Collaborations for Health Improvement in East Harlem

东哈林区健康改善合作

• 批准号: 7057097
• 负责人: MARK R CHASSIN
• 金额: $ 57万
• 依托单位: ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-09-30 至 2008-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7057097
• 关键词: Collaborations; Health; Improvement; East; Harlem

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.

描述（由申请人提供）：东哈莱姆（EH）是纽约市北方曼哈顿的一个大型少数民族社区。居民中50%为拉丁裔，40%为黑人。他们比城市中几乎任何其他社区的人都更穷，患慢性病的次数更多，健康状况更差。EH位于街对面（第96街）。来自上东区，这是城市最健康最富有的社区之一。 这两个社区被一条城市街道隔开，显示出美国最大的健康差距。 在各种健康和保健措施方面，8至10倍的差异并不罕见。 使用传统的研究资助机制，我们的研究团队已经连续合作了近10年，在东哈莱姆的各种社区团体，组织和个人。 在每一种情况下，研究小组都把自己的想法带给社区，社区几乎没有机会真正参与研究的设计和执行。 我们已经完成了一些成功的研究项目，包括一些开发和展示有效的健康改善干预措施。 我们创造了新的模式，以持续改善我们社区的健康状况。 然而，我们没有机会从项目构想的一开始就通过研究设计、执行和评价纳入社区参与。 在这个应用程序中，我们已经创建了一个紧密的合作伙伴关系与联盟结算协会，一个以社区为基础的各种服务提供商东哈莱姆超过100年，并与北方总医院，唯一的私人，不以营利为目的，非学术医院在哈莱姆。 我们与这些合作伙伴和一组社区代表密切合作，规划应用程序。 我们将共同召集一个扩大的社区行动委员会，由反映东哈莱姆重要社交网络和组织的社区成员组成，他们致力于解决健康差距问题。该社区行动委员会将利用地方卫生机构和疾病预防控制中心开发的“通过规划和伙伴关系动员行动”模式，指导开展社区需求评估。该模型在我们的申请前社区规划过程中得到了评估和批准。 在第一年，我们将共同努力完成社区评估。 评估过程将指导合作伙伴确定我们将制定试点干预措施以解决的疾病或状况，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类型。在第二和第三个赠款年，我们将与社区合作伙伴合作，开发和测试试点干预措施的各个方面，以及我们建议评估其影响的研究设计。