Los Angeles Stroke Prevention/Intervention Research Program in Health Disparities

洛杉矶中风预防/健康差异干预研究计划

• 批准号: 8452897
• 负责人: Barbara G Vickrey
• 金额: $ 227.67万
• 依托单位: UNIVERSITY OF CALIFORNIA LOS ANGELES
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-09-30 至 2017-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8452897
• 关键词: Academia; Affect; African American; Aging; Asian Americans; Behavioral; Biological; Biological Markers; Chinese People; Cities; Collection; Communities; Community Health; Consult; Cost Analysis; County; Data Collection; Data Set; Development; Education; Educational Curriculum; Ethnic Origin; Ethnic group; Evaluation; Family; Future; Goals; Grant; Health Technology; Hispanics; Human Resources; Institution; Interdisciplinary Study; Intervention; Intervention Studies; Knowledge; Koreans; Latino; Learning; Los Angeles; Low income; Medical center; Minority; Patients; Preventive Intervention; Race; Recruitment Activity; Relative (related person); Research; Research Personnel; Research Support; Resources; Risk; Risk Factors; Role; Stroke; Stroke prevention; System; Testing; Time; Training and Education; Walking; base; career; chronic care model; community organizations; health disparity; high risk; intervention program; meetings; next generation; novel; outreach; programs; racial and ethnic; racial and ethnic disparities; safety net; social; treatment as usual; trend

DESCRIPTION (provided by applicant): The Los Angeles Stroke Prevention/ Intervention Research Program in Health Disparities is a partnership of UCLA, four medical centers in the Los Angeles County safety net system, Healthy African American Families, and representatives from multiple community organizations serving low-income minority communities that span the Los Angeles basin. In this most diverse county in the US in race/ethnicity, we propose a multi-disciplinary, highly collaborative Program to create and test sustainable interventions to reduce or eliminate racial and ethnic disparities in the occurrence of stroke, and to generate new knowledge about mechanisms for such disparities. Project I creates a strong community-based component with community health workers and mobile health technology to create a full-fledged Chronic Care Model intervention that will be tested relative to usual care in 500 patients with a recent stroke seen in the Los Angeles County safety net. A cost analysis and a formative evaluation will guide development of a financial sustainability plan. Project II will elucidate the role of novel biological and social risk factors for stroke risk and trends over time, in a nationa data set. Project III builds on an existing close partnership with the City of Los Angeles Department of Aging to develop and test a culturally-tailored behavioral stroke risk factor reduction/walking intervention - delivered by senior center staff-with 240 high risk seniors from Korean, Chinese, African-American and Hispanic racial/ethnic groups. Four cores include an Administrative Core A that supports all three projects; a Research Education and Training Core B that will recruit, retain, and develop stroke disparities-relevant curriculum for academic researchers, community research support personnel and other community stake holders; a Biomarker Collection and Analysis Core C to support Project I and III biomarker data collection, consulting for all three projects, and development of educational programming on biomarkers; and a Community Engagement, Outreach, and Dissemination Core D that supports and interacts with all three projects by promoting and sustaining community-academic partnerships through bidirectional knowledge sharing and by creating strategies for disseminating advances in knowledge about stroke prevention disparities research through outreach to affected communities locally and nationally. PUBLIC HEALTH RELEVANCE: A coordinated effort of researchers and community partners is needed to reduce or eliminate the higher rates of stroke among low-income Latinos, African-Americans, and Asian Americans in underserved communities. The Los Angeles Stroke Prevention/Intervention Program in Health Disparities will carry out research, develop education programs, and share and learn from the community to meet this goal.

描述（由申请人提供）：洛杉矶卒中预防/健康差异干预研究项目是加州大学洛杉矶分校、洛杉矶县安全网系统中的四个医疗中心、健康的非裔美国人家庭和来自多个社区组织的代表的合作伙伴关系，这些组织为跨越洛杉矶盆地的低收入少数民族社区提供服务。在这个美国种族/民族最多样化的县，我们提出了一个多学科，高度合作的计划，以创建和测试可持续的干预措施，以减少或消除中风发生中的种族和民族差异，并产生有关这种差异机制的新知识。项目I通过社区卫生工作者和移动的卫生技术创建了一个强大的基于社区的组件，以创建一个成熟的慢性病护理模型干预措施，该干预措施将在洛杉矶县安全网中发现的500名近期中风患者中进行测试。成本分析和形成性评价将指导财务可持续性计划的制定。项目II将阐明 新的生物和社会风险因素对中风风险的作用以及一段时间内的趋势，在一个国家数据集中。项目III建立在与洛杉矶市老龄部门现有的密切合作关系的基础上，开发和测试一种文化定制的行为中风风险因素降低/步行干预-由老年中心工作人员提供-与来自韩国，中国，非洲裔美国人和西班牙裔种族/民族群体的240名高危老年人。四个核心包括支持所有三个项目的行政核心A;研究教育和培训核心B，将为学术研究人员、社区研究支持人员和其他社区利益相关者招募、保留和开发卒中风险相关课程;生物标志物收集和分析核心C，以支持项目I和III生物标志物数据收集，为所有三个项目提供咨询，制定关于生物标志物的教育方案;和社区参与，外展，和传播核心D，通过促进和维持社区-通过双向知识共享建立学术伙伴关系，并制定战略，通过向受影响的地方和国家的社区。 公共卫生相关性：需要研究人员和社区合作伙伴的协调努力，以减少或消除低收入拉丁美洲人，非洲裔美国人和亚裔美国人在服务不足的社区中中风的高发病率。健康差异中的洛杉矶中风预防/干预计划将开展研究，制定教育计划，并向社区分享和学习，以实现这一目标。