Bronx Faith-Based Initiative to Eliminate Racial Disparities in Health

描述(由申请人提供)：长期目标：拟议项目的总体目标是消除西南部布朗克斯居民在健康结果方面的种族差异。该项目由40个社区和宗教组织组成的联盟Bronx Health Reach、城市家庭健康研究所和纽约大学健康与公共服务研究中心赞助。该联盟成立于1999年，制定了一系列以社区为基础的干预措施，通过健康促进和疾病预防活动来衡量和改变知识、态度和行为。这些活动侧重于社区成员高度流行和关切的慢性病，以及那些可以通过改变生活方式和自我管理进行初级预防的慢性病。 具体目标：拟议的项目--布朗克斯基于信仰的健康公平倡议--将评估以信仰为基础的干预措施的影响，以改善糖尿病和相关心血管疾病风险社区成员的健康和保健。该干预措施代表了在本项目规划阶段确定的最佳做法，并使其适用于双文化社区。它将确定、评估知识、态度和行为的变化，评估该计划对教会计划和政策的影响，并确定解决健康差距的双语、双文化计划的关键要素。 理论基础：越来越多的文献指出，医疗保健方面的差异在少数族裔较差的健康结果中扮演着重要角色。通过将教育和行为战略与基于信仰的机构和领导人联系起来，该联盟寻求确定是否可以利用强大的社区资源来减少社区成员之间的差距。 方法：建议的CBPR模式将采用准实验设计，针对每个项目目标，使用一组干预教会和对照教会。将通过纵向事前和事后调查来评估对会众的影响。将通过焦点小组和主要线人访谈来确定对教会的影响和确定关键方案要素。 公共卫生价值：拟议的CBPR将有助于建立基于信仰的健康干预措施的知识库，并通过确定有助于或限制基于信仰的干预措施的有效性的因素，改善未来的合作，以减少健康方面的种族差异。

DESCRIPTION (provided by applicant): Long term goal: The overall goal of the proposed project is to eliminate racial disparities in health outcomes among residents of the southwest Bronx. The project is sponsored by Bronx Health REACH, a coalition of 40 community and faith-based organizations, the Institute for Urban Family Health, and the Center for Health and Public Service Research at New York University. Established in 1999, the Coalition has developed a series of community-based interventions to measure and change knowledge, attitudes and behaviors through health promotion and disease prevention activities. These activities have focused on chronic diseases of high prevalence and concern to community members and those which are amenable to primary prevention through lifestyle modification and self-management. Specific aims: The proposed project, The Bronx Faith-Based Initiative for Health Equity, will evaluate the impact of a faith-based intervention to improve health and health care of community members at risk for diabetes and related cardiovascular disease. The intervention represents best practices identified during the planning phase of this project, and adapts these for a bicultural community. It will identify, evaluate changes in knowledge, attitudes, and behaviors, assess the impact of the program on church programs and policies, and identify key elements of a bilingual, bicultural program to address health disparities. Rationale: A growing body of literature points to the role that disparities in health care play in poorer health outcomes for minorities. By linking educational and behavioral strategies with faith-based institutions and leaders, the Coalition seeks to determine whether a strong community resource can be tapped to reduce disparities among community members. Methods: The proposed CBPR model will utilize a quasi-experimental design with a cohort of intervention churches and control churches for each of the program aims. Impact on congregants will be assessed through longitudinal pre- and post-surveys. Impact on churches and identification of key program elements will be identified through focus groups and key informant interviews. Public health value: The proposed CBPR will contribute to the knowledge base about faith-based health interventions and improve future collaborations by identifying factors contribute to or limit the effectiveness of faith-based interventions to reduce racial disparities in health.