Maximizing Immigrant and Refugee Health: A community-partnered approach

描述(由申请者提供)：移民和难民社区在获得服务方面遇到障碍，在健康结果方面存在差异。解决这些人群健康问题的一种方法是基于社区的参与性行动研究。CBPAR具有改善移民和难民社区健康的潜力，方法是产生与社区相关的研究，借鉴社区的经验，并在社区文化背景下加以应用。然而，除了单一的伙伴关系或项目外，CBPAR几乎没有创建成功的模式来促进社区成员和研究人员之间的关系建设和合作。因此，我们项目的长期目标是通过拉丁裔、苗族和索马里社区、医疗和社会服务提供者以及学术研究人员之间的合作，创造一个可持续的CBPAR模式，为促进CBPAR在各种共同利益的健康主题上提供必要的先决条件，并最终导致相关研究、有效的计划，并改善明尼苏达州圣保罗移民和难民社区的健康和福祉。该项目将开发一种培训和正式便利的模式，以支持基于社区优先事项的互惠社区-大学卫生研究合作。该计划将培训活跃的社区成员和准备好的研究人员，他们将形成CBPAR项目的合作伙伴关系；利用值得信赖的社区机构来指导培训和促进过程，并最终将成果转化为其机构使用；以及实施灵活和动态的基础设施，以帮助伙伴关系的创建和发展。该方法将解决社区参与开发和实施应用研究的四个障碍：信任；相关性；文化适当性和接受性。该计划的成功将使用小组过程措施和结果进行评估，包括开发和资助的研究项目的数量。如果成功，这种建立伙伴关系的方法可以在其他环境中传播和推广。此外，这里建立的模型和通过该项目开发的初步研究项目都将导致进一步的项目开发，并申请未来的NIH资金。对于研究伙伴计划，我们打算围绕生成和评估可持续的CBPAR模型实现三个主要目标：目标1：建立一个过程来创建活跃的社区成员和准备好的研究人员。目标2：利用当前的关系和倡议发展基础设施，促进社区和明尼苏达大学卫生研究人员之间的合作。目标3：评估合作研究伙伴关系在制定和实施项目方面的成功。

DESCRIPTION (provided by applicant): Immigrant and refugee communities experience barriers to accessing services and disparities in health outcomes. One means for addressing the health of these populations is community based participatory action research (CBPAR). CBPAR has the potential to improve the health of immigrant and refugee communities by generating research that is relevant to the community, informed by the experiences of community, and applied within a community-cultural context. However, CBPAR has created few successful models for facilitating relationship building and collaboration between community members and researchers beyond single partnerships or projects. Therefore, the long term goal of our project is to produce a sustainable CBPAR model through a partnership between Latino, Hmong, and Somali communities, medical and social service providers, and academic researchers, that creates the necessary prerequisites to facilitate CBPAR on a variety of health topics of mutually identified interests, and ultimately results in relevant research, effective programs, and improved health and wellness of immigrant and refugee communities in St. Paul, Minnesota. The project will develop a model for training and formalized facilitation to support mutually beneficial community-university health research collaborations based on community priorities. The program will train activated community members and prepared researchers who will form partnerships for CBPAR projects; utilize trusted community institutions to direct the training and facilitation processes, and ultimately translate results for use in their agencies; and implement a flexible and dynamic infrastructure to assist in partnership creation and development. The approach will address four barriers to community involvement in the development and implementation of applied research: trust; relevance; cultural appropriateness and uptake. The program's success will be evaluated using group process measures and outcomes including the number of research projects developed and funded. If successful, this approach to partnership building can be disseminated and replicated in other settings. Furthermore, both the model established here and the initial research projects developed through this program will lead to further program development, and applications for future NIH funding. For the Partners in Research initiative, we intend to fulfill three primary aims around generating and evaluating a sustainable CBPAR model: Aim 1: Build a process to create activated community members and prepared researchers. Aim 2: Utilize current relationships and initiatives to develop the infrastructure that will facilitate collaboration between community and University of Minnesota health researchers. Aim 3: Evaluate the success of collaborative research partnerships at developing and implementing projects.