Project AsPIRE (Asian American Partnerships in Research)

描述(由申请人提供)：这项为期三年的规划拨款的总体目标是通过使用患者导航器，改善居住在纽约大都会地区的菲律宾裔美国人的心血管疾病(CVD)的医疗机会和状况。这项应用程序有四个具体目标：(1)创建一个基础设施，促进开展基于社区的参与性研究(CBPR)；(2)进行描述性研究，检查菲律宾裔美国社区的知识、健康做法、健康获得机会和心血管疾病的风险因素；(3)进行一项实验研究，评估密集的患者导航干预在改善菲律宾裔美国人的健康机会和心血管疾病状况方面的有效性；以及(4)评估CBPR作为处理和消除健康差距的方法的有效性。第一年的重点是在社区的参与下，建立伙伴关系和建立患者导航仪干预，以改善菲律宾裔美国人的高血压控制。Kalusugan(即菲律宾的“健康”)联盟--由为菲律宾裔美国人社区服务的学术和社区合作伙伴组成--自2004年以来一直举行会议。将成立一个社区咨询委员会和七个由联盟成员组成的特别工作组，并在第一年举行会议。第二年和第三年实施试点干预措施，以测试患者导航员干预措施的效果。将进行随机对照试验。在社区筛查中被确认为高血压的25-55岁的菲律宾裔美国男性和女性将被随机分成更密集(n=108)和较低强度(n=108)的患者导航器干预。更密集的干预将提供由患者导航员进行的六个协议化会议；在健康信念模式和社会支持理论的指导下，会议将集中于(A)提供关于高血压和心血管疾病的信息，(B)联系和谈判与初级保健医生的联系，(C)提供社会支持，以及(D)确保遵守服药和预约。将进行一次基线访谈和两次后续访谈，以评估客户的结果，包括收缩压和舒张压以及坚持服药和遵守预约。相关性：菲律宾裔美国人表现出较高的高血压患病率，因此患心血管疾病和中风的风险较高。然而，为这一人群制定和实施的干预措施很少，以解决这些关切。患者导航器干预是在社区的参与下开发的，以确保其文化和语言的适当性，通过帮助菲律宾裔美国人控制血压，有可能预防心血管疾病和中风。

DESCRIPTION (provided by applicant): The overall goal of this three-year planning grant is to improve health access and status for cardiovascular disease (CVD) in Filipino Americans living in the New York City metropolitan area through the use of patient navigators. This application has four specific aims: (1) to create an infrastructure that facilitates the conduct of community-based participatory research (CBPR), (2) to conduct a descriptive study that examines the Filipino American community's knowledge, health practices, health access, and risk factors for CVD, (3) to conduct an experimental study to assess the efficacy of an intensive patient navigator intervention in improving health access and status for CVD among Filipino Americans, and (4) to evaluate CBPR as an approach for addressing and eliminating health disparities. Year 1 focuses on partnership development and creation, with community participation, of a patient navigator intervention to improve hypertension control in Filipino Americans. The Kalusugan (i.e., "health" in Pilipino) Coalition-comprised of academic and community partners serving the Filipino American community-has met since 2004. A community advisory board and seven taskforces comprised of Coalition members will be created and meet during Year 1. Years 2 and 3 implement a pilot intervention to test the efficacy of the patient navigator intervention. A randomized controlled trial will be conducted. Filipino American men and women ages 25-55 identified as hypertensive during community screenings will be randomized into a more intensive (n = 108) and less intensive (n = 108) patient navigator intervention. The more intensive intervention will provide six protocolized sessions conducted by patient navigators; guided by the Health Belief Model and social support theory, sessions will focus on (a) providing information on high blood pressure and CVD, (b) linking and negotiating access to a primary care physician, (c) providing social support, and (d) assuring adherence to medication taking and appointment keeping. A baseline and two follow-up interviews will be conducted to assess client outcomes, including systolic and diastolic blood pressure and adherence to medication taking and appointment keeping. RELEVANCE: Filipino Americans exhibit high rates of hypertension and are therefore at high risk for cardiovascular disease and stroke. However, few interventions have been developed and implemented for this population to address these concerns. A patient navigator intervention, developed with community input to ensure its cultural and linguistic appropriateness, has the potential to prevent cardiovascular disease and stroke by helping Filipino Americans control their blood pressure.