UMass Worcester Prevention Research Center

描述（由申请人提供）：本提案寻求对马萨诸塞州伍斯特预防研究中心（UMW-PRC）的支持，该中心最初由CDC于2009年资助，作为一个发展中的PRC。资金将支持一个全面的核心基础设施的增长和加强，促进与州和地方公共卫生部门以及众多社区合作伙伴的应用公共卫生研究伙伴关系。我们的教师进行干预研究，实施研究和公共卫生实践为基础的研究，针对疾病预防控制中心在伍斯特，MA地区的营养，体力活动和肥胖的胜利战役。UMW-PRC有六个优先领域：种族和民族健康差异，建筑环境和系统，共病肥胖和心理健康，儿童和青少年健康，工作场所健康促进和社区-临床联系。在拟议的资助周期，UMW-PRC将进一步发挥其作用：1）应用公共卫生研究的机构领导者，2）马萨诸塞州伍斯特市内合作公共卫生系统的组成部分，3）应用公共卫生研究专业知识的全州资源，以及4）双向应用公共卫生研究的国家模式，将学术医学，公共卫生，医疗保健和社区。这将通过在项目审查委员会的每个方案组成部分中进行创新来实现：行政和基础设施、社区参与和技术援助、交流和传播、培训和评估。从这个基础设施建设，我们提出的应用公共卫生预防研究项目将在种族/民族多元化的联合山附近，伍斯特市已优先振兴，由于其犯罪率高，贫困和失业率，建筑环境恶化，高慢性病负担实施。有针对性的资源投资旨在减少犯罪、安全和经济发展。同时，联合山将成为马萨诸塞州公共卫生部（MDPH）群众运动/社区转型补助金（MiM- CTG）的目标，以实施公共政策和环境改善，促进体育活动和健康饮食，减少肥胖。感知的社会规范，有限的父母效能，影响儿童肥胖的行为和有限的育儿技巧与儿童肥胖的行为可能会减少建筑环境干预的影响。拟议的研究将测试建筑环境干预加上以家庭为中心的社区卫生工作者（CHW）提供的组成部分的影响，以提高家庭的能力，通过改善社会规范，父母的效能和育儿技能，促进健康的饮食和活动，与建筑环境干预加上注意力控制CHW提供的组成部分相比。该研究采用准实验设计来评估对儿童和父母饮食，身体活动和BMI的影响。我们将使用MDPH全州儿童BMI数据来比较联合山综合建筑环境干预措施与MiM-CTG计划仅在可比MA城市社区的影响。

DESCRIPTION (provided by applicant): This proposal seeks support for the UMass Worcester Prevention Research Center (UMW-PRC), initially funded by the CDC in 2009 as a developmental PRC. Funding will support the growth and enhancement of a comprehensive core infrastructure that fosters applied public health research partnerships with state and local departments of public health and numerous community partners. Our faculty conduct intervention research, implementation research and public health practice-based research that targets the CDC Winnable Battles of nutrition, physical activity and obesity in the Worcester, MA area. The UMW-PRC has six priority areas: racial and ethnic health disparities, the built environment and systems, comorbid obesity and mental health, child and adolescent health, worksite health promotion, and community-clinical linkages. In the proposed funding cycle, the UMW-PRC will further its role as 1) an institutional leader in applied public health research, 2) an integral part of the collaborative public health system within Worcester, MA, 3) a statewide resource for applied public health research expertise, and 4) a national model for bidirectional applied public health research that integrates academic medicine, public health, health care and communities. This will be accomplished through innovations in each of the PRC programmatic components: administration and infrastructure, community engagement and technical assistance, communication and dissemination, training, and evaluation. Building from this infrastructure, our proposed applied public health prevention research project will be implemented in the racial/ethnically diverse Union Hill neighborhood, which the City of Worcester has prioritized for revitalization due to its high rates of crime, poverty and unemployment, deteriorating built environment, and high chronic disease burden. Targeted resource investments aim to improve crime and safety and economic development. Simultaneously, Union Hill will be targeted by a Massachusetts Department of Public Health (MDPH) Mass in Motion/Community Transformation Grant (MiM- CTG) to implement public policy and environmental improvements to promote physical activity and healthy eating and reduce obesity. Perceived social norms, limited parental efficacy to influence child obesogenic behaviors and limited parenting skills related to child obesogenic behaviors may reduce the impact of built environment interventions. The proposed study will test the impact of the built environment intervention plus a family-focused community health worker (CHW)-delivered component to improve ability of families to navigate their environment and promote healthy eating and activity through improvements in social norms, parental efficacy, and parenting skills, compared to the built environment intervention plus an attention control CHW- delivered component. The study uses a quasi-experimental design to assess impact on child and parent diet, physical activity and BMI. We will use MDPH statewide child BMI data to compare impact of the combined built environment interventions in Union Hill to the MiM-CTG program only in comparable MA urban communities.