Project AsPIRE (Asian American Partnership in Research and Empowerment)

描述（由申请人提供）：该干预补助金的总体目标是通过使用社区卫生工作者（CHW）改善居住在纽约市和泽西城的菲律宾裔美国人的心血管疾病（CVD）的健康获取和状况。本申请有三个具体目标：1.）利用三年规划补助金项目的描述性研究和试点干预结果，调整现有的CHW干预措施。2.）利用具体目标1的结果，实施和评估CHW干预措施的有效性，以改善居住在纽约和新泽西的菲律宾裔美国人的高血压管理和护理。3.）第三章评估使用CBPR方法实施和维持CHW干预以改善菲律宾裔美国人高血压管理的可行性。第一年的重点是完成试点干预措施、数据分析，并调整干预措施，以便在第二至第四年全面实施。第五年将侧重于评估干预措施的效力，并规划研究结果的传播。Kalusugan联盟将是这项赠款的主要社区合作伙伴。将进行一项随机对照试验，其中年龄在25-75岁的高血压菲律宾裔美国男性和女性将在社区健康筛查中招募，并随机分为更密集和更不密集的CHW干预，每个研究组的最终样本量为202人。实施更密集干预的CHW将提供8次健康教育课程，6次单独的每月课程，跟进电话和转介。更密集的干预会议将侧重于（a）提供关于高血压和心血管疾病的信息，（B）联系和谈判获得初级保健医生，（c）提供社会支持，（d）确保坚持服药和预约。将进行基线和随访访谈，以评估客户的结果，包括收缩压和舒张压以及服药和预约的依从性。相关性：菲律宾裔美国人高血压发病率高，因此心血管疾病和中风的风险高。然而，为这一人群制定和实施的干预措施很少，以解决这些问题。CHW干预，与社区的投入，以确保其文化和语言的适当性，有可能通过帮助菲律宾裔美国人控制他们的血压，以防止心血管疾病和中风。

DESCRIPTION (provided by applicant): The overall goal of this intervention grant is to improve health access and status for cardiovascular disease (CVD) in Filipino Americans living in the NYC and Jersey City through the use of community health workers (CHW). This application has three specific aims: 1.) To adapt an existing CHW intervention using descriptive research and pilot intervention findings from the three-year planning grant project. 2.)To utilize the results of Specific Aim 1 to implement and assess the efficacy of a CHW intervention to improve hypertension management and access to care among Filipino Americans living in New York and New Jersey. 3.) To assess the feasibility of using a CBPR approach to implement and sustain a CHW intervention to improve hypertension management among Filipinos Americans. Year 1 focuses on completing the pilot intervention, data analysis, and adapting the intervention for full implementation in years 2-4. The fifth year will be focused on evaluating the efficacy of the intervention, and planning the dissemination of the research findings. Kalusugan Coalition will be the lead community partner on this grant. A randomized controlled trial will be conducted wherein hypertensive Filipino American men and women ages 25-75 will be recruited at community health screenings and randomized into a more intensive and less intensive CHW intervention with a final sample size of 202 individuals in each study arm. The CHWs implementing the more intensive intervention will provide 8 health education sessions, 6 individual monthly sessions, follow up calls and referrals. The more intensive intervention sessions will focus on (a) providing information on high blood pressure and CVD, (b) linking and negotiating access to a primary care physician, (c) providing social support, and (d) assuring adherence to medication taking and appointment keeping. A baseline and follow up interviews will be conducted to assess client outcomes, including systolic and diastolic blood pressure and adherence to medication taking and appointment keeping. RELEVANCE: Filipino Americans exhibit high rates of hypertension and are therefore at high risk for CVD and stroke. However, few interventions have been developed and implemented for this population to address these concerns. A CHW intervention, developed with community input to ensure its cultural and linguistic appropriateness, has the potential to prevent CVD and stroke by helping Filipino Americans control their blood pressure.