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

项目总结/摘要 在生活在美国农村地区的3100万成年人中，有2160万人超重和肥胖， 增加他们患癌症和心血管疾病的风险。体力活动可以减少和 预防肥胖和肥胖对健康的影响。传播和实施 研究可以通过以下方式满足促进健康和预防疾病的迫切需要： 加快将有效的循证干预措施转化为 实践农村州的小都市社区特别令人关切，因为他们遭受 更大的经济和社会劣势，包括更高的贫困率和失业率 率，无论是大都市或非小都市的农村地区。预防研究 农村卫生中心（PRC-RH），重点是肥胖，解决健康挑战 爱荷华州的小都市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，积极爱荷华州。 PRC-RH中心的活动包括以翻译为重点的基础设施维护 和传播PRC-RH研究和最佳做法;公共卫生培训 专业人员、学生和社区成员;以及评估中国生殖健康中心的活动。的 PRC-RH与爱荷华州公共卫生部建立了充满活力的伙伴关系， 社区咨询委员会。PRC-RH实施研究项目，活跃的爱荷华州 重点是翻译积极的奥图姆瓦跨越爱荷华州和邻近的国家。具体 目标包括：1）在统一的指导下，将活跃的奥图姆瓦转变为活跃的爱荷华州 实施研究框架（CFIR），分为三个小都市集群 爱荷华州的社区。2)严格评估的实施和行为结果， 积极的爱荷华州使用随机聚类阶梯楔形设计来a）检查促进者， 障碍，以及与采用、实施和 Active爱荷华州的可持续性，以及B）使用覆盖有效性评估Active爱荷华州 采用实施和维护框架（RE-AIM），应用混合研究 在多个影响层面和多个层面评估执行情况的方法 跨集群的利益相关者;3）在爱荷华州、内布拉斯加州、密苏里州传播“积极的爱荷华州”， 堪萨斯（CDC G区）。PRC-RH研究和活动将解决一个主要的证据缺口 通过了解如何最好地翻译和基于证据的干预措施在农村中西部。

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.