidence-based cancer prevention interventions. We are uniquely positioned for this research given our long-standing track record in collaborating with 2-1-1s in disseminating research-tested interventions across multiple states and our expertise in implementation science. This novel approach to translational research, in combination with plans for broader faculty engagement across Emory through a multi-disciplinary Internal Advisory Board, a Stakeholder Advisory Board for Translation with nontraditional partners including United Way agencies and Cooperative Extension, and a deeply engaged Community Advisory Board in rural SW GA, position the EPRC to be a major player in prevention research with clear relevance for public health practice in Georgia and beyond. Nationally, we will establish a model for taking interventions developed through CBPR to scale through existing 2- 1-1 systems. This model of developing interventions locally in SW GA through CBPR and then scaling up with an innovative translation partner, such as 2-1-1, is a promising model with significant potential for translating public health interventions into practice for population-level impact.

项目摘要/摘要 肥胖流行继续恶化，低收入和农村人口以及非洲人 美国妇女受到了不成比例的影响。使用基于社区的参与研究， Emory预防研究中心已经开发并严格测试了一种干预措施以创建 支持健康饮食和体重增加的家庭食品环境与农村的合作伙伴预防 佐治亚州西南部（SW GA）。拟议的核心研究是一种混合有效性 - 实现 通过区域2-1-1进行的这种干预措施，称为健康家庭/健康家庭 系统。 2-1-1是一种全国指定的3位电话交换，类似于9-1-1，它链接了呼叫者 到基于社区的健康和社会服务。我们的长期目标是利用这种合作 解决肥胖流行的基础设施，并通过 国家2-1-1系统。呼叫者到2-1-1的低收入，失业，未保险和 相对于一般人群，教育年限较少。具体而言，与 我们在农村SW GA和四个联合路2-1-1合作伙伴的社区伙伴，我们建议进行 严格评估的混合有效性试验和可伸缩性评估：a）影响 基于电话的家庭食品环境干预与体重有关的饮食行为，b） 实施成果（即覆盖，可接受性，障碍和促进者），c）成本效益和 d）区域2-1-1系统提供健康家庭/健康家庭的可伸缩性潜力和 其他基于证据的癌症预防干预措施。我们在这项研究中处于独特的位置 鉴于我们在与2-1-1s合作进行研究测试的长期记录 多个州的干预措施以及我们在实施科学方面的专业知识。这种新颖的方法 进行翻译研究，结合计划在Emory之间进行更广泛的教师参与的计划 通过多学科的内部顾问委员会，利益相关者咨询委员会翻译 非传统合作伙伴在内 在农村SW GA的社区顾问委员会参与，将EPRC定位为主要参与者 预防研究与佐治亚州及其他地区的公共卫生实践明显相关。在全国范围内 我们将建立一个模型，以通过CBPR制定的干预措施通过现有2-进行扩展 1-1系统。这种模型通过CBPR在SW GA中局部开发干预措施，然后扩展 与创新的翻译合作伙伴（例如2-1-1）是一个有前途的模型，具有巨大的潜力 将公共卫生干预措施转化为实践，以实现人群水平的影响。