Health for Hearts United Leadership Institute

描述（由申请人提供）：心血管疾病（CVD）是美国死亡的主要原因，并且不成比例地影响非洲裔美国人（AAs），他们与该疾病的生活方式相关的风险更高（例如，饮食，缺乏身体活动，血压升高）。以教会为基础的干预措施已被证明在改善AAs的健康结果方面是有效的，但缺乏关于了解传播过程和评价社区环境中的传播模式的研究。拟议项目的目的是通过实施和评估心脏健康联合领导研究所（HHU Lead），采用三个阶段模型：培训、指导和规划、交付和认可，传播NIH资助的项目“降低中年和老年AAs的心血管疾病风险”的成果。使用个人和组织变革的社会生态理论，HHU Lead将使用格拉斯哥的RE-AIM框架进行评估：覆盖面（HHU铅参与者的保留），有效性(HHU铅导致HHU参与者的行为改变的程度[食物选择，饮食质量，身体活动]和临床结果（BMI，收缩压，周长]和目标人群[中年和老年人，年轻人，儿童，青年]中CVD知识的增加），采用率（参与者参与的程度）

DESCRIPTION (provided by applicant): Cardiovascular disease CVD) is a leading cause of death in the United States, and disproportionately affect African Americans (AAs) who have higher lifestyle-related risks of this disease (e.g., diet, physical inactivity, elevated blood pressure). Church-based interventions have been shown to be effective in improving health outcomes of AAs, yet there is the lack of research on understanding the dissemination process and on evaluating dissemination models in community settings. The aim of the proposed project is to disseminate the outcomes of the NIH funded project, "Reducing CVD Risk in Mid-life and Older AAs," by implementing and evaluating the Health for Hearts United Leadership Institute (HHU Lead) using a three phase model: training, coaching and planning, and delivery and recognition. Using socio-ecological theory for individual and organizational change, HHU Lead will be evaluated using Glasgow's RE-AIM framework: reach (retention of HHU Lead participants), effectiveness (extent that HHU Lead results in behavior change [food choice, dietary quality, physical activity] and clinical outcomes (BMI, systolic diastolic blood pressure, circumferences] for HHU participants and increased CVD knowledge In target populations [mid-life and older, younger adults, children, youth]), adoption (extent of participants' Involvement In HHU-related programming), Implementation (quantitative and qualitative outputs of HHU-related programming implemented by HHU Lead participants) and maintenance (perceptions of project and plans for sustainability). Data will be collected from HHU participants [four health leaders and pastor] from 32 churches (n=160) in a two-county area in North Florida. HHU participants will deliver programming to target populations (n=800) in their respective churches with CVD knowledge as the outcome. HHU Lead has been planned and will be further guided by the HHU Lead Steering Committee (pastors, health leaders, advisors and project team from Reducing CVD Risk Study). Sustainability for HHU Lead will be explored as a part of the Day of Dialogue on Minority Health (DoDMH)