Village Interventions and Venues for Action II (VIVA II): Dissemination and Imple

描述（由申请人提供）：新墨西哥州的预防研究中心（PRC），致力于消除健康差距和减少慢性疾病的负担。PRC研究如何通过翻译、传播和实施研究将证据与实践和政策联系起来。为了响应社区需求和疾病预防控制中心的优先事项，我们将研究和奖学金重点放在减轻肥胖（可打赢的战斗1）、糖尿病、心血管疾病和某些癌症的负担上。我们的承诺是调查和发现解决代表性不足的人口，特别是生活在资源不足的农村社区的美洲印第安人和西班牙裔人所承受的疾病负担的办法。具体地说，我们解决了在这些人群中发病率高的慢性病的潜在危险因素。利用我们完善的基础设施，多学科的研究团队，实力雄厚

DESCRIPTION (provided by applicant): New Mexico's Prevention Research Center (PRC), is committed to eliminating health disparities and reducing the burden of chronic disease. The PRC examines how to link evidence to practice and policy through translation, dissemination, and implementation research. In response to community needs and CDC priorities, we focus our research and scholarship on reducing the burden of obesity (Winnable Battles1), diabetes, cardiovascular disease, and certain cancers. Our commitment is to investigate and discover solutions to the burden of disease experienced by under-represented populations, especially American Indians and Hispanics, living in under-resourced rural communities. Specifically, we address the underlying risk factors for chronic diseases that have high prevalence in these populations. Utilizing our well-established infrastructure, multidisciplinary research team, strong partnerships and proven record of accomplishments, we propose to investigate, expand and disseminate what is most effective and feasible in rural communities based upon the findings of our prior research. We plan to study the process of dissemination and implementation (D&I) of evidence-based strategies for increasing physical activity, improving nutrition, and promoting tobacco free living. We are calling our research project Village Interventions and Venues for Action II, (VIVA II) to indicate that our proposed study is both a continuation, and major expansion and scaling-up of VIVA-Step into Cuba, our 2010-2014 research project. We have worked successfully with partners in Cuba, New Mexico to evaluate the translation, dissemination and implementation of 5 evidence-based recommendations from the Guide to Community Preventive Services. The PRC plans to continue and expand the existing study (Beta Site), scale up its successful strategies to rural communities county-wide (Proximity Spread) through a health council partnership, disseminate and implement strategies state-wide (Widespread Application) with the help of key organizational partners, and study the process for its successes and failures. Building on national, state, community and PRC priorities, the UNM PRC will address existing gaps in translating evidence-based interventions into practice by expanding our knowledge and understanding of the D&I process. We will do this through a prospective study of the D&I of effective strategies to promote active living, healthy eating, and tobacco free living in tri-ethnic, rural populations in New Mexico.