Health for Hearts United Leadership Institute

描述(由申请人提供)：心血管疾病(心血管疾病)是美国主要的死亡原因，对非裔美国人(AA)的影响尤为严重，他们与这种疾病的生活方式相关的风险较高(例如，饮食、缺乏运动、高血压)。以教会为基础的干预措施已被证明在改善AAA的健康结果方面是有效的，但缺乏关于了解传播过程和评估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)，利用一个三阶段模式：培训、指导和规划以及交付和认可，传播NIH资助的项目“降低中年和老年AA中的心血管疾病风险”的成果。利用针对个人和组织变化的社会生态学理论，将使用格拉斯哥的RE-AIM框架对HHU铅进行评估：REACH(保留HHU铅参与者)，有效性(HHU铅导致HHU参与者的行为变化[食物选择，饮食质量，体力活动]和临床结果(BMI，收缩舒张压，周长)，以及目标人群[中年和老年人，年轻人，儿童，青年]对心血管疾病知识的增加]，收养(参与者参与的程度 与HHU相关的方案编制)、实施(由HHU牵头参与者实施的与HHU相关的方案的数量和质量产出)和维护(对项目和可持续性计划的看法)。数据将从北佛罗里达州一个两县地区的32座教堂(n=160)的HHU参与者[4名健康领袖和牧师]那里收集。HHU参与者将向各自教会的目标人群(n=800)提供方案，并以心血管疾病知识为成果。HHU领导已经规划，并将由HHU领导指导委员会(减少心血管疾病风险研究的牧师、卫生领导、顾问和项目团队)进一步指导。HHU铅的可持续性将作为少数民族健康对话日(DoDMH)的一部分进行探讨

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)