Health Promotion and Disease Prevention Research Center

项目概要/摘要 在过去三十年，我们对如何预防和控制慢性病有了很多了解， 癌症和抑郁症;但仍然存在明显的差距，特别是在低收入成年人和有色人种中。 华盛顿大学的健康促进研究中心（HPRC）试图消除这些 差距。我们的工作重点是癌症预防和控制，老年人的心理健康和身体活动 成人和工作场所健康促进。HPRC的三个循证方案共同实施 在超过45个州，与接触和服务人群的战略翻译合作伙伴合作 经历健康差距。这三个项目是增强健身，一个基于团体的身体活动 在46个州实施的老年人方案，惠及80 000多名老年人; 工作场所解决方案，一套工作场所健康促进计划，已交付给雇主， 超过40个州，达到8，000，000多名员工和家属;该计划， 鼓励积极和奖励生活（PEARLS），一个针对老年人的抑郁症管理计划， 我们的核心研究项目的重点，已达到25个州的6,200多名老年人。在这 我们提出了六个相互关联的具体目标，三个是我们的中心，三个是我们的核心研究 项目我们中心的目标包括通过翻译HPRC的循证医学知识， 在新的环境中实施方案，覆盖服务不足的人群;建立地方，州和国家 应用预防研究的能力;并开展社区参与的核心研究项目， 在两个州大规模实施PEARLS。该中心的目标是改善卫生公平性 在中年和老年人中，通过与合作伙伴和环境一起翻译HPRC的计划， 覆盖健康不平等的人群。我们的核心研究项目旨在开发一个 社区参与的PEARLS翻译战略，满足为老年人服务的组织的需求 经历与种族/民族、社会经济地位、农村居住地区和缺乏相关差异的成年人 获得抑郁症治疗的机会;在一个阶梯楔形、随机分组对照的研究中测试翻译策略 在两个州进行试验;并与CDC和PRC网络合作，传播和翻译我们的研究结果。如果 成功的，我们的方法有可能改善健康公平的中年和老年人 经历健康差距，并产生可复制的实施和翻译战略， 卫生从业人员和研究人员可以申请其他循证方案。

Project Summary/Abstract In the past three decades, we have learned much about how to prevent and control chronic diseases including cancer and depression; yet stark disparities remain, particularly among low-income adults and adults of color. The Health Promotion Research Center (HPRC) at the University of Washington seeks to eliminate these disparities. Our work focuses on cancer prevention and control, mental health and physical activity of older adults, and workplace health promotion. HPRC's three evidence-based programs are collectively implemented in more than 45 states, in partnership with strategic translation partners who reach and serve populations experiencing health disparities. The three programs are EnhanceFitness, a group-based physical activity program for older adults that has been implemented in 46 states and reached more than 80,000 older adults; Workplace Solutions, a suite of workplace health promotion programs that has been delivered to employers in more than 40 states and reached more than 8,000,000 employees and dependents; and the Program to Encourage Active and Rewarding Lives (PEARLS), a depression management program for older adults and the focus of our Core Research Project, which has reached more than 6,200 older adults in 25 states. In this proposal, we address six interrelated specific aims, three for our Center and three for our Core Research Project. Our Center aims include reducing health disparities through translation of HPRC's evidence-based programs into practice in new settings reaching underserved populations; building local, state, and national capacity in applied prevention research; and conducting a community-engaged Core Research Project aimed at large-scale implementation of PEARLS in two states. The proposed Center aims will improve health equity among middle-aged and older adults through translating HPRC's programs with partners and settings that reach populations experiencing health disparities. Our Core Research Project aims are to develop a community-engaged PEARLS translation strategy that meets the needs of organizations that that serve older adults experiencing disparities related to race/ethnicity, socioeconomic status, rural area of residence, and lack of access to depression care; test the translation strategy in a stepped-wedge, cluster-randomized controlled trial in two states; and collaborate with CDC and the PRC Network to disseminate and translate our findings. If successful, our approaches have the potential to improve health equity for middle-aged and older adults experiencing health disparities, and to generate replicable implementation and translation strategies that public health practitioners and researchers can apply to other evidence-based programs.