African American Health Improvement Partnership

描述（由申请人提供）：非裔美国人健康改善伙伴关系是一个以社区为基础的参与性研究项目，该项目将测试综合教育、行为和心理社会干预的有效性，以实现300名不同经济背景、年龄在18岁及以上、医生诊断为2型糖尿病的非裔美国人平均HbA1c分数降低10%。干预措施的目的主要是通过改善三个假定的因果途径来实现这一减少：(a)获得医疗用品和治疗以及接受高质量的医疗护理；(b)同伴和社区卫生教育工作者提供针对糖尿病的社会支持；(c)专业和同伴支持，以实现健康的体重。结构方程模型（SEM）将是评估HbA1c预期变化与影响这三种途径的变量预期变化的对应程度的主要分析工具。研究结果将通过与社区伙伴的合作转化为最佳做法，并广泛传播给研究界和实践界。

DESCRIPTION (provided by applicant): The African-American Health Improvement Partnership is a Community-Based Participatory Research Project that will test the effectiveness of an integrated educational, behavioral, and psychosocial intervention to achieve a 10% reduction in mean HbA1c scores among 300 economically diverse African Americans, ages 18 and older, who have physician-diagnosed type 2 diabetes. The intervention aims to bring about this reduction primarily by effecting improvements in three hypothesized causal pathways: (a) access to medical supplies and treatment and receipt of quality medical care, (b) diabetes-specific social support from peers and community health educators, and (c) professional and peer support to move towards a healthy body weight. Structural Equation Modeling (SEM) will be the primary analytic tool to evaluate the degree to which desired changes in HbA1c correspond to desired changes in variables compromising these three pathways. Findings will be translated into best practices through collaboration with community partners and widely disseminated to both the research and practice communities.