Health Promotion and Disease Prevention Research Centers

摘要 我们寻求对麻省大学伍斯特分校预防研究中心（PRC）的持续支持，该中心位于 马萨诸塞大学伍斯特分校。麻省大学伍斯特分校 PRC 的作用是 1) 应用公众的中心 麻省大学伍斯特分校的健康研究； 2) 大伍斯特协作结构的一个组成部分 公共卫生系统； 3) 一个研究合作伙伴，致力于解决马萨诸塞州伍斯特市的现实世界挑战 英联邦及其他国家； 4) 应用预防研究和翻译活动的国家领导者 与公共卫生、社区和卫生保健部门合作进行。在一个人的指导下 多部门、高度参与的社区咨询委员会，我们寻求发展和加强全面的 中心基础设施和研究组合，响应地方、州和健康人口 2020 优先事项。其中包括促进健康饮食、身体活动、戒烟和管理 常见疾病，如肥胖、高血压、糖尿病、哮喘和某些癌症。我们的干预措施 工具旨在在现实世界环境中实施，为不同人群提供服务，包括：1) 建立实施预防计划的临床能力的干预措施，2) 建立 临床-社区联系，3) 以社区为基础（例如家庭、学校、社区组织） 干预措施，以及 4) 对政策、系统和建成环境方法的评估以及 提高他们的采用率。在 CDC 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，并通过创新建立预防干预的商业案例 支持传播、翻译、利益相关者培训和沟通的活动。我们也将继续 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，以及 为国家中华人民共和国网络做出贡献。该应用研究项目是一项实施研究 通过药物依从性 (ALMA) 干预降低血压的循证方法， 这是由我们团队成员开发的。 ALMA 是一种基于系统的干预措施，可提醒医疗人员 助理识别患有不受控制的高血压的患者并协助转诊至社区卫生机构 工作人员提供的指导干预可促进药物依从性。将促进实施 通过领导层的支持以及基于 CHC 的医疗和运营冠军。采用准实验设计， 我们将与联邦合格的社区健康中心 (CHC) 合作开展这项研究，这些中心 马萨诸塞州责任医疗组织 (ACO) 的成员。干预地点将是 爱德华·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 我们中华人民共和国的。五个具有相似患者概况的 CHC 将作为比较条件。结果将包括 投资回报率和成本效益、亚人群血压控制和 实施过程的结果。研究结果将用于促进 ALMA 转化为实践。

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.