Prevention Research in the Digital Age: Public and Private Partnerships for Sustainable Impact at Scale

项目概述：耶鲁-格里芬预防研究中心（Y-G PRC）继续关注慢性 疾病预防，同时将重点扩大到数字时代的预防研究：公共和私人 大规模可持续影响伙伴关系。Y-G PRC成立于健康促进 战略一般在地方一级实施，受到实际空间和时间的限制。过去20 多年来，数字化和网络空间的通信发生了结构性变化，由此带来了机会 使用以前无法想象的战略和范围接触目标人群。具体目标为 该中心将：推进预防研究，主要关注解决健康差距， 在服务水平低下的社区预防糖尿病、肥胖和心血管代谢疾病; 资源和基础设施，以支持蓬勃发展的研究议程;支持一个核心CBPR项目;培育 发展合作和伙伴关系网络;为公共卫生提供培训和持续教育 学生和从业人员，医疗居民，合作者，合作伙伴组织和社区，以及工作人员; 有效地沟通，传播和转化研究进展的做法，方案和政策;和， 通过公共和私营部门，采用创新的传播方法和广泛的可扩展性 伙伴关系。Y-G PRC在即将到来的5年周期的主要研究议程是进行一项 实施科学研究评估的可行性和途径，实施虚拟的， 由社区卫生工作者和以医院为基础的社区提供便利的糖尿病预防计划 护士改善2型糖尿病风险低收入人群的行为和心脏代谢结果 糖尿病改善低收入社区的健康：糖尿病的虚拟交付 预防计划与社区护理协调促进，将解决许多障碍， 使低收入人群无法成功参与循证生活方式干预。工作 在两个不同的低收入社区，我们将应用计划影响途径和RE-AIM框架 评估执行进程和评价执行成果。严格的形成性评估 将指导项目;临床和行为变化，以及成本效益将进行评估。该项目提供 以创新的方法来理解和解决我们最不发达国家复杂的健康和社会状况 改善弱势群体的健康状况，缩小全国的差距。

Project Summary: The Yale-Griffin Prevention Research Center (Y-G PRC) continues its focus on chronic disease prevention while expanding its emphasis to Prevention Research in the Digital Age: Public and Private Partnerships for Sustainable Impact at Scale. The Y-G PRC was founded at a time when health promotion strategies generally took place at a local level and were limited by physical space and time. During the last 20 years, there has been a tectonic shift in communications, digitally and in cyberspace, with a resulting opportunity to reach target populations using strategies and a scope that were previously unimaginable. The specific aims for the Center are to: Advance prevention research with a primary focus on addressing health disparities and preventing diabetes, obesity and cardio-metabolic disease in underserved communities; Maintain and cultivate the resources and infrastructure to support a thriving research agenda; Support one core CBPR project; Nurture and grow a network of collaborations and partnerships; Provide training and ongoing education to public health students and practitioners, medical residents, collaborators, partner organizations and communities, and staff; Effectively communicate, disseminate and translate research advances to practice, programs, and policy; and, Pursue innovative approaches to dissemination and widespread scalability through public and private sector partnerships. The Y-G PRC's primary research agenda for the upcoming 5-year cycle is to conduct an Implementation Science Research study assessing the feasibility and pathways for implementation of a virtually- delivered Diabetes Prevention Program facilitated by community health workers and hospital-based community nurses to improve behavioral and cardio-metabolic outcomes among low-income individuals at risk for type 2 diabetes. The primary study, Improving Health in Low Income Communities: Virtual Delivery of a Diabetes Prevention Program Facilitated with Community Care Coordination, will address many of the barriers that keep low-income populations from successfully participating in evidence-based lifestyle interventions. Working in two diverse low-income communities, we will apply the Program Impact Pathways and RE-AIM frameworks to assess implementation processes and evaluate implementation outcomes. Rigorous formative assessments will guide the project; clinical and behavioral changes, and cost effectiveness will be assessed. This project offers innovative approaches to understanding and addressing complex health and social conditions among our most vulnerable populations to improve health and reduce disparities nationally.