COLUMBIA CENTER FOR HEALTH OF URBAN MINORITIES (CHUM)

该提案代表了我们现有的NCMHD P60中心的延续和进一步发展， 优秀，哥伦比亚城市少数民族健康中心（CHUM）。在成功的基础上 通过CHUM前三年的努力，我们建议将CHUM发展成为一个多学科中心， 卓越紧密关注NCMHD心血管疾病和糖尿病优先领域的研究。 我们计划进行三个研究项目，旨在产生新的知识，以改善少数民族 加勒比海拉丁美洲人的健康。第一个项目是一项随机对照试验（RCT）， 拉丁裔糖尿病患者检查基于社区的社区卫生工作者干预的有效性 在改善血糖控制，包括血压和胆固醇作为次要结果。的 第二个项目是一项前瞻性研究，研究血糖控制不良对糖尿病患者的长期影响。 糖尿病患者的认知功能。第三个项目，也是一个随机对照试验，将评估一个 以社区为基础的综合治疗性生活方式干预，包括小组会议， 关于血压控制的动机访谈。该建议包括一个行政和研究 提供必要的行政、方法、统计和数据管理基础设施， 开展这三个主题相关的研究项目。这三个项目都将在我们当地进行。 社区和CHUM第一阶段设立的规划理事会将继续作为 社区对CHUM项目的总体方向、形状和执行的正式投入场所。 此外，这两个RCT都建立在CHUM社区核心建立的社区伙伴关系基础上， 将社区组织作为研究的组成部分。最后，通过CHUM 建立了伙伴关系，并成功地从其他来源获得支持，CHUM将继续 为初级教员、博士后学员、研究员和本科生提供培训机会。

This proposal represents a continuation and further development of of our existing NCMHD P60 Center of Excellence, the Columbia Center for the Health of Urban Minorities (CHUM). Building on the successful efforts of CHUM's first three years, we propose to develop CHUM into a multidisciplinary center of excellence tightly focused on research in the NCMHD priority areas of cardiovascular disease and diabetes. We plan to conduct three research projects aimed at generating new knowledge for improving minority health among Carribean Latinos. The first project is a randomized controlled trial (RCT) in poorly controlled Latino diabetics to examine the effectiveness of a community based Community Health Worker intervention at improving glycemic control and includes blood pressure and cholesterol as secondary outcomes. The second project is a prospective study examining the long-term consequences of poor glycemic control on cognitive function among diabetics. The third project, also an RCT, will evaluate the effectiveness of a community-based comprehensive therapeutic lifestyle intervention that includes group sessions and motivational interviewing on blood pressure control. The proposal includes an adminstrative and research core providing the requisite administrative, methodological, statistical and data management infrastructure to carry out these three thematically linked research projects. All three projects will be conducted in our local community and the Planning Council established in the 1st phase of CHUM will continue to serve as the formal venue for community input into the overall direction, shape and execution of the CHUM project. Further, both RCTs build on the community partnerships established by CHUM's Community core and include community based organizations as integral members of the research. Lastly, through CHUM's established partnerships and successful efforts at obtaining support from other sources, CHUM will continue to provide training opportunities for junior faculty, post-doctoral trainees, fellows and undergraduate students.