Collaborations for Health Improvement in East Harlem

描述(申请人提供)：东哈莱姆区(EH)是纽约市曼哈顿北部的一个大型少数族裔社区。它的居民50%是拉丁裔，40%是黑人。与居住在该市几乎任何其他社区的人相比，他们更贫穷，患的慢性病更多，健康状况更差。EH位于街对面(第96街)来自上东区，这是该市最健康、最富裕的社区之一。这两个社区被一条城市街道隔开，展示了美国一些最大的健康差距。在各种健康和保健措施上，8到10倍的差异并不少见。 使用传统的研究资助机制，我们的研究团队与东哈莱姆区的各种社区团体、组织和个人持续合作了近10年。在每一个案例中，研究团队都把自己的想法带给了社区，社区几乎没有机会真正参与到研究的设计和执行中。我们已经完成了一些成功的研究项目，包括一些制定并展示了有效的改善健康干预措施的项目。我们已经创建了新的模式，以便在我们的社区中持续进行健康改善干预。然而，我们没有机会从项目构思的一开始就包括社区参与，直到研究设计、实施和评估。 在此应用程序中，我们与联合结算协会(Union Setting Association)和北方综合医院(North General Hospital)建立了密切的合作伙伴关系，前者是一家以社区为基础的服务提供商，100多年来一直为东哈莱姆区提供各种服务，后者是哈莱姆区唯一的私立非营利性非学术医院。我们与这些合作伙伴和一群社区代表密切合作，计划应用程序。我们将共同召集一个扩大的社区行动委员会，由社区成员组成，他们反映了东哈莱姆区重要的社会网络和组织，并致力于解决健康差距问题。该社区行动委员会将指导使用当地卫生机构和疾控中心制定的模式--通过规划和伙伴关系动员行动--进行社区需求评估。这一模式在我们申请前的社区规划过程中得到了评估和批准。在第一年，我们将共同完成社区评估。评估过程将指导合作伙伴确定我们将制定试点干预措施要解决的疾病或状况，以及我们的社区合作伙伴和研究团队认为最有可能产生最大积极影响的干预措施类型。在第二年和第三年，我们将与我们的社区合作伙伴合作，开发和测试试点干预措施的所有方面，以及我们建议用来评估其影响的研究设计。

DESCRIPTION (provided by applicant): East Harlem (EH) is a large minority community in northern Manhattan in New York City. Its residents are 50% Latino and 40% Black. They are poorer and experience more chronic disease and worse health outcomes than those living in almost any other community in the city. EH is located across the street (96th St.) from the Upper East Side, one of the city's healthiest and wealthiest neighborhoods. These two communities separated by a single city street, exhibit some of the largest health disparities in the United States. On a variety of health and health care measures, differences of 8 to10 fold are not uncommon. Using traditional research funding mechanisms, our research team has collaborated continuously for nearly 10 years with a variety of community groups, organizations, and individuals in East Harlem. In each instance, the research team brought its ideas to the community, with little opportunity for true participation by the community in the design and execution of the research. We have completed a number of successful research projects, including some that developed and demonstrated effective health improvement interventions. We have created new models for sustaining health improvement interventions in our community. We have not, however, had the opportunity to include community participation from the very beginning of project conception, through research design, implementation and evaluation. In this application, we have created a close partnership with Union Settlement Association, a community-based provider of a wide variety of services to East Harlem for over 100 years, and with North General Hospital, the only private, not for profit, non-academic hospital in Harlem. We worked closely with these partners and a group of community representatives to plan the application. Together, we will convene an expanded Community Action Board comprised of community members who reflect important social networks and organizations in East Harlem, and who are committed to addressing health disparities. This Community Action Board will guide the conduct of a community needs assessment using the model, Mobilizing for Action through Planning and Partnerships, developed by local health agencies and the CDC. This model was evaluated and approved during our pre-application community-based planning process. During the first year, we will work together to complete the community assessment. The assessment process will guide the partners to identify the illness or condition we will develop our pilot intervention to address and the type of intervention our community partners and research team believes most likely to yield the greatest positive impact. In the second and third grant years, we will work with our community partners to develop and test all aspects of the pilot intervention and the research design by which we propose to assess its impact.