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

该申请将建立一个差异研究和社区参与综合卓越中心（CEDREC），该中心由威尔康奈尔医学院、纽约城市大学亨特学院护理学院、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组成。主任Carla Boutin-Foster博士和联席主任Mary Charlson博士将建立4个核心：1)研究核心将利用威尔康奈尔大学和纽约大学在转化行为科学研究方面的专业知识来推进健康差异研究；2)研究培训核心将通过发展健康差异研究项目来增加训练有素的少数民族调查员的数量，该项目为亨特大学的少数民族护理学生和林肯大学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哈林区中部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，参与设计新的社区项目；4)行政核心将协调这些科学举措，并建立一个跨学科的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“在高血压中使用动机访谈和积极影响和自我肯定的试验（TRIUMPH）”，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。TRIUMPH以社会认知理论为框架，运用积极情感归纳法、自我肯定归纳法和动机性访谈作为行为策略。第二项，“多行为干预增加筛查和提高黑人男性风险降低（MISTER-B）”，是一项新颖的随机社区试验，在理发店进行，目标是50岁以上未进行结直肠癌筛查的高血压黑人男性。mr - b将采用两种策略来提高血压控制率和结直肠癌筛查率：使用动机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报员的同伴咨询。CEDREC的独特之处在于：1)目标人群难以触及，如黑人男性；2)利用非传统场所；3)将基本行为科学理论转化为理解和制定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.