Efficacy and Cost Effectiveness of Community Health Worker Models in Addressing Clinical Care and Health Metrics among Under-served Hispanics with Risk Factors for Diabetes

 描述（由申请人提供）：体育活动对于慢性病预防至关重要，但只有不到一半的成年人和四分之一的青少年达到了建议的体育活动水平。在接下来的五年里，亚利桑那州预防研究中心和兰德公司的研究人员提议实施疾病控制和预防中心的身体活动政策和评估研究网络加协调中心。具体来说，他们的集体努力将鼓励在各种环境（包括社区和工作场所）进行严格的多地点数据收集工作，以推进国内和国际的身体活动政策研究。该中心在此类方法方面拥有丰富的专业知识，并将根据利益相关者的共识为整个网络提供技术援助，包括身体活动的系统方向观察评估、成本效益分析方法和健康影响评估。使用这些相对便宜（每个站点）但稳健的方法来评估整个网络中利用的身体活动政策将产生大量数据，这对于告知和比较有影响力的身体活动政策至关重要。此外，通过与各个地区、州和地方合作 利益相关者，我们建议建立亚利桑那州体育活动政策研究网络（AzPAPRN）。拟议的 AzPAPRN 将汇集来自州和地方卫生部门、区域和地方规划者、研究人员和社区倡导者的利益相关者，以确定和收集与完整街道和其他行人友好政策特定的决定因素、过程和结果相关的数据。 AZPAPRN 将包括一项初步研究项目，旨在调查主要是低收入、墨西哥裔美国人/墨西哥裔社区对主动交通的看法，重点是完整街道等设计策略如何提高步行率以及安全感和舒适感，这是当地/区域公共卫生面临的一项重大挑战，也是与全国健全政策制定和城市规划相关的挑战。协调中心及其更多区域/地方组成部分的集体努力是为了疾病预防控制中心在营养、体力活动和肥胖方面取得胜利，同时为实现国家预防计划战略五的目标做出贡献。

 DESCRIPTION (provided by applicant): Physical activity is central to chronic disease prevention, yet less than half of adults and one quarter of youth achieve recommended levels of physical activity. Over the next five years, investigators from Arizona Prevention Research Center and the RAND Corporation propose to implement the Centers for Disease Control and Prevention s Physical Activity Policy and Evaluation Research Network Plus Coordinating Center. Specifically their collective efforts will encourage rigorous multi-site data collection efforts in a variety of settings, including community ones and the workplace, to advance physical activity policy research nationally and internationally. Such methods the center has significant expertise in, and will provide technical assistance for across the network based on consensus its stakeholders, include systematic direction observation assessments of physical activity, cost-effectiveness analytic approaches, and health impact assessments. Using these relatively inexpensive (per site) but robust methods for assessing physical activity policies leveraged across the network will yield a wealth of data critical to informing and comparing impactful physical activity policies. Additionally, through partnering with various regional, state and local stakeholders, we propose to establish the Arizona Physical Activity Policy Research Network (AzPAPRN). The proposed AzPAPRN will bring together stakeholders from state and local health departments, regional and local planners, researchers, and community advocates to identify and collect data related to determinants, processes and outcomes specific to Complete Streets and other pedestrian friendly policies. Included in the AZPAPRN will be initial research project to investigate perceptions of active transportation in predominantly low income, Mexican American/Mexican origin neighborhoods, with a focus on how design strategies such as complete streets can increase both rates of walking and perceptions of safety and comfort a critical local/regional public health challenge and one relevant to sound policy formation and city planning nationwide. The collective efforts of the coordinating center and its more regional/local components are directed toward the CDC s winnable battle of nutrition, physical activity and obesity, while contributing to meeting the objective of strategy five of the National Prevention Plan.