Health Promotion and Disease Prevention Research Centers

摘要 我们寻求继续支持马萨诸塞州伍斯特预防研究中心（中国），位于 马萨诸塞州伍斯特大学。马萨诸塞大学伍斯特分校中华人民共和国作为1）应用公共的枢纽 马萨诸塞大学伍斯特分校的健康研究; 2）大伍斯特合作组织的组成部分 公共卫生系统; 3）一个研究合作伙伴，解决伍斯特，马萨诸塞州， 英联邦及其他地区;以及4）在应用预防研究和翻译活动方面处于国家领先地位 与公共卫生、社区和保健部门合作进行。的指导下 多部门，高度参与社区咨询委员会，我们寻求发展和加强全面的 中心基础设施和研究组合，以响应地方，州和健康的人2020年 优先事项这些措施包括促进健康饮食，体育活动，戒烟和管理 常见的疾病，如肥胖、高血压、糖尿病、哮喘和某些癌症。我们的干预措施 和工具旨在在服务于不同人群的真实的世界环境中实施，包括：1） 建立实施预防方案的临床能力的干预措施，2）建立 临床-社区联系，3）基于社区的（例如，家庭、学校、社区组织） 干预措施，以及4）评价政策，系统和建成的环境方法和方法， 提高其通过性。在疾病预防控制中心知识到行动框架扩展版本的指导下，我们将 扩大我们的研究组合，并通过创新的预防干预措施建立商业案例 支持传播、翻译、利益攸关方培训和交流的活动。我们还将继续 为地方和州公共卫生实践提供信息，培训下一代公共卫生研究人员， 为全国PRC网络做出贡献。该应用研究项目是一项实施研究， 通过药物依从性（阿尔马）干预降低血压的循证方法， 这是由我们的团队成员开发的。阿尔马是一种基于系统的干预措施， 协助确定患有不受控制的高血压的患者，并促进转诊到社区健康中心 工作人员提供的指导干预，促进药物依从性。将促进执行工作 由领导支持和基于CHC的医疗和运营冠军。使用准实验设计， 我们将与联邦合格的社区卫生中心（CHC）合作开展这项研究， 马萨诸塞州的一个责任关怀组织（ACO）的成员。干预部位将是 Edward M.肯尼迪社区健康中心和伍斯特家庭健康中心，长期合作伙伴 我们的PRC。具有相似患者特征的5个CHC将作为比较条件。成果将包括 投资回报和成本效益，亚人群血压控制， 实施过程的结果。研究结果将用于促进阿尔马的翻译到实践中。

ABSTRACT We seek continued support for the UMass Worcester Prevention Research Center (PRC), located at the University of Massachusetts Worcester. The UMass Worcester PRC serves as 1) The hub of applied public health research at UMass Worcester; 2) An integral part of the fabric of Greater Worcester's collaborative public health system; 3) A research partner that addresses real-world challenges across Worcester, MA, the Commonwealth and beyond; and 4) A national leader in applied prevention research and translation activities conducted in collaboration with public health, community and health care sectors. Under the guidance of a multi-sector, highly engaged community advisory board, we seek to grow and enhance a comprehensive center infrastructure and research portfolio that is responsive to local, state and Healthy People 2020 priorities. These include promoting healthy eating, physical activity, tobacco cessation and management of common conditions such as obesity, hypertension, diabetes, asthma and certain cancers. Our interventions and tools are intended to be implementable in real world settings that serve diverse populations, including: 1) interventions that build clinical capacity for implementing prevention programs, 2) interventions that build clinical-community linkages, 3) community-based (e.g., home, schools, community organizations) interventions, and 4) evaluations of policy, systems and built environmental approaches and approaches to improve their adoption. Guided by an expanded version of the CDC's Knowledge to Action Framework, we will amplify our research portfolio and establish the business case for prevention interventions through innovative activities that support dissemination, translation, stakeholder training and communication. We also will continue to inform local and state public health practice, train the next generation of public health researchers, and contribute to the national PRC network. The applied research project is an implementation study of the evidence-based Approach for Lowering blood pressure through Medication Adherence (ALMA) intervention, which was developed by members of our team. ALMA is a systems-based intervention that alerts medical assistants to identify patients with uncontrolled hypertension and facilitates referrals to a community health worker-delivered coaching intervention that promotes medication adherence. Implementation will be facilitated by leadership support and CHC-based medical and operations champions. Using a quasi-experimental design, we will conduct the study in partnership with federally-qualified community health centers (CHCs) that are members of an Accountable Care Organization (ACO) in Massachusetts. The intervention sites will be the Edward M. Kennedy Community Health Center and Family Health Center of Worcester, long-standing partners of our PRC. Five CHCs with similar patient profiles will serve as a comparison condition. Outcomes will include return on investment and cost-effectiveness, blood pressure control among sub-populations and implementation process outcomes. Findings will be used to promote the translation of ALMA into practice.