Using a Social-Ecological Framework to Support Community Health Research

使用社会生态框架支持社区健康研究

• 批准号: 8007515
• 负责人: Paloma Hernandez
• 金额: $ 90.35万
• 依托单位: ALBERT EINSTEIN COLLEGE OF MEDICINE
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-07-06 至 2013-09-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8007515
• 关键词: AIDS/HIV problem; Academic Medical Centers; Acceleration; Accounting; Address; Age; Aging; Area; Asthma; Behavioral; Caring; Cessation of life; Clinical; Collaborations; Communities; Community Health; Community Health Centers; Country; County; Data Collection; Development; Diabetes Mellitus; Disadvantaged; Economically Deprived Population; Environmental Risk Factor; Evaluation; Faculty; Federally Qualified Health Center; Funding; Goals; HIV Infections; Health; Health Planning; Health Policy; Health Priorities; Heart Diseases; Human Resources; Hypertension; Individual; Informed Consent; Learning; Low income; Malignant Neoplasms; Measures; Medical; Medicine; Mental Health; Modeling; New York City; Obesity; Outcome; Participant; Phase; Policy Research; Process; Productivity; Provider; Public Health; Research; Research Activity; Research Infrastructure; Research Personnel; Research Priority; Research Proposals; Research Technics; Research Training; Resources; Series; Site; Surveys; System; Training; Translating; Trust; United States; Urban Health; Work; base; clinical practice; college; community based participatory research; comparative effectiveness; effectiveness research; health disparity; implementation research; infrastructure development; meetings; peer; practice-based research network; premature; programs; public health relevance; social

DESCRIPTION (provided by applicant): Community-based organizations and academic health centers each have unique resources, assets and expertise which could be used synergistically to promote health in the community by enhancing opportunities for health-related research. The goal of this application is to develop, implement and evaluate a creative and sustainable infrastructure to promote and enable research in the Bronx between Urban Health Plan (UHP), a network of federally-qualified health centers in one of the most disadvantaged areas of the United States, and the Albert Einstein College of Medicine (Einstein) experts in clinical, translational and community research. This goal will be reached over three years through the following Specific Aims. Aim 1 is to complete an in- depth evaluation of the community's capacity and priorities for research employing a community-based participatory approach. This will be accomplished using a social-ecological framework, so that research at all levels--from the individual through comparative effectiveness research to public health and policy--can be addressed. The Einstein Diabetes Research and Training Center research faculty will work with UHP partners to build trust, collaboration and lasting partnerships to complete development of the infrastructure to meet their needs. Experts in community evaluations will guide the process. Einstein researchers will leverage their close working relationships with other strong Einstein research centers, such as for cancer, heart disease, mental health, aging, health disparities, and HIV/AIDS, so that priority health concerns of the community can be addressed. Aim 2 is to implement this infrastructure and to train selected personnel at UHP in high-quality research techniques, including subject recruitment, informed consent and retention, data collection and management, and administration of surveys. The RE-AIM evaluation model will be used to assess this implementation phase as research activities begin. Included in this phase for Aim 2 will be collaboration between UHP and Einstein to evaluate existing UHP funded programs, such as those currently in place for the asthma peer educator program, and to support UHP clinicians in developing their own proposals for funding. Aim 2 will be a phase of acceleration in research productivity at UHP and Einstein. Aim 3 is to evaluate the partnership and infrastructure for UHP-Einstein collaboration and to translate this infrastructure for dissemination to 3 Bronx sites in the Einstein-sponsored New York City Research and Implementation Networking Group, a practice-based research network of over 30 practices. Lessons learned from the UHP collaboration will guide further research capacity development and dissemination in this network. Evaluation of progress in the research network will be accomplished by the end of year 3. Planning for sustainability will be a priority in each aim and each year of this project. The public health impact of this collaboration to build infrastructure will be measured using the RE-AIM model appropriate for each aim and by the specific health or clinical practice outcomes chosen for emphasis by the community and academic health center partners. PUBLIC HEALTH RELEVANCE: The public health impact of this collaboration to build sustainable infrastructure will be measured using a social-ecological framework and the RE-AIM model, and by the specific health or clinical practice outcomes chosen for emphasis by the community and academic health center partners. Community-based organizations and academic health centers each have unique resources and expertise which will be used synergistically to promote health in the community by enhancing opportunities for health-related research.

描述（由申请人提供）：基于社区的组织和学术健康中心都有独特的资源，资产和专业知识，可以协同使用，以促进健康在社区通过提高健康相关的研究的机会。该应用程序的目标是开发，实施和评估一个创造性的和可持续的基础设施，以促进和实现城市健康计划（UHP），在美国最贫困地区之一的联邦合格的健康中心网络，以及阿尔伯特·爱因斯坦医学院（爱因斯坦）在临床，转化和社区研究专家之间的布朗克斯的研究。这一目标将通过以下具体目标在三年内实现。目标1是采用基于社区的参与性方法，完成对社区研究能力和优先事项的深入评价。将利用社会生态框架来完成这项工作，以便能够处理所有各级的研究-从个人到比较效力研究，再到公共卫生和政策。爱因斯坦糖尿病研究和培训中心的研究人员将与UHP合作伙伴合作，建立信任，合作和持久的伙伴关系，以完成基础设施的开发，以满足他们的需求。社区评价专家将指导这一进程。爱因斯坦研究人员将利用他们与其他强大的爱因斯坦研究中心的密切工作关系，如癌症，心脏病，心理健康，老龄化，健康差距和艾滋病毒/艾滋病，以便解决社区的优先健康问题。目标2是实施这一基础设施，并在高质量的研究技术，包括受试者招募，知情同意和保留，数据收集和管理，并管理调查，在UHP选定的人员进行培训。随着研究活动的开始，RE-AIM评价模型将用于评估这一实施阶段。目标2的这一阶段将包括UHP和Einstein之间的合作，以评估现有的UHP资助项目，例如目前实施的哮喘同伴教育者项目，并支持UHP临床医生制定自己的资助提案。目标2将是UHP和爱因斯坦研究生产力加速的一个阶段。目标3是评估UHP-爱因斯坦合作的伙伴关系和基础设施，并将这一基础设施转化为传播到爱因斯坦赞助的纽约市研究和实施网络组的3个布朗克斯站点，这是一个由30多个实践组成的基于实践的研究网络。从UHP合作中吸取的经验教训将指导该网络的进一步研究能力发展和传播。对研究网络进展情况的评估将在第三年年底完成。可持续性规划将是该项目每一年的每一个目标的优先事项。这种合作建立基础设施的公共卫生影响将使用适用于每个目标的RE-AIM模型以及社区和学术健康中心合作伙伴选择强调的特定健康或临床实践结果进行测量。 公共卫生关系：这种合作建立可持续基础设施的公共卫生影响将使用社会生态框架和RE-AIM模型进行测量，并通过社区和学术健康中心合作伙伴选择强调的特定健康或临床实践结果进行测量。社区组织和学术健康中心都拥有独特的资源和专业知识，通过增加健康相关研究的机会，这些资源和专业知识将协同用于促进社区健康。

项目成果

An investigation of asthma care best practices in a community health center.

对社区卫生中心哮喘护理最佳实践的调查。

• DOI: 10.1353/hpu.2012.0140
• 发表时间: 2012
• 期刊: Journal of health care for the poor and underserved
• 影响因子: 1.4
• 作者: Lester,Deborah;Mohammad,Acklema;Leach,EileenEnny;Hernandez,PalomaIzquierdez;Walker,ElizabethA
• 通讯作者: Walker,ElizabethA