Rocky Mountain Prevention Research Center

落基山预防研究中心

• 批准号: 10438510
• 负责人: JENN A LEIFERMAN
• 金额: $ 105万
• 依托单位: UNIVERSITY OF COLORADO DENVER
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-09-30 至 2024-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10438510
• 关键词: Rocky; Mountain; Prevention; Research; Center

Abstract This Center proposal builds on our long history of partnerships in the rural San Luis Valley, state partnerships and the need for expansion to other states in HHS Region 8. The Center’s specific aims cover the required key elements and activities and are framed in five over-arching long-term areas of investigation: 1) Establish and complete a 5-year center research and translation agenda to promote family and child health and well-being, thriving communities, and health equity in the Rocky Mountain Region; 2) Develop and strengthen community partnerships to bridge research to public health practice; 3) Develop and sustain translation efforts across Colorado; 4) Communicate and disseminate findings across Colorado and Region 8; and 5) Train public health and medical practitioners, students and multisector practitioners across Colorado and Region 8. The public health practice-based core research project is designed to reduce the intergenerational transmission of adverse childhood experiences (ACEs) in the San Luis Valley (SLV) of Colorado, which are modifiable risk factors that have a profound and lasting effect on a person’s health. To accomplish this, a community-engaged, stakeholder-driven, multi-level intervention, entitled STANCE (Linking Systems To address ACES iN Childhood Early on) is proposed. The STANCE intervention has three primary components: 1) Universal assessment of ACES for all children aged zero to five and their primary caregivers, 2) Implementation of the pyramid model in early childcare education (ECE) settings to promote positive social-emotional development, and 3) a community-level social network analysis to leverage and strengthen the system of care to better meet the needs of children and families struggling with a high number of ACEs and associated downstream health outcomes. The primary effectiveness outcomes will be evaluated using a stepped wedge cluster randomized design conducted in ~15 ECE centers (~730 children). A systems change approach that marries preschools, community organizations, government agencies, policy-makers, and researchers, will increase the chances for success for vulnerable children prior to the compounding effects of health problems caused by ACEs. Center and research components together represent the integration of research and practice with meaningful community participation which will lead to results that are responsive to local public health needs while promoting templates of community-engaged research also relevant for other settings. Through active collaboration, we will build local capacity to execute evidence-based public health practice.

摘要 该中心的建议建立在我们在圣路易斯农村的长期合作关系的基础上 山谷，国家伙伴关系和扩展到其他国家的需要在HHS区域8。的 中心的具体目标包括所需的关键要素和活动，并分为五个框架 超长期研究领域：1）建立并完成一个5年中心 促进家庭和儿童健康和福祉的研究和翻译议程，蓬勃发展 社区和落基山脉地区的健康公平; 2）发展和加强 社区伙伴关系，将研究与公共卫生实践联系起来; 3）发展和维持 在科罗拉多的翻译工作; 4）在科罗拉多交流和传播调查结果 5）培训公共卫生和医疗从业人员、学生和多部门 科罗拉多和第八区的从业者。 基于公共卫生实践的核心研究项目旨在减少 圣路易斯山谷不良童年经历的代际传递 (SLV)科罗拉多，这是可改变的风险因素，有深远和持久的影响， 人的健康。为了实现这一目标，一个社区参与，业主驱动，多层次 干预措施，题为STANCE（解决儿童早期ACES问题的联系系统） 本文提出STANCE干预有三个主要组成部分：1）普遍评估 2）为所有0至5岁的儿童及其主要照顾者实施儿童保育和教育方案， 在幼儿教育环境中采用金字塔模式，促进积极的社会情感 发展，以及3）社区一级的社会网络分析，以利用和加强 照顾系统，以更好地满足儿童和家庭的需要， ACE和相关的下游健康结果。主要有效性结局将 使用在约15家ECE中心进行的阶梯式楔形分组随机设计进行评价 （约730名儿童）。一个系统改变的方法，结合幼儿园，社区组织， 政府机构、政策制定者和研究人员，将增加成功的机会， 在ACE引起的健康问题的复合影响之前， 中心和研究部分共同代表了研究和 有意义的社区参与的实践，将导致响应 地方公共卫生需求，同时促进社区参与研究的模板， 与其他设置相关。通过积极合作，我们将建设地方执行能力， 循证公共卫生实践。