Bronx Youth as Partners in Community Participatory Research on Health Disparities

描述(由申请者提供)：这个为期3年的项目使用基于社区的参与性行动研究来解决纽约布朗克斯区非裔美国人和拉丁裔青年之间的健康差距，他们是该项目定义的“社区”。我们将设计、实施和进行一项干预措施的过程评估，以缩小这个社区选择的一个健康差距。青少年是主要决策者；有两级伙伴关系：项目规划小组(PPG)和布朗克斯青少年健康联盟(联盟)都将充分参与这项工作的每个阶段。PPG包括：14名14-19岁的布朗克斯区青少年，他们代表了布朗克斯区更大的青少年社区；2名具有科学专长的研究人员；2名在制定/实施干预措施方面具有专长的项目专家；以及3名将提供健康信息的医生。该联盟包括具有为青年服务的广泛经验或在健康差距方面有具体专长的组织，并将提供建议以及政治和实际支持。具体目标1--建立伙伴关系--将通过建议的战略实现(例如，由某人负责培育伙伴关系本身、分担制定规则和程序的责任、在决策过程中公平)。具体目标2是进行需求评估，包括分析国家和地方数据；与利益攸关方进行深入的社区访谈；确定社区因素的“挡风玻璃之旅”；以及有关布朗克斯方案的数据。具体目标3，选择健康差距，将遵循弗里尔的听-对话-行动的结构化对话模式。将使用协商一致的方法来选择一个差异。Friere的行动阶段将在具体目标4中实施，即制定干预措施。我们将使用青少年干预试验中使用的技术来开发该计划。PPG/联盟将确定目标，PPG工作人员将提供技术援助。评估伙伴关系的具体目标6将利用伙伴关系自我评估工具和定性访谈，评估伙伴关系在领导/管理、协作进程、效率、协同作用、赋权和满意度方面的成功。这一过程将导致一种可测试的基于社区的干预措施，该干预措施是从社区自身的经验和专业知识发展而来的，得到流行病学数据、项目专业知识和理论的信息。

DESCRIPTION (provided by applicant): This 3-year project uses community-based participatory action research to address health disparities among African American and Latino youth in the Bronx, NY, who are the defined "community" for this project. We will design, implement and conduct a process evaluation of an intervention to reduce one health disparity selected by this community. Adolescents are the lead decision-makers; there are two levels of partnership: The Project Planning Group (PPG) and The Bronx Coalition for Adolescent Health (Coalition) Both will be full participants in each phase of the work. The PPG includes: 14 Bronx teenagers age 14-19 that represent the larger community of Bronx teens; 2 researchers with scientific expertise; 2 program specialists with expertise on developing/implementing interventions; and 3 physicians who will provide health information. The Coalition includes organizations having broad experience serving youth or specific expertise in a health disparity and will provide advice, and political and practical support. Specific Aim 1, building a partnership, will be accomplished through recommended strategies (e.g., having someone responsible for nurturing the partnership itself, shared responsibility for developing rules and processes, equity in decision making). Specific Aim 2, conducting a needs assessment, includes analyses of national and local data; in-depth community interviews with stakeholders; a "Windshield Tour" to identify community factors; and data on relevant Bronx programs. Specific Aim 3, selecting a health disparity, will be guided by Friere's structured dialogue model of listening-dialogue-action. Consensus methods will be used to select one disparity. Friere's action phase will be implemented in Specific Aim 4, developing the intervention. We will develop the program using techniques used in our adolescent intervention trials. The PPG/Coalition will identify goals with the PPG staff will provide technical assistance. Specific Aim 5, piloting/conducting a process evaluation, will identify problems in recruitment, retention, receptivity, etc. Specific Aim 6, evaluating the partnership, will assess the success of the partnership on leadership/management, the collaborative process, efficiency, synergy, empowerment, and satisfaction using the Partnership Self-Assessment Tool along with qualitative interviews. This process will lead to a testable community-based intervention that has grown from the community's own experience and expertise, informed by epidemiologic data, program expertise and theory.