Prevention Research Center in St. Louis

圣路易斯预防研究中心

• 批准号: 10438175
• 负责人: Ross C Brownson
• 金额: $ 75万
• 依托单位: WASHINGTON 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/10438175
• 关键词: Prevention; Research; Center; St.; Louis

PROJECT SUMMARY Background and Mission. The Prevention Research Center in St. Louis (PRC-StL) is comprised of practice, policy, community, and academic partners. Housing nine active projects, the PRC-StL is located in a large and vibrant research environment. Matching contributions from Washington University in St. Louis total $875,000 over the 5-year funding cycle. Our mission is to apply expertise in implementation science and evidence-based policy research to prevent chronic diseases, improve health equity, and promote population health. Proposed Core Research Project. Our research project will develop and disseminate approaches to increase implementation of evidence-based policies (EBPs) to reduce obesity disparities and promote health equity, fo- cusing on the uptake of effective local-level policies. We target two specific types of policy makers at the com- munity level: elected local officials (mayors, city council members) and appointed local officials (heads of local departments). We will work closely with a Community Advisory Board that has a wealth of experience in imple- mentation, local government, policy research, obesity prevention, and dissemination. In Aim 1, we will describe the prevalence and contextual determinants of local EBPs in a sample of 200 communities experiencing obe- sity disparities. In Aim 2, we will test a set of approaches for translation of research about obesity EBPs among local policy makers. Aim 2 involves a randomized trial of 320 local policy makers (160 elected officials, 160 ap- pointed officials) that tests research translation of policy briefs into local policy makers’ decisions to support EBP adoption. There are four conditions: usual care, risk framing, narrative, and risk framing + narrative. In Aim 3, we will test the effect of social network-informed tailoring of implementation strategies on a variety of policy-relevant processes and outcomes related to EBPs to address obesity. Network models in 20 communi- ties (10 intervention, 10 control) will highlight differences in network structure (e.g., density, presence of iso- lates) that are likely to influence communication about and uptake of obesity EBPs. Building on data from Aims 1 and 2, we will apply and evaluate the effects of stakeholder-driven implementation strategies (e.g., policy briefs, social media) on policy-relevant outcomes such as communication about and uptake of EBPs. Translation, Dissemination, Innovation, and Impact. By applying our Translation Plan, our team will take a sys- tematic approach when disseminating project findings, recognizing that different audiences require specific communication messages and channels. Our project is innovative and impactful because: (1) understanding the drivers of an effective policy process can lead to sustained use of existing resources; (2) the use of social network analysis, relatively new for implementation science, has high potential to elucidate network predictors of implementation; (3) our study will be among the first to describe the role of narrative communication in shap- ing local-level policy in areas with health disparities; and (4) using mixed methods, our study will help to better define the local policy process, content, and outcomes, which are fundamental to EBPs and poorly understood.

项目总结 背景和使命。圣路易斯预防研究中心(PRC-STL)由Practice、 政策、社区和学术合作伙伴。拥有九个正在进行的项目，PRC-STL位于一个大型和 充满活力的研究环境。圣路易斯华盛顿大学的相应捐款总额为875,000美元 在5年的资金周期内。我们的使命是应用实施科学和基于证据的专业知识 开展预防慢性病、改善健康公平、促进人群健康的政策研究。 建议的核心研究项目。我们的研究项目将开发和传播增加 实施循证政策(EBPS)以减少肥胖差距和促进健康公平， 以采纳有效的地方政策为重点。我们在COM上针对两种特定类型的政策制定者- 社区一级：选举产生的地方官员(市长、市议会议员)和任命的地方官员(地方行政首长 部门)。我们会与社区谘询委员会紧密合作，该委员会在推行以下措施方面经验丰富： 心理健康、地方政府、政策研究、肥胖预防和传播。在目标1中，我们将描述 在200个患有出血性精神分裂症的社区样本中，当地EBPS的患病率和背景决定因素 大小差异。在目标2中，我们将测试一组方法，用于将关于肥胖的EBPS研究翻译为 地方政策制定者。AIM 2涉及对320名地方政策制定者(160名民选官员，160名AP- 有针对性的官员)测试将政策简报转换为地方政策制定者决策的研究，以支持 EBP领养。有四种情况：通常关注、风险框定、叙事和风险框定+叙事。在……里面 目标3，我们将测试社交网络知情定制实施策略对各种 与EBPS相关的政策相关过程和结果，以解决肥胖问题。20个社区的网络模型- TIES(10个干预，10个控制)将突出网络结构的差异(例如，密度、是否存在等同 Lates)，这可能会影响关于肥胖EBPS的沟通和吸收。以AIMS的数据为基础 1和2，我们将应用和评估利益相关者驱动的实施战略(例如政策)的效果 简报、社交媒体)，介绍与政策相关的成果，如关于EBPS的沟通和吸收。 翻译、传播、创新、影响。通过应用我们的翻译计划，我们的团队将获得一个系统- 在传播项目结果时采用临时方法，认识到不同的受众需要具体的 通信消息和渠道。我们的项目具有创新性和影响力，因为：(1)理解 有效政策进程的驱动因素可导致持续利用现有资源；(2)利用社会资源 对于实施科学来说，网络分析相对较新，在阐明网络预测因素方面具有很高的潜力 (3)我们的研究将是最早描述叙事交际在形体中的作用的研究之一。 (4)使用混合方法，我们的研究将有助于更好地 定义当地的政策过程、内容和结果，这些是EBPS的基础，人们对此知之甚少。