Developing Effective, Sustainable CBPR to Reduce Obesity in Rural Alabama

描述（由申请人提供）：由于缺乏文化意识和理解，传统研究往往无法解决健康差异问题。医学博士查尔斯·勒迈斯特曾经说过：“如果你想找到治疗癌症的方法，你需要知道人们吃什么，为什么吃，而你能做到的唯一方法就是坐在他们的餐桌旁，问他们。”其目标是为社区和研究人员提供一种方式，让他们坐在餐桌前，共同制定有效、可持续的干预措施，以减少健康差距。肥胖及其有害影响是阿拉巴马州农村黑带社区和研究人员关注的问题。阿拉巴马州是全国肥胖率最高的州之一（分别为39.2%和47.9%），而农村的黑带县是肥胖率最高的。这些百分比使黑带人群患糖尿病、心脏病、癌症和其他健康问题的风险更高。在与社区合作减少这些差距的过程中，我们将共同建设有利于发展的基础设施

DESCRIPTION (provided by applicant): Traditional research often fails to address health disparities because of a lack of cultural awareness and understanding. Charles LeMaistre, MD, once said "If you want to find the cure for cancer you need to find out what people eat and why they eat it, and the only way you can do that is to sit at their kitchen table and ask them." The goal is to provide a way for communities and researchers to sit at the kitchen table and together develop effective, sustainable interventions to reduce health disparities. Obesity and its detrimental effects are concerns of Alabama rural Black Belt communities and researchers. Alabama is one of the most obese states in the nation (39.2 percent to 47.9 percent) and rural Black Belt counties are the most obese. These percentages put people In the Black Belt at higher risk for diabetes, heart disease, cancer, and other health conditions. In working with communities to reduce these disparities, we will collaboratively build an infrastructure to develop effective, sustainable interventions through the following Specific Aims: 1) establish and maintain a Community Advisory Board that will provide oversight for the guidance of infrastructure development and to facilitate dissemination, implementation, and evaluation of these CBPR project efforts; 2) create and maintain a research training program that builds the CBPR capacity of community members and community-based organizations (CBOs), and work with community members and CBOs to increase the cultural competency of interdisciplinary academic researchers; 3) develop a Community Engaged Academic education program that provides education and training to current and future Community Engaged Family Medicine clinicians and interdisciplinary academic researchers who have an interest in conducting CBPR in the Black Belt; 4) establish and maintain a dissemination plan for shared analysis and reporting of results and experiences among community members, current and future Community Engaged Family Medicine clinicians, and interdisciplinary academic researchers both internally and externally; and, 5) construct and pilot a CBPR Intervention Incubator to develop and oversee community-engaged research interventions aimed to impact obesity levels within a defined Black Belt community. RELEVANCE (See instructions): This project seeks to work with communities to create effective and sustainable interventions that will reduce obesity and related health disparities in the rural Black Belt of Alabama. If we can create a way that communities, rural physicians, and academic researchers can understand each other and work together to develop, implement, evaluate, and disseminate interventions, they are more likely to be successful.