Health Promotion and Disease Prevention Research Center

项目摘要/摘要 在过去的三十年里，我们学到了很多关于如何预防和控制慢性病的知识，包括 癌症和抑郁症；然而，仍然存在明显的差距，特别是在低收入成年人和有色人种成年人中。 华盛顿大学健康促进研究中心(HPRC)试图消除这些 差距。我们的工作重点是癌症预防和控制，心理健康和老年人的体力活动 成人和工作场所健康促进。HPRC的三个循证项目是集体实施的 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 经历着健康差距。这三个项目是EnhanceFitness，这是一种基于群体的体力活动 老年人方案，已在46个州实施，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，已于#年交付给雇主 超过40个州，并覆盖了800多万名员工和家属；该计划旨在 鼓励积极和有回报的生活(珍珠)，这是一个为老年人和 我们核心研究项目的重点已经覆盖了25个州的6200多名老年人。在这 在提案中，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的循证证据来减少健康差距 在新的环境中落实方案，惠及未得到充分服务的人口；建立地方、州和国家 应用预防研究能力；开展社区参与的核心研究项目，旨在 在两个州大规模实施珍珠。拟议的中心目标将改善卫生公平 在中老年人中，通过与合作伙伴和环境翻译HPRC的计划 接触到经历健康差距的人群。我们的核心研究项目目标是开发一种 社区参与的珍珠翻译战略，满足服务老年人的组织的需求 成年人经历与种族/民族、社会经济地位、农村居住地和贫乏有关的差异 获得抑郁症护理的机会；在阶梯楔形、整群随机对照中测试翻译策略 在两个州进行试验；并与疾病预防控制中心和中华人民共和国网络合作，传播和翻译我们的发现。如果 如果成功，我们的方法有可能改善中老年人的健康公平 体验健康差异，并生成可复制的实施和翻译战略，使公众 健康从业者和研究人员可以申请其他循证项目。

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.