Partnership for Congregational Wellness

公理健康伙伴关系

• 批准号: 8500548
• 负责人: ELIZABETH B LYNCH
• 金额: $ 38.25万
• 依托单位: RUSH UNIVERSITY MEDICAL CENTER
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-01-01 至 2015-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8500548
• 关键词: Accounting; Achievement; Adopted; Advocate; African American; Applications Grants; Atrocities; Behavior; Behavior Therapy; Cardiovascular Diseases; Cessation of life; Church; Clergy; Collaborations; Communities; Consumption; Counseling; Data; Data Collection; Development; Diabetes Mellitus; Diet; Disease; Educational Materials; Effectiveness; Effectiveness of Interventions; Elements; Ethnic group; Evaluation; Event; Failure; Goals; Health; Health Promotion; Health behavior; Hypertension; Individual; Instruction; Intake; Intervention; Life Style; Medical Research; Methodology; Methods; Modeling; Needs Assessment; Outcome; Participant; Patient Self-Report; Phase; Physical activity; Pilot Projects; Population; Positioning Attribute; Prevalence; Principal Investigator; Printing; Process; Provider; Public Health; Pulmonary Heart Disease; Randomized; Religion and Spirituality; Reporting; Research; Research Personnel; Risk; Role; Sampling; Services; Social Network; Social Work; Social support; Staging; Subgroup; Target Populations; Testing; Time; Trainers Training; Trust; Universities; arm; base; clinically significant; community based participatory research; data sharing; design; disability; effective intervention; experience; fruits and vegetables; health disparity; improved; innovation; meetings; member; obesity risk; peer; premature; programs; research study; sedentary; social; stem; success

DESCRIPTION (provided by applicant): Black-white health disparities in cardiopulmonary diseases can be reduced by behavioral interventions to improve diet and increase physical activity in African Americans. African Americans have experienced reduced benefit from behavioral interventions due to lack of cultural tailoring and mistrust of medical research. Church-based interventions have the potential to overcome these barriers and have had success in improving diet and activity. Using a community-based participatory research (CBPR) approach may increase engagement in intervention among church leaders and result in greater effectiveness. The Rush Clergy Health Partnership is a CBPR partnership which is optimally positioned to design, implement, and achieve successful results from a church-based behavioral intervention for African Americans. This Partnership is a university-community collaboration that was initiated by the community. It draws on an innovative "train the trainer" model where church leaders make lifestyle changes first and then are well-equipped to model and advocate for these changes in church peers. Aims of the project are to assess community needs, develop an intervention for the congregation, and test it in a preliminary pilot study. These goals will be accomplished through the following aims: 1) Collaboratively design and conduct a needs assessment, 2) identify the target condition of the intervention, 3) develop the intervention methodology by refining the existing Clergy/Lay Leader Lifestyle Programs, developing appropriate environmental-level strategies, and developing spiritually-based print materials, 4) develop a plan for collaborative oversight of data collection and sharing of interim data, 5) conduct a 12-month cluster randomized pilot study in which 6 churches are randomized to an intervention or a delayed intervention control arm, 6) assess the feasibility and acceptability of the intervention, 7) Develop and implement a dissemination plan, 8) evaluate the effectiveness of the collaboration process, and 9) Obtain estimates needed for subsequent trial and prepare grant proposal. RELEVANCE (See instructions): To reduce black-white health disparities, culturally-tailored interventions are needed to improve diet and increase physical activity in African Americans. In the proposed research, a partnership consisting of black pastors and researchers will collaboratively develop and design a pilot church-based behavioral intervention to improve lifestyle behaviors in African American church members.

描述（由申请人提供）：非裔美国人可以通过改善饮食和增加体育活动的行为干预来减少黑人和白人在心肺疾病方面的健康差异。由于缺乏文化定制和对医学研究的不信任，非裔美国人从行为干预中获益减少。以教会为基础的干预有可能克服这些障碍，并在改善饮食和活动方面取得了成功。使用基于社区的参与性研究（CBPR）方法可以增加教会领袖对干预的参与，并产生更大的效果。拉什神职人员健康伙伴关系是一种CBPR伙伴关系，它的最佳定位是设计、实施和实现基于教会的非裔美国人行为干预的成功结果。这种伙伴关系是由社区发起的大学与社区的合作。它采用了一种创新的“培训培训师”模式，教会领袖首先改变生活方式，然后有能力在教会同伴中示范和倡导这些改变。该项目的目的是评估社区需求，为会众开发干预措施，并在初步试点研究中进行测试。这些目标将通过以下目标来实现：1)合作设计并进行需求评估，2)确定干预的目标条件，3)通过完善现有的神职人员/平信徒领袖生活方式计划，制定适当的环境层面战略，开发基于精神的印刷材料，开发干预方法，4)制定协作监督数据收集和共享中期数据的计划。5)进行一项为期12个月的集群随机试验研究，其中6个教会被随机分配到干预或延迟干预控制组，6)评估干预的可行性和可接受性，7)制定和实施传播计划，8)评估合作过程的有效性，9)获得后续试验所需的估计并准备拨款提案。