Partnership for Healthier Asians

为更健康的亚洲人建立伙伴关系

• 批准号: 8473393
• 负责人: Karen E Kim
• 金额: $ 29.94万
• 依托单位: UNIVERSITY OF CHICAGO
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-04-01 至 2016-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8473393
• 关键词: Partnership; Healthier; Asians

DESCRIPTION (provided by the applicant): There is growing awareness of the gap between knowledge gained from medical research and application of that knowledge in Evidence-Based Practice (EBP) to improve the health of communities. To achieve more widespread adoption, a more collaborative approach to working with different consumers of EBP, including potential recipients, is needed if we are to achieve meaningful population-level change in uptake of EBP. Many of the people who are most at risk of poor health outcomes are members of medically underserved populations. These include individuals of low socioeconomic status, those who possess low level of health literacy, and members of marginalized ethnic and minority groups. EBP is essential in health care and health promotion, since it provides direction and rationale for guiding health behaviors, decision-makings and treatment. We must therefore develop innovative approaches to disseminating EBP among the medically underserved. We will focus on the Asian-American (AA) community in the Chicago metropolitan area. The Chicago metropolitan area has the largest concentration of AA in the Midwest and the 6"^ largest in the United States. More than 65% of AA in Chicago are foreign-born immigrants and refugees and come from low-income, limited English proficient backgrounds. AAs have the lowest rates of preventive cancer screenings of all minority groups in the U.S. and cancer is the number one cause of mortality only in this group. Cultural differences, the language barrier, and traditional AA health beliefs make innovative dissemination strategies a priority need, if we are to extend the reach and impact of EBP to this population. We will design our dissemination product based on a close understanding of target AA community in our region, and in full collaboration with them, using a community-based participatory research framework. The content of our demonstration effort will be EBP for preventive colorectal cancer screening. Specifically, we aim to create a research and dissemination infrastructure for the AA community, to determine community based organization capacity for participation and to pilot and evaluate the success of our dissemination model using colorectal cancer as our disease focus. We expect that we will create an academic-community partnership and a research-community infrastructure to investigate dissemination approaches, guide development of a multifaceted approach to disseminating EBP and to generate lessons learned from the dissemination process.

描述（由申请人提供）： 越来越多的人意识到，从医学研究中获得的知识与将这些知识应用于循证实践（EBP）以改善社区健康之间存在差距。为了实现更广泛的采用，如果我们要在EBP的吸收方面实现有意义的人口水平变化，就需要一种更具协作性的方法来与EBP的不同消费者（包括潜在的接受者）合作。许多最有可能出现不良健康结果的人是医疗服务不足的人群。这些人包括社会经济地位低的人、卫生知识水平低的人以及边缘化族裔和少数群体的成员。EBP在卫生保健和健康促进方面至关重要，因为它为以下方面提供了方向和理由： 指导健康行为、决策和治疗。因此，我们必须开发创新的方法，在医疗服务不足的人群中传播EBP。我们将关注芝加哥大都市区的亚裔美国人（AA）社区。芝加哥大都市区拥有中西部最大的AA集中地，也是美国最大的AA集中地。芝加哥超过65%的AA是外国出生的移民和难民，来自低收入，英语水平有限的背景。在美国所有少数群体中，AA的预防性癌症筛查率最低，癌症仅是这一群体的头号死亡原因。文化差异、语言障碍和传统的AA健康信念使创新的传播策略成为优先需要，如果我们要将EBP的范围和影响扩展到这一人群。我们将设计我们的传播产品的基础上，在我们地区的目标AA社区的密切了解，并与他们充分合作，使用社区为基础的参与性研究框架。我们示范工作的内容将是EBP用于预防性结直肠癌筛查。具体来说，我们的目标是为AA社区建立一个研究和传播基础设施，以确定社区组织的参与能力，并以结直肠癌为疾病重点，试点和评估我们的传播模式的成功。我们希望，我们将建立一个学术界的伙伴关系和研究社区的基础设施，以调查传播方法，指导一个多方面的方法来传播EBP的发展，并产生从传播过程中吸取的教训。