Comprehensive Ctr of Excellence in Disparities Res & Commun Engagement (CEDREC)

差异研究卓越综合中心

• 批准号: 8280167
• 负责人: Carla Boutin-Foster
• 金额: $ 162.3万
• 依托单位: WEILL MEDICAL COLL OF CORNELL UNIV
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-07-25 至 2014-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8280167
• 关键词: Affect; African American; Age; Basic Behavioral Science; Behavioral; Behavioral Sciences; Cities; Clinical Trials Design; Communities; Counseling; Ensure; Faculty; Fostering; Funding; Growth; Hypertension; Intervention; Life Style; Medical; Minority; National Heart, Lung, and Blood Institute; New York; Nursing Students; Patient Education; Patients; Public Health; Randomized; Randomized Controlled Trials; Research; Research Personnel; Research Training; Risk Reduction; School Nursing; Screening procedure; Solutions; Therapeutic; Training; Translating; Universities; base; behavior change; blood pressure regulation; college; colorectal cancer screening; design; health disparity; improved; medical schools; men; mental health center; motivational enhancement therapy; novel; peer; programs; social cognitive theory; theories

This application will establish a Comprehensive Center of Excellence in Disparities Research and Community Engagement (CEDREC) as a consortium between Weill Cornell Medical College, Hunter College School of Nursing -City University of New York, Lincoln Medical and Mental Health Center and the Center for Healthful Behavior Change at New York University School of Medicine. The Director Dr. Carla Boutin-Foster and Co-Director Dr. Mary Charlson will establish 4 cores: 1)The Research Core will advance health disparities research by leveraging Weill Cornell's and New York University's expertise in translational behavioral science research ; 2)The Research Training Core will increase the number of well-trained minority investigators by developing a Health Disparities Research program that provides health disparities research training for minority nursing students at Hunter and junior faculty at Lincoln; 3) The Community Engagement Core will strengthen the capacity for research in Central Harlem and the South Bronx and establish an active Community Advisory Board that will participate in designing new community-based projects; and 4)The Administrative Core will coordinate these scientific initiatives and establish an interdisciplinary Executive Committee and External Advisory Board that will ensure the growth and sustainability of CEDREC. Two studies that build upon our completed NHLBI funded projects are proposed. The first entitled "Trial Using Motivational Interviewing and Positive Affect and Self-affirmation in Hypertension (TRIUMPH)", is a randomized controlled trial designed to improve blood pressure control in hypertensive black patients. TRIUMPH is framed on Social Cognitive Theory and applies positive affect induction, self-affirmation induction, and motivational interviewing as behavioral strategies. The second, "Multibehavior Intervention to Increase Screening and Enhance Risk Reduction in Black Men (MISTER-B)", is a novel, randomized community-based trial, conducted in barbershops that targets hypertensive black men over age 50 who have not had colorectal cancer screening. MISTER-B will apply two strategies to improve the rates of blood pressure control and colorectal cancer screening: therapeutic lifestyle counseling using motivational interviewing and peer counseling using trained patient navigators from the community. CEDREC is unique because it 1) targets hard to reach populations, black men, 2) utilizes non-traditional venues and 3) translates basic behavioral science theories to understanding and developing solutions to pressing public health issues.

该申请将建立一个差异研究和社区参与综合卓越中心（CEDREC），作为威尔康奈尔医学院，亨特学院护理学院-纽约城市大学，林肯医疗和心理健康中心以及纽约大学医学院健康行为改变中心之间的联盟。主任Carla Boutin-Foster博士和联合主任玛丽查尔森博士将建立4个核心：1）研究核心将通过利用威尔康奈尔大学和纽约大学在转化行为科学研究方面的专业知识来推进健康差异研究; 2）研究培训核心将增加良好的数量-通过制定健康差异研究计划，为亨特的少数民族护理学生和林肯的初级教师提供健康差异研究培训，培训少数民族调查人员; 3）社区参与核心将加强中哈莱姆和南布朗克斯的研究能力，并建立一个积极的社区咨询委员会，参与设计新的社区项目;和4）行政核心将协调这些科学倡议，并建立一个跨学科的执行委员会和外部咨询委员会，以确保CEDREC的增长和可持续性。两项研究，建立在我们完成的NHLBI资助的项目提出。第一项题为“高血压患者使用动机访谈和积极情感及自我肯定的试验（TRIUMPH）"，是一项旨在改善高血压黑人患者血压控制的随机对照试验。 TRIUMPH以社会认知理论为基础，应用积极影响诱导、自我肯定诱导和激励性面试作为行为策略。第二项是“多行为干预以增加黑人男性筛查和提高风险降低（MISTER-B）”，这是一项新的随机社区试验，在理发店进行，针对50岁以上未进行结直肠癌筛查的高血压黑人男性。MISTER-B将采用两种策略来提高血压控制率和结直肠癌筛查率：使用动机访谈进行治疗性生活方式咨询，以及使用来自社区的训练有素的患者导航员进行同伴咨询。CEDREC是独一无二的，因为它1）针对难以接触的人群，黑人男性，2）利用非传统场所，3）将基本的行为科学理论转化为理解和制定紧迫的公共卫生问题的解决方案。