Arkansas Center for Health Disparities (ARCHD): An NIMHD Exploratory COE

描述(由申请人提供)：本申请是阿肯色州健康差异中心(ArchD)在阿肯色州大学医学院(UAMS)公共卫生学院(COPH)的第二个资金周期的续签申请。虽然总部设在COPH，ArchD已经在UAMS聘请了从事少数群体健康差异研究或对开发健康差异研究项目感兴趣的教师。强有力的机构支持不仅体现在担任公共卫生和公共服务部主任的拉辛斯基博士身上，而且还体现在大学医疗服务体系校长拉恩的大力支持上，并承诺提供资金，以匹配建筑设计所产生的间接成本(每年约45万美元)，作为可自由支配的资金。ArchD最初成立于2007年10月，最初的财政年度为8个月。因此，在提交本申请时，该中心仅获得了大约3个半日历年的资金。尽管时间很短，而且大多数资助的研究项目正在进行中，但还没有结果，ArchD先导研究项目已经获得了3个NIH奖(2个ROI和1个R03)。叶瑞博士在这份续展申请中提出的研究项目是基于第四个试点研究项目。这一延续申请的总体主题仍然是：开展研究，改善种族和少数民族获得优质预防和医疗保健计划的机会，目标是消除健康差距。ARCHD将继续关注慢性病的差异，重点放在重大的流行病慢性病风险因素上，并通过机构安置来管理导致过度发病率、死亡率和费用的其他慢性病风险因素。提议设立四个强制性核心单位(行政、教育/培训、研究、社区参与)。此外，还提出了两个研究项目：Holly Felix，博士，PI-社区卫生工作者与长期护理服务标准外展的效果比较，长期护理预防方案的比较有效性评估；Karen Kim Yeary，博士，PI-农村非裔美国人信仰社区的减肥和维持，为非裔美国农村社区提供基于社区的参与性、基于信仰的非专业健康顾问干预。

DESCRIPTION (provided by applicant): This application is a renewal application for the Arkansas Center for Health Disparities (ARCHD) Exploratory COE at the University of Arkansas for Medical Sciences' (UAMS) College of Public Health (COPH) for a 2nd funding cycle. Although based in the COPH, ARCHD has engaged faculty across UAMS who are either involved in minority health disparities research or who are interested in developing health disparities research programs. Strong institutional support is demonstrated not only by the COPH Dean (Dr. Raczynski) serving as Pl/PD but also by strong support from UAMS Chancellor Rahn and commitment of funding to match the indirect costs generated by ARCHD (approximately $450,000 annually) as discretionary funds. ARCHD was originally founded in October 2007 with an initial 8-month fiscal year. Hence, the Center has been only funded for approximately 3 1/2 calendar years when this application was submitted. Despite this short period and most funded research projects on-going with no results yet available, ARCHD Pilot Research Projects have already resulted in 3 NIH awards (2 ROIs and 1 R03). Dr. Yeary's Research Project proposed in this continuation application is based on a 4th Pilot Research Project. The overall theme for this continuation application remains: to develop research that improves access to quality prevention and healthcare programs for racial and ethnic minorities with a goal of eliminating health disparities. ARCHD will continue to focus on chronic disease disparities with an emphasis on significant epidemic chronic disease risk factors and the management of other chronic disease risk factors that lead to excess morbidity, mortality and costs through institutional placements. Four mandatory core units are proposed (Administrative, Education/Training, Research, Community Engagement). In addition, two research projects are proposed: Holly Felix, PhD, PI - Effect of community health workers compared to standard outreach for long-term care services, a comparative effectiveness evaluation of a program for long-term care prevention; and Karen Kim Yeary, PhD, PI -Weight loss and maintenance for rural, African American communities of faith, a community-based participatory, faith-based, lay health advisor intervention for rural African Americans.