Comprehensive Ctr of Excellence in Disparities Res & Commun Engagement (CEDREC)

这项申请将建立一个差异研究和社区参与综合卓越中心(CEDREC)，作为威尔·康奈尔医学院、亨特学院护理学院-纽约城市大学、林肯医学和心理健康中心以及纽约大学医学院健康行为改变中心的联合体。主任Carla Boutin-Foster博士和联席主任Mary Charlson博士将建立4个核心：1)研究核心将通过利用威尔·康奈尔大学和纽约大学在翻译行为科学研究方面的专业知识来促进健康差异研究；2)研究培训核心将通过开发一个健康差异研究计划来增加训练有素的少数族裔研究人员的数量，该计划为亨特的少数族裔护理学生和林肯的初级教师提供健康差异研究培训；3)社区参与核心将加强在中央哈莱姆区和南布朗克斯的研究能力，并建立一个积极的社区咨询委员会，参与设计新的基于社区的项目；4)行政核心将协调这些科学举措，并设立一个跨学科执行委员会和外部咨询委员会，以确保CEDREC的增长和可持续性。在我们已完成的NHLBI资助项目的基础上提出了两项研究。第一项题为“在高血压患者中使用激励性访谈和积极情感和自我肯定的试验(凯旋)”，是一项随机对照试验，旨在改善黑人高血压患者的血压控制。凯旋以社会认知理论为框架，运用积极情感诱导、自我肯定诱导和动机访谈作为行为策略。第二项是“多行为干预以增加筛查和增强黑人男性的风险降低(Mister-B)”，这是一项新颖的、随机的社区试验，在理发店进行，目标是50岁以上没有接受过结直肠癌筛查的高血压黑人男性。Mister-B将应用两种策略来提高血压控制和结直肠癌筛查的比率：使用激励性访谈的治疗性生活方式咨询和使用来自社区的训练有素的患者导航员的同行咨询。CEDREC是独一无二的，因为它1)针对难以接触到的人群，黑人男性，2)利用非传统场所，3)将基本行为科学理论转化为理解和开发紧迫公共卫生问题的解决方案。

This application will establish a Comprehensive Center of Excellence in Disparities Research and Community Engagement (CEDREC) as a consortium between Weill Cornell Medical College, Hunter College School of Nursing -City University of New York, Lincoln Medical and Mental Health Center and the Center for Healthful Behavior Change at New York University School of Medicine. The Director Dr. Carla Boutin-Foster and Co-Director Dr. Mary Charlson will establish 4 cores: 1)The Research Core will advance health disparities research by leveraging Weill Cornell's and New York University's expertise in translational behavioral science research ; 2)The Research Training Core will increase the number of well-trained minority investigators by developing a Health Disparities Research program that provides health disparities research training for minority nursing students at Hunter and junior faculty at Lincoln; 3) The Community Engagement Core will strengthen the capacity for research in Central Harlem and the South Bronx and establish an active Community Advisory Board that will participate in designing new community-based projects; and 4)The Administrative Core will coordinate these scientific initiatives and establish an interdisciplinary Executive Committee and External Advisory Board that will ensure the growth and sustainability of CEDREC. Two studies that build upon our completed NHLBI funded projects are proposed. The first entitled "Trial Using Motivational Interviewing and Positive Affect and Self-affirmation in Hypertension (TRIUMPH)", is a randomized controlled trial designed to improve blood pressure control in hypertensive black patients. TRIUMPH is framed on Social Cognitive Theory and applies positive affect induction, self-affirmation induction, and motivational interviewing as behavioral strategies. The second, "Multibehavior Intervention to Increase Screening and Enhance Risk Reduction in Black Men (MISTER-B)", is a novel, randomized community-based trial, conducted in barbershops that targets hypertensive black men over age 50 who have not had colorectal cancer screening. MISTER-B will apply two strategies to improve the rates of blood pressure control and colorectal cancer screening: therapeutic lifestyle counseling using motivational interviewing and peer counseling using trained patient navigators from the community. CEDREC is unique because it 1) targets hard to reach populations, black men, 2) utilizes non-traditional venues and 3) translates basic behavioral science theories to understanding and developing solutions to pressing public health issues.