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The Mid-Atlantic Center for Cardiometabolic Health Equity (MACCHE)

大西洋中部心脏代谢健康公平中心 (MACCHE)

基本信息

批准号：
10892551
负责人：
LISA A COOPER
金额：
$ 97.25万
依托单位：
JOHNS HOPKINS UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2021
资助国家：
美国
起止时间：
2021-09-24 至 2026-06-30
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10892551
关键词：
Address Adult Area Baltimore Birth Black race Cardiometabolic Disease Cardiovascular system Chronic Chronic Disease Chronic Kidney Failure Clinical Cluster randomized trial Communities Community Health Aides Complex DASH diet Development Diabetes Mellitus Diet Disease Management Disparity Disparity population Economics Ethnic Origin Fibrosis Food Goals Health Health Food Health Policy Heart Heart Injuries Heart failure High Risk Woman Home Blood Pressure Monitoring Home visitation Hypertension Intervention Latinx Leadership Life Life Cycle Stages Link Maryland Medicine Mentors Morbidity - disease rate Myocardial dysfunction Non-Insulin-Dependent Diabetes Mellitus Obesity Outcome Outcomes Research Ownership Patient-Focused Outcomes Persons Pharmacists Phase Pilot Projects Policies Population Postpartum Period Postpartum Women Pregnancy Pregnant Women Problem Solving Provider Public Health Practice Quality of life Race Recommendation Recovery Research Research Personnel Research Project Grants Risk Factors Science Services Sodium Chloride Structure Testing Training Translating Translations United States blood pressure control blood pressure reduction cardiometabolic risk cardiometabolism cardiorespiratory fitness community based participatory research community center community engaged research community engagement compare effectiveness comparison intervention design dietary disease disparity disorder prevention effectiveness evaluation effectiveness testing ethnic disparity evidence base fitness food desert fruits and vegetables geographic disparity health disparity health equity high risk improved innovation low socioeconomic status mortality postpartum health postpartum weight programs racial disparity randomized trial social disparities socioeconomic disparity stress management stress reduction team-based care telemonitoring treatment as usual

项目摘要

OVERALL PROJECT SUMMARY The overarching goal of the Mid-Atlantic Center for Cardiometabolic Health Equity (MACCHE) is to test the effectiveness of comprehensive, integrated, and multi-level evidence-based strategies for improving cardiometabolic health outcomes among socially disadvantaged populations in Maryland. The MACCHE will include 5 separate, but related research projects addressing disparities in cardiometabolic disease; 3 integrated cores (Administrative, Investigator Development, and Community Engagement); an Executive Committee; and a Community Advisory Board. The first 3 projects are currently underway and include: Project 1 (Healthy for Two), a randomized trial comparing the effectiveness of an evidence-based pregnancy/postpartum health coaching/home visiting intervention to usual home visiting services in reducing postpartum weight retention among Black and Latinx birthing people at high risk for cardiometabolic health disparities; Project 2 (UNLOAD-Heart Failure) is a randomized trial examining the effectiveness of a multi-level intervention of problem-solving training, community health worker (CHW) support and partnership with community facilities for enhancing cardiorespiratory fitness in adults with low socioeconomic status, diabetes, obesity and asymptomatic cardiac dysfunction; and Project 3 (LINKED-HEARTS) is a cluster-randomized trial testing the effectiveness of a multi-level intervention linking self-monitored blood pressure (BP) with telemonitoring, team-based care with pharmacists and CHWs, and provider-level interventions compared to enhanced usual care, for improving BP control among socially disadvantaged adults with uncontrolled hypertension plus diabetes or chronic kidney disease. The 2 additional proposed studies include: Healthy for Two-Hearts which builds upon Healthy For Two, to address racial and ethnic disparities in hypertension in postpartum birthing people, with an emphasis on two effective strategies for blood pressure reduction: low salt/high fruit and vegetable diet (including food delivery) and stress management; and DASH-Life which will pilot a Food-is-Medicine intervention for adults with hypertension and type 2 diabetes residing in Healthy Food Priority Areas in Baltimore (`food deserts')—a population at high risk for adverse cardiometabolic health outcomes. The MACCHE will advance the science of cardiometabolic disease disparities and facilitate its translation into clinical and public health practice and policy.

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