The Health for Hearts United Collaborative

健康为心联合合作

• 批准号: 10209151
• 负责人: Penny Ann Ralston
• 金额: $ 55.74万
• 依托单位: FLORIDA STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-05-06 至 2026-01-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10209151
• 关键词: Adoption; Affect; African American; Area; Cardiac health; Cardiovascular Diseases; Cause of Death; Church; Clinical; Collaborations; Communities; Consolidated Framework for Implementation Research; County; Data; Diastolic blood pressure; Effectiveness; Event; Florida; Food; Health; Health behavior; Heart Diseases; Individual; Intervention; Intervention Studies; Life Style; Maintenance; Modeling; Morbidity - disease rate; Not Hispanic or Latino; Outcome; Participant; Phase; Physical activity; Pilot Projects; Principal Investigator; Process; Race; Randomized; Reach, Effectiveness, Adoption, Implementation, and Maintenance; Research; Risk Factors; Science; Stroke; Structure; Testing; United States; Use Effectiveness; Work; acceptability and feasibility; base; cardiovascular disorder risk; collaborative environment; community based participatory research; comparison group; cost; design; dietary; effectiveness evaluation; effectiveness implementation study; evidence base; implementation intervention; implementation strategy; improved; leadership development; mortality; physical conditioning; programs; racial and ethnic; recruit; success; successful intervention; theories; treatment group

Program Director/Principal Investigator (Last, First, Middle): Ralston, Penny A. The Health for Hearts United Collaborative Project Summary Cardiovascular disease (CVD) is the leading cause of death in the United States, and disproportionately affects African Americans (AAs) who have the highest rates for CVD-related morbidity and mortality in comparison to other ethnic/racial groups. Risk factors for these high CVD rates are related to a variety of factors, including lifestyle. Church-based interventions have been shown to be effective in improving physical health outcomes of AAs. However, a critical barrier to advancing the science of church-based health is understanding the most effective strategies and the extent to which evidence-based health programs can be implemented and maintained by churches themselves The Health for Hearts United Collaborative (HHUC), a community- academic partnership comprised of 45 churches in collaboration with a broader multi-county health coalition, was established after two successful intervention studies to reduce CVD risk in AAs in a two-county area of North Florida, using community-based participatory research approaches. We now seek to use this collaborative environment to investigate implementation of this intervention by the churches themselves as we expand the HHUC. Thus, the proposed project will determine the effectiveness of HHUC implementation strategies in relation to process outcomes and reducing CVD risk in AAs, guided by ecological theory, the Consolidated Framework for Implementation Research (CFIR), and the RE-AIM framework, and using a two- phase approach. The HHUC model currently includes three components: governance structure, annual events, and basic support. Based on observed successes in selected HHUC churches, we propose adding a fourth component that includes one of two possible implementation strategies: 1) an internal champions (IC)-driven strategy that includes two features (leadership development, culturally-tailored planning approaches) or 2) an external change agent (external professionals [EP])-driven strategy without these features. In Phase 1, we will pilot and refine the IC and EP-driven implementation strategies using health leaders from four churches in the two-county area by determining feasibility and acceptability. In Phase 2, we will use an effectiveness- implementation hybrid Type 3 design to evaluate the IC and EP implementation strategies in relation to process outcomes (reach, adoption, implementation and maintenance); and individual health behaviors (food choice, dietary quality, physical activity) and clinical outcomes (BMIs, girth circumferences, systolic and diastolic blood pressure), using congregants ((>18, n=225) in nine churches in the two-county area: three IC treatment, three EP treatment, and three comparison with delayed comparable activities. The findings from this study will inform the expansion of the HHUC and the reduction of CVD risk in AAs, with implications for other communities and regions in the U.S. OMB No. 0925-0001/0002 (Rev. 03/2020 Approved Through 02/28/2023) Page Continuation Format Page

项目总监/首席研究员（最后、第一、中间）：Ralston, Penny A. 健康为心联合合作 项目概要 心血管疾病 (CVD) 是美国的首要死因，并且不成比例地影响着 与其他人相比，非洲裔美国人 (AA) 的 CVD 相关发病率和死亡率最高 其他民族/种族群体。 CVD 发病率高的危险因素与多种因素有关，包括 生活方式。以教会为基础的干预措施已被证明可以有效改善人们的身体健康状况 AA。然而，推进教会健康科学的一个关键障碍是了解最 有效的策略以及基于证据的卫生计划的实施程度以及 由教会本身维护的“健康之心联合合作组织”(HHUC)，一个社区- 由 45 个教会组成的学术伙伴关系，与更广泛的多县健康联盟合作， 是在两项成功的干预研究之后成立的，该研究旨在降低北部两个县地区 AA 的 CVD 风险 佛罗里达州，采用基于社区的参与式研究方法。我们现在寻求利用这种协作 当我们扩大范围时，调查教会本身干预的实施情况 HHUC。因此，拟议项目将决定 HHUC 实施策略的有效性 在生态理论的指导下，与工艺结果和降低 AA 中的 CVD 风险相关， 实施研究综合框架 (CFIR) 和 RE-AIM 框架，并使用两个- 相方法。 HHUC 模型目前包括三个组成部分：治理结构、年度活动、 和基本支持。根据在选定的 HHUC 教会中观察到的成功，我们建议增加第四个 包括两种可能的实施策略之一的组件：1) 内部冠军 (IC) 驱动的 包含两个特征（领导力发展、文化定制规划方法）的战略，或 2) 外部变革推动者（外部专业人员[EP]）驱动的策略没有这些功能。在第一阶段，我们将 与来自四个教会的健康领袖一起试点和完善 IC 和 EP 驱动的实施策略 通过确定可行性和可接受性来确定两县地区。在第二阶段，我们将使用有效性- 实施混合类型 3 设计，以评估与以下相关的 IC 和 EP 实施策略 流程成果（达到、采用、实施和维护）；和个人健康行为（食物 选择、饮食质量、体力活动）和临床结果（BMI、腰围、收缩压和舒张压） 血压），使用两县地区九个教堂的会众（（>18，n=225）：三个 IC 治疗， 三个 EP 治疗，以及三个与延迟可比活动的比较。这项研究的结果将 为扩大 HHUC 和降低 AA 的 CVD 风险提供信息，这对其他社区也有影响 以及美国的地区 OMB 编号 0925-0001/0002（修订版 03/2020 已批准至 02/28/2023） 页面延续格式页面