Administrative Core

行政核心

• 批准号: 10657741
• 负责人: MARY BETH TERRY
• 金额: $ 68.28万
• 依托单位: COLUMBIA UNIVERSITY HEALTH SCIENCES
• 依托单位国家: 美国
• 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/10657741
• 关键词: Address; Adherence; Area; Biometry; Cardiometabolic Disease; Chronic Disease; Cities; Colorectal Cancer; Communities; Community Health Aides; Data Science; Development; Dimensions; Disease Management; Disease Outcome; Economics; Enrollment; Ensure; Environmental Science; Epidemiology; Equity; Evaluation; Faculty; Feedback; Funding; Funding Mechanisms; Goals; Grant; Group Affiliation; Health Policy; Health Services; Healthcare Systems; Heart; Hospitals; Individual; Infrastructure; Insurance; Intervention; Intervention Studies; Learning; Malignant Neoplasms; Medical center; Methods; Mission; Modeling; Monitor; National Institute on Minority Health and Health Disparities; New York; New York City; Participant; Persons; Physicians; Pilot Projects; Presbyterian Church; Prevention; Public Policy; Reduce health disparities; Research; Research Personnel; Resources; Science; Services; Sleep; System; Testing; Training; Translating; Translational Research; Transportation; Universities; Work; behavioral and social science; biomedical informatics; burden of illness; clinical translation; college; community building; community center; community engaged research; data harmonization; design; disparity reduction; food insecurity; health disparity; health equity; health training; high risk; housing instability; implementation science; improved; meetings; member; novel; programs; screening; sleep health; social health determinants; synergism

ADMINISTRATIVE CORE ABSTRACT The Administrative Core (ADMIN) for the Center to Improve Chronic disease Outcomes through Multi-level and Multi-generational approaches Unifying Novel Interventions and Training for health EquitY (The COMMUNITY Center) is essential for meeting the Center’s mission. The ADMIN will fully leverage the exceptional research and training resources and infrastructure of Columbia University Irving Medical Center (CUIMC), Weill Cornell Medical Center (WCM) and Hunter College at the City University of New York (CUNY) and the regional healthcare systems and networks of New York-Presbyterian (NYP) Hospital System and the Physician Affiliate Group of New York (PAGNY) to conduct prevention, screening, treatment, and management interventions to reduce health disparities in multiple chronic diseases. The Center focuses on rigorous testing of interventions that incorporate the multiple levels of influence from individual, interpersonal, community and societal approaches developed by interdisciplinary team science. We have designed three synergistic projects that focus on novel interventions in the community and NYP health care systems employing the community health worker (CHW) model for enrollment and/or retention into the studies while also connecting participants to services based on five domains of Social Determinants of Health (SDoH; housing instability, food insecurity, transportation problems, utility help needs and insurance enrollment). The ADMIN will oversee, manage, and coordinate the range of administrative activities for the entire COMMUNITY Center (Aim 1). Within the ADMIN we will also provide COMMUNITY Center members support for projects and pilots through Core faculty with expertise in: 1) Biostatistics; 2) Implementation Science; 3) Data Harmonization and Biomedical Informatics. The ADMIN will also monitor research progress and ensure implementation of the Center Plans through formal feedback and ongoing evaluations and disseminate approaches, methods, findings and best practices across our NYC Region and through the NIMHD Centers and health policy forums. In addition to evaluating the projects and IDC pilots based on their deliverables, we will evaluate the other novel aspects of our program including the CHW model and the CONNECTOME’S community projects. The COMMUNITY Center’s ultimate impact in eliminating health disparities in multiple chronic diseases in our NYC Region will come from our collective efforts in developing, translating and sustaining novel interventions and programs through community engaged research that addresses synergies across prevention, treatment and management strategies. The projects that we have developed and the pilots and community grants that will form the heart of this Center are the first steps to meeting this goal. The ADMIN will support this mission.

行政核心摘要 该中心通过多层次改善慢性病结局的行政核心(管理) 和多代方法，统一新的干预措施和卫生公平培训( 社区中心)对于完成中心的使命至关重要。管理员将充分利用 哥伦比亚大学欧文医学中心卓越的研究和培训资源和基础设施 (CUIMC)、威尔·康奈尔医学中心(WCM)和纽约城市大学亨特学院(CUNY) 以及纽约长老会(NYP)医院系统和 纽约医师协会(Pagny)进行预防、筛查、治疗和管理 减少多种慢性病健康差距的干预措施。该中心专注于严格的测试 综合了来自个人、人际、社区和 由跨学科团队科学开发的社会方法。我们设计了三个协同项目 其重点是社区中的新干预措施和雇用社区的NYP医疗保健系统 卫生工作者(CHW)模式，用于登记和/或保留研究，同时还将参与者连接到 基于健康的五个社会决定因素的服务(SDoH；住房不稳定、粮食不安全、 交通问题、公用事业帮助需求和保险投保)。管理员将监督、管理和 协调整个社区中心的行政活动范围(目标1)。在管理员内 我们还将通过核心教员为社区中心成员提供项目和试点支持 擅长：1)生物统计学；2)实施科学；3)数据协调和生物医学信息学。这个 管理人员还将监督研究进展，并通过正式的 反馈和持续评价，并在以下领域传播方针、方法、调查结果和最佳做法 通过我们的纽约市地区以及NIMHD中心和卫生政策论坛。除了对项目进行评估外 和IDC试点，我们将根据他们的交付成果评估我们计划的其他新颖方面，包括 CHW模型和Connectome的社区项目。社区中心在中国的最终影响 在我们纽约市地区消除多种慢性病的健康差距将来自我们的集体努力 通过社区参与开发、翻译和维持新的干预措施和计划 涉及预防、治疗和管理战略的协同作用的研究。这些项目 我们已经开发了，形成该中心核心的试点和社区赠款是第一步 为实现这一目标。管理员将支持这项任务。