Health Promotion and Disease Prevention Research Centers

密歇根州预防研究中心（PRC/MI）将建立在我们20年的合作经验， 密歇根州弗林特的当地组织、居民和机构，通过以下方式创造一个更安全、更健康的未来： 高质量的社区参与的应用公共卫生研究。我们的中心是一个合作伙伴关系， 密歇根大学公共卫生学院，密歇根州立大学公共卫生系 总部设在弗林特，凯特林大学和健康弗林特研究协调中心（HFRCC）的联盟， 社区组织和大学是为了应对弗林特社区研究人员的涌入而创建的， 公平的学术社区伙伴关系。我们将在研究方面力求卓越， 翻译和传播，以及培训：1）进行严格的基于社区的研究，以适应， 实施和测试通过环境设计促进健康（HPTED）干预; 2）翻译和 向学术界、实践界、政策制定者和社区受众传播PRC/MI研究; 4）提供 为学生、公共卫生从业人员、社区居民提供应用公共卫生研究培训， 研究人员; 5）加强PRC/MI的基础设施，作为全州社区的资源 和民族我们的核心研究项目，通过环境设计促进健康（HPTED）：A 社区参与和健康公平的变革方法旨在研究 让居民参与环境变化，以减少健康差距，增加健康公平， 健康我们将利用现有的研究，多学科的研究经验和专业知识，多所大学 合作和社区伙伴关系，以适应和评估通过环境促进健康 设计（HPTED）。HPTED是通过环境设计预防犯罪（CPTED）的改编， 是一种犯罪学方法，涉及物理和社会两个组成部分，以防止犯罪。我们的重点 将以健康促进为主题，并将纳入健康问题和根本原因（Escheran等人，2010年）。 我们将进行区组随机设计来测试我们的概念模型。我们还研究实施 以确定成功的关键要素。我们的具体目标是：1）研究适应的过程， 对社区居民进行HPTED培训试点; 2）研究新的实施效果 HPTED干预以及实施结果如何与健康结果相关; 3）测试 HPTED在减少暴力、健康建筑环境 和社区赋权，以及对心理和行为健康的直接影响;以及4）调查， 减少暴力、健康的建筑环境和社区赋权是一种机制， HPTED改善心理和行为健康（即，间接影响）。我们希望我们双方都有证据 执行情况和成效评价将成为开发社区工具包的基础 对实施HPTED感兴趣。这一产品和证据基础将为 将我们的调查结果传播并转化为实践和政策。

The Prevention Research Center of Michigan (PRC/MI) will build on our 20 years of experience partnering with local organizations, residents and institutions in Flint, Michigan to create a safer and healthier futures through high quality community-engaged applied public health research. Our Center is a partnership between the University of Michigan, School of Public Health (UMSPH), Michigan State University, Division of Public Health based in Flint, Kettering University and the Healthy Flint Research Coordinating Center, (HFRCC) a coalition of CBOs and Universities created in response to the influx of researchers in the Flint community to build community for equitable academic-community partnerships. We will strive for excellence in research, translation and dissemination, and training by: 1) conducting rigorous community-based research to adapt, implement and test a Health Promotion Through Environmental Design (HPTED) intervention; 2) translate and disseminate PRC/MI research to academic, practice, policy maker, and community audiences; 4) provide training in applied public health research for students, public health practitioners, community residents, and researchers; 5) strengthen the infrastructure of the PRC/MI as a resource for communities throughout the state and the nation. Our Core Research Project, Health Promotion Through Environmental Design (HPTED): A Transformative Approach for Community Engagement and Health Equity aims to study the process of engaging residents in environmental change to reduce heath disparities, increase heath equity, and improve health. We will leverage existing studies, multidisciplinary research experience and expertise, multi-university collaboration, and community partnerships to adapt and evaluate health promotion through environmental design (HPTED). HPTED is an adaptation of Crime Prevention Through Environmental Design (CPTED) which is an approach from criminology that involves both physical and social components to prevent crime. Our focus will be on health promotion and will incorporate health issues and fundamental causes (Phelan et al., 2010). We will conduct a block group randomized design to test our conceptual model. We also study implementation of HPTED to identify key ingredients for success. Our Specific Aims are: 1) study the process for adapting and piloting HPTED training for neighborhood residents; 2) study the implementation effectiveness of the new HPTED intervention and how implementation outcomes may be related to health outcomes; 3) test the effectiveness of HPTED in a block group randomized design on violence reduction, healthy built environment, and community empowerment, and direct effects on psychological and behavioral health; and 4) investigate if violence reduction, healthy built environment, and community empowerment are a mechanism by which HPTED improves psychological and behavioral health (i.e., indirect effects). We expect evidence from both our implementation and effectiveness evaluations to be the basis for developing a toolkit for communities interested in implementing HPTED. This product and evidence base will provide a strong foundation for the dissemination and translation of our findings to practice and policy.