Health for Hearts United Leadership Institute

描述（由申请人提供）：心血管疾病（CVD）是美国的主要死亡原因，并且不成比例地影响非洲裔美国人（AA），他们具有较高的生活方式相关的这种疾病风险（例如，饮食、缺乏运动、血压升高）。基于教会的干预措施已被证明是有效的，在改善健康的结果AA，但缺乏研究了解传播过程和评估传播模式在社区设置。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领导），传播NIH资助项目的成果，“减少中年和老年AA的心血管疾病风险”，使用三个阶段的模型：培训，辅导和规划，交付和认可。使用个人和组织变革的社会生态理论，将使用格拉斯哥的RE-AIM框架对HHU Lead进行评估：达到（保留HHU牵头参与者），有效性（HHU铅导致行为改变[食物选择，饮食质量，体力活动]和临床结果（BMI，收缩压，舒张压，在目标人群[中年和老年人、年轻人、儿童、青年]中， HHU相关方案编制）、实施（HHU牵头参与者实施的HHU相关方案编制的定量和定性产出）和维护（对项目和可持续性计划的看法）。数据将从来自北佛罗里达两县地区32个教会（n=160）的HHU参与者[4名健康领袖和牧师]中收集。HHU参与者将在各自的教会中向目标人群（n=800）提供节目，并以CVD知识为成果。HHU铅已计划，并将由HHU铅指导委员会（牧师，健康领导人，顾问和减少CVD风险研究的项目团队）进一步指导。作为少数民族健康对话日（DoDMH）的一部分，将探讨HHU铅的可持续性

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)