Socioecological and Behavioral Science for Equity Core

核心C：方案摘要/摘要 影响糖尿病患病率、并发症和预后的因素有很大差异。这个 美国东南部是健康和社会脆弱性的重要交汇点，那里的人口 受糖尿病影响不成比例的人往往由种族/民族、社会经济地位、年龄、 性别、性别认同、合并症和地理位置。因此，在道德上开发和使用- 协调一致的战略，以吸引、招募和留住不成比例的受影响人群，对于 糖尿病转化研究和健康公平。然而，一个主要的差距是覆盖范围、采用率和 持续使用循证预防和护理方案，特别是在少数群体和服务不足的人群中 人口。成功地将证据转化为实践、计划和政策是一个复杂而漫长的过程 这得益于对社会生态因素的理解、有意识的社区参与和应用 行为学和实施学的途径和方法。有效的翻译研究可以 有效确定提高REACH采用率、利用率和持续参与循证服务的方法 预防和护理方案。佐治亚州糖尿病翻译研究中心(GCDTR)建议 社会生态和行为科学促进公平核心(核心C)，将利用集体 前任核心联席董事的优势[Henry Akintobi，(Diffance)和Escoery(敬业度和行为 Change)]，一个由核心专家组成的多学科小组，以及有意纳入社区伙伴 以及准备咨询、指导和聘用调查人员的组织。Core C利用埃默里大学， 佐治亚理工学院和莫尔豪斯医学院令人印象深刻的合作和 长期从事翻译研究工作。核心C将为使用提供更广泛的支持和指导 社区参与的翻译研究和行为改变模式，以解决多层面的决定因素 健康(目标1)，提供关于混合方法数据分析策略的方法专门知识和教育(目标1 2)，并采用社区参与的方法，促进创新数字技术在 糖尿病预防和管理实施研究(目标3；与区域核心合作)。 Core C还将与其他GCDTR核心和计划合作，以实施协调、创新的 “多学科团队方法”，以支持GCDTR的试点、可行性和丰富方案， 指导早期职业生涯和代表性不足的少数族裔调查人员，并促进翻译研究和 公平。

CORE C: PROGRAM SUMMARY / ABSTRACT There are significant disparities that influence prevalence, complications, and outcomes in diabetes. The Southeastern U.S. represents an important intersection of health and social vulnerability where populations disproportionately affected by diabetes tend to be defined by race/ethnicity, socioeconomic status, age, gender, sexual identity, comorbidities, and geography. As such, the development and use of ethically- congruent strategies to engage, recruit, and retain disproportionately affected populations is critical for diabetes translation research and health equity. However, a major gap is suboptimal reach, adoption, and sustained use of evidence-based prevention and care programs, especially among minorities and underserved populations. Successful translation of evidence to practice, programs, and policy is a complex, lengthy process that benefits from understanding socioecological factors, intentional community engagement, and application of behavioral and implementation science approaches and methods. Effective translation research can efficiently identify ways to improve reach adoption, utilization, and continued engagement with evidence-based prevention and care programs. The Georgia Center for Diabetes Translation Research (GCDTR) proposes a Socio-ecological and Behavioral Science for Equity Core (Core C) that will leverage the collective strengths of previous core co-directors [Henry Akintobi, (Disparities) and Escoffery (Engagement and Behavior Change)], a multi-disciplinary group of Core Experts, and the intentional incorporation of community partners and organizations poised to consult, guide and engage investigators. Core C leverages Emory University, Georgia Institute of Technology, and Morehouse School of Medicine's impressive history of collaboration and longstanding work in translation research. Core C will provide expanded support and guidance towards the use of community-engaged translation research and behavior change models to address multilevel determinants of health (Aim 1), provide methodological expertise and education on mixed method data analytic strategies (Aim 2), and apply community-engaged methods to facilitate the application of innovative digital technologies in diabetes prevention and management implementation research (Aim 3; collaboration with Regional Core). Core C will also partner with other GCDTR Cores and Programs to implement a coordinated, innovative “multidisciplinary team approach” to support the GCDTR's Pilot and Feasibility and Enrichment Programs, mentor early career and underrepresented minority investigators, and to promote translation research and equity.