UMass Worcester Prevention Research Center - COVID 19 Supplement

麻省大学伍斯特分校预防研究中心 - COVID 19 补充材料

• 批准号: 10438128
• 负责人: Stephenie C. Lemon
• 金额: $ 136万
• 依托单位: UNIV OF MASSACHUSETTS MED SCH WORCESTER
• 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/10438128
• 关键词: UMass; Worcester; Prevention; Research; Center

ABSTRACT We seek continued support for the UMass Worcester Prevention Research Center (PRC), located at the University of Massachusetts Worcester. The UMass Worcester PRC serves as 1) The hub of applied public health research at UMass Worcester; 2) An integral part of the fabric of Greater Worcester's collaborative public health system; 3) A research partner that addresses real-world challenges across Worcester, MA, the Commonwealth and beyond; and 4) A national leader in applied prevention research and translation activities conducted in collaboration with public health, community and health care sectors. Under the guidance of a multi-sector, highly engaged community advisory board, we seek to grow and enhance a comprehensive center infrastructure and research portfolio that is responsive to local, state and Healthy People 2020 priorities. These include promoting healthy eating, physical activity, tobacco cessation and management of common conditions such as obesity, hypertension, diabetes, asthma and certain cancers. Our interventions and tools are intended to be implementable in real world settings that serve diverse populations, including: 1) interventions that build clinical capacity for implementing prevention programs, 2) interventions that build clinical-community linkages, 3) community-based (e.g., home, schools, community organizations) interventions, and 4) evaluations of policy, systems and built environmental approaches and approaches to improve their adoption. Guided by an expanded version of the CDC's Knowledge to Action Framework, we will amplify our research portfolio and establish the business case for prevention interventions through innovative activities that support dissemination, translation, stakeholder training and communication. We also will continue to inform local and state public health practice, train the next generation of public health researchers, and contribute to the national PRC network. The applied research project is an implementation study of the evidence-based Approach for Lowering blood pressure through Medication Adherence (ALMA) intervention, which was developed by members of our team. ALMA is a systems-based intervention that alerts medical assistants to identify patients with uncontrolled hypertension and facilitates referrals to a community health worker-delivered coaching intervention that promotes medication adherence. Implementation will be facilitated by leadership support and CHC-based medical and operations champions. Using a quasi-experimental design, we will conduct the study in partnership with federally-qualified community health centers (CHCs) that are members of an Accountable Care Organization (ACO) in Massachusetts. The intervention sites will be the Edward M. Kennedy Community Health Center and Family Health Center of Worcester, long-standing partners of our PRC. Five CHCs with similar patient profiles will serve as a comparison condition. Outcomes will include return on investment and cost-effectiveness, blood pressure control among sub-populations and implementation process outcomes. Findings will be used to promote the translation of ALMA into practice.

摘要 我们寻求持续的支持，以支持位于 马萨诸塞大学伍斯特分校。马萨诸塞州伍斯特大学中国分校是1)应用公共中心 马萨诸塞州大学伍斯特分校的健康研究；2)大伍斯特合作组织的组成部分 公共卫生系统；3)研究伙伴，解决马萨诸塞州伍斯特的现实世界挑战 英联邦及其他地区；以及4)应用预防研究和翻译活动的国家领先者 与公共卫生、社区和卫生保健部门合作进行。在一个人的指导下 由多个界别、高度参与的社区谘询委员会组成，我们寻求发展和提升一个全面的 2020年响应地方、州和健康人群的中心基础设施和研究组合 优先事项。这些措施包括促进健康饮食、体育活动、戒烟和管理 常见疾病，如肥胖、高血压、糖尿病、哮喘和某些癌症。我们的干预措施 和工具旨在可在服务于不同人群的现实世界环境中实施，包括：1) 建立实施预防方案的临床能力的干预措施，2)建立 临床-社区联系，3)以社区为基础(例如，家庭、学校、社区组织) 干预措施，以及4)评价政策、系统和已建立的环境办法和办法，以 提高他们的领养率。在疾控中心知识到行动框架的扩展版本的指导下，我们将 扩大我们的研究组合，并通过创新建立预防干预的业务案例 支持传播、翻译、利益攸关方培训和交流的活动。我们也会继续 向地方和州的公共卫生实践提供信息，培训下一代公共卫生研究人员，以及 为中国国家网络做出贡献。应用研究项目是对 通过药物依从性(ALMA)干预降低血压的循证方法， 它是由我们团队的成员开发的。ALMA是一种基于系统的干预措施，可提醒医疗人员 帮助识别未控制的高血压患者并促进转诊至社区健康中心 员工提供的指导干预，促进服药依从性。将促进实施 由领导层支持和以CHC为基础的医疗和运营冠军。使用准实验设计， 我们将与联邦合格的社区卫生中心(CHC)合作进行这项研究，这些中心是 马萨诸塞州责任关怀组织(ACO)的成员。干预地点将是 爱德华·M·肯尼迪社区健康中心和伍斯特家庭健康中心，长期合作伙伴 我们中华人民共和国的。具有相似患者特征的五家CHC将作为比较条件。结果将包括 投资回报和成本效益、亚人群的血压控制和 实施过程成果。调查结果将被用来促进将ALMA转化为实践。