Colorado Consortium for Health Behavior Change

描述（由申请人提供）：科罗拉多心脏病健康行为改变联盟：增强行为机制的理论和模型。摘要：该提案要求支持在2年内召集8次季度会议，由活跃在心肺疾病领域的经验丰富的临床研究人员组成的多元化联盟，将健康行为改变作为重点。本次会议提案的广泛和长期目标是允许联盟成员评估和增强现有的健康行为改变的理论模型，从而促进改进用于心肺疾病的预防和干预策略的发展。本次会议提案的具体目标是：1）识别和评估与心肺疾病相关的三个关键层面（个人、关系-社区和经济-系统）的现有健康行为改变模型所规定的行为改变机制的证据; 2）完善和整合现有模型，以更好地为解决心肺疾病的研究中的健康行为改变提供信息;以及3）制定一个战略计划，以测试多学科模式对健康行为改变的使用，并为参加联盟会议的初级研究人员提供职业发展机会和资源。将尽一切努力鼓励妇女参与，并让少数民族和残疾人参加联合会会议。这一建议的意义在于，健康行为，如缺乏运动、暴饮暴食和吸烟，是心肺疾病发展和病程的主要因素，已被证明相对难以改变。虽然如何改变健康行为的理论和模型在研究界得到了一定程度的关注，但这种关注通常不会像我们建议的那样跨多个层次地研究理论，并且大多数先前使用的理论所产生的预防和干预努力通常只是部分有效，成本高昂，并且不容易转化为“真实的世界”。本提案所支持的联盟活动经过精心规划，旨在创建新的合作研究团队，通过更加关注和战略性地使用多层次理论模型，将在心肺疾病领域开展更强大的预防和干预工作，从而实现更大的覆盖范围，有效性和可采用性。 公共卫生相关性：科罗拉多心脏病健康行为改变联盟：增强行为机制的理论和模型。公共卫生相关性声明：人类行为可以预防或诱发疾病，是任何计划治疗成功的主要决定因素。事实上，美国40%的过早死亡是由人类行为造成的，包括饮酒、缺乏运动、吸烟和暴饮暴食。其他导致心肺疾病控制不良的行为包括出现症状时不愿就医和对治疗建议的依从性差。尽管如何改变这些健康行为的理论和模型在研究界受到了一定程度的关注，但这种关注通常不会像我们建议的那样跨多个层次地研究理论，并且大多数先前使用的理论所产生的预防和干预努力通常只是部分有效，成本高昂，并且不容易转化为“真实的世界”设置。本提案所支持的联盟活动经过精心规划，旨在创建新的合作研究团队，通过更加关注和战略性地使用多层次理论模型，将在心肺疾病领域开展更强大的预防和干预工作，从而实现更大的覆盖范围，有效性和可采用性。因此，该提案非常符合关键的公共卫生促进目标，包括2020年健康人的总体目标。

DESCRIPTION (provided by applicant): Colorado Consortium for Health Behavior Change in Cardiopulmonary Illness: Enhancing Theory and Models of Behavioral Mechanisms. Abstract: This proposal requests support to bring together for 8 quarterly meetings over 2 years a very diverse consortium of highly experienced clinical researchers active in the area of cardiopulmonary illness with health behavior change as a key focus. The broad and long-term goal of this conference proposal is to allow consortium members of appraise and enhance existing theoretical models of health behavior change and thereby foster development of improved prevention and intervention strategies for use in cardiopulmonary illness. The specific aims of this conference proposal are: 1) to identify and appraise evidence about behavior change mechanisms specified by existing models of health behavior change across three key levels, individual, relational-community, and economic-systemic, of relevance to cardiopulmonary illness; 2) to refine and integrate existing models to better inform health behavior change in research addressing cardiopulmonary illness; and 3) to develop a strategic plan for testing the use of multidisciplinary models for health behavior change as well as to offer career-development opportunities and resources for the junior investigators attending consortium meetings. Every effort will be made to encourage participation of women and to include minorities and persons with disabilities in Consortium meetings. The significance of this proposal is that health behaviors, such as physical inactivity, overeating and smoking, are major factors in the development and course of cardiopulmonary illness that have proven relatively difficult to change. Although theories and models of how to change health behaviors receive some degree of attention within the research community, such attention typically does not examine theory across multiple levels as we propose to do, and the prevention and intervention efforts arising from most prior use of theory typically has been only partially effective, costly, and not easily translated into "real world" settings. The Consortium activities to be supported by this proposal have been carefully planned to lead to the creation of new collaborative research teams which through greater focus upon and strategic use of multilevel theoretical models will develop more robust prevention and intervention efforts with greater reach, effectiveness, and adoptability in the area of cardiopulmonary illness. PUBLIC HEALTH RELEVANCE: Colorado Consortium for Health Behavior Change in Cardiopulmonary Illness: Enhancing Theory and Models of Behavioral Mechanisms. Public Health Relevance Statement: Human behavior can prevent or invite disease and is a major determinant of the success of any planned treatment. Indeed, 40% of premature deaths in the US are caused by human behaviors including alcohol use, physical inactivity, smoking and overeating. Other behaviors that contribute to poorly controlled cardiopulmonary disease include an unwillingness to seek medical attention when symptoms are present and poor adherence to treatment recommendations. Although theories and models of how to change these health behaviors receive some degree of attention within the research community, such attention typically does not examine theory across multiple levels as we propose to do, and the prevention and intervention efforts arising from most prior use of theory typically has been only partially effective, costly, and not easily translated into "real world" settings. The Consortium activities to be supported by this proposal have been carefully planned to lead to the creation of new collaborative research teams which through greater focus upon and strategic use of multilevel theoretical models will develop more robust prevention and intervention efforts with greater reach, effectiveness, and adoptability in the area of cardiopulmonary illness. Accordingly, this proposal is very well aligned with key public health promotion goals, including the overarching goals of Healthy People 2020.