RESEARCH CORE

拟议的中心致力于创建有效的，可持续的，社区启发的方案， 改善哈莱姆少数族裔社区的健康状况。通过我们过去和继续开展的工作， 制定了一项行之有效的战略，以克服我们社区健康的多重障碍。这 战略需要确定有效疗法使用不足的可改变原因;制定 文化上适当的干预措施，以纠正这些原因，特别强调提高病人的 自我管理技能;严格测试这些干预措施;如果证明有效，则将其转化 经营健康项目社区伙伴参与这一进程的每一个阶段。的 Research Core将在此基础上进行详细阐述和扩展。研究核心的具体目标是： 1.开发针对产后抑郁症和复发性抑郁症的新健康改善干预措施 中风是造成哈莱姆健康差距的两种重要疾病， 2.通过改善患者的自我管理，将这些干预措施的重点放在减少有效护理的利用不足上 技能， 3.为了使用最严格的研究方法和设计来评估这些干预措施， 4.采用先进的数据建模方法，以确定哪些组件被证明是有效的， 干预措施是实现其效益的最大责任， 5.促进将经证明有效的干预措施转化为可持续的临床实践。 从我们在进行高质量差异研究方面的丰富经验来看，我们认为， 被选为研究核心的人对改善我们社区的健康有很大的希望。的 探索干预措施的哪些组成部分有助于其成功，将加深我们的 了解如何弥补差距，以及如何有效地将研究转化为 临床实践中的可持续项目。在完成这些目标的过程中，研究核心将 促进研究项目之间的合作和信息交流; 中心内的核心，以及中心与更大的西奈山差异研究社区之间的核心。

The proposed Center is dedicated to the creation of effective, sustainable, community-inspired programs to improve the health of minority communities in Harlem. Through our past and continuing work, we have developed a proven strategy for overcoming the multiple barriers to good health in our community. This strategy entails identifying the modifiable causes of underuse of proven-effective therapies; developing culturally-appropriate interventions to remedy those causes, with specific emphasis on enhancing patient self-management skills; rigorously testing these interventions; and, if they prove effective, transforming them into operating health programs. Community partners participate in every stage of this process. The Research Core will elaborate and expand on this foundation. The specific aims of the Research Core are: 1. To develop new health improvement interventions that target postpartum depression and recurrent stroke-two important illnesses contributing to health disparities in Harlem, 2. To focus these interventions on reducing underuse of effective care by improving patients' selfmanagement skills, 3. To evaluate these interventions using the most rigorous research methods and designs, 4. To employ sophisticated data modeling methods to ascertain which components of proven-effective interventions are most responsible for delivering their benefits, and 5. To facilitate the translation of proven-effective interventions into sustainable clinical practices. From our extensive experience in conducting high quality disparities research, we believe the projects selected for the Research Core hold great promise for improving the health of our community. The exploration of what components of the interventions contribute to their success will deepen our understanding of how disparities can be remedied, and how research can be efficiently translated to sustainable programs in clinical practice. Throughout the completion of these aims, the Research Core will facilitate collaboration and exchange of information between research projects with in the Core; between Cores within the Center, and between the Center and the larger Mount Sinai disparities research community.