DP19-001, University of Iowa Prevention Research Center for Rural Health

项目摘要/摘要 在美国农村地区的3100万成年人中，有2160万人超重和肥胖， 增加他们患癌症和心血管疾病的风险。体力活动可以减少和 预防肥胖及其对健康的影响。传播和实施 研究可以通过以下方式解决促进健康和预防疾病的迫切需求 加速将有效的循证干预措施转化和采用为 练习一下。农村州的小城邦社区尤其令人担忧，因为他们遭受着 更大的经济和社会劣势，包括更高的贫困和失业率 利率，比大都市或非小城市的农村地区都要高。预防研究 以肥胖为重点的农村卫生中心(PRC-RH)应对健康挑战 爱荷华州的Micropolitan和其他农村社区的居民通过各种中心 活动和资源以及实施积极的爱荷华州研究项目。 PRC-RH中心的活动包括以翻译为重点的基础设施维护 中华人民共和国-RH研究和最佳实践的交流；公共卫生培训 专业人员、学生和社区成员；以及对PRC-RH活动的评估。这个 PRC-RH与爱荷华州公共卫生部建立了充满活力的合作伙伴关系，并积极 社区谘询委员会。爱荷华州活跃的PRC-RH实施研究项目 重点是爱荷华州和邻近州活跃的渥太华的翻译。特定的 目标包括：1)在合并的指导下，将活跃的渥太华转变为活跃的爱荷华州 实施研究框架(CFIR)，分为三个微政治学集群 爱荷华州的社区。2)严格评估执行情况和行为结果 主动爱荷华州使用随机化的集群阶梯-楔形设计来a)检查促进者， 障碍以及与采用、实施和 爱荷华州活跃地区的可持续性，以及b)使用REACH有效性评估爱荷华州活跃地区 采用实施和维护框架(RE-AIM)，应用混合研究 多层次、多层次评价落实情况的方法 跨集群的利益相关者；3)在爱荷华州、内布拉斯加州、密苏里州和 堪萨斯州(疾控中心G区)。PRC-RH研究和活动将解决一个重大的证据差距 通过了解如何最好地翻译和在中西部农村地区进行循证干预。

Project Summary/Abstract Of the 31 million adults living in rural regions in the US, 21.6 million are overweight and obese, increasing their risk of cancer and cardiovascular disease. Physical activity can reduce and prevent obesity and the health consequences of obesity. Dissemination and implementation research can address the urgent needs of health promotion and disease prevention by accelerating the translation and adoption of effective evidence-based interventions into practice. Micropolitan communities in rural states are a particular concern as they suffer from greater economic and social disadvantages, including higher poverty and unemployment rates, than either metropolitan or nonmicropolitan rural areas. The Prevention Research Center for Rural Health (PRC-RH), with a focus on obesity, addresses the health challenges of residents of micropolitan and other rural communities in Iowa through a variety of Center activities and resources as well as the implementation of the research project, Active Iowa. PRC-RH Center activities include maintenance of an infrastructure with a focus on translation and communication of PRC-RH research and best practices; training of public health professionals, students and community members; and evaluation of PRC-RH activities. The PRC-RH has vibrant partnerships with the Iowa Department of Public Health, and an active Community Advisory Board. The PRC-RH implementation research project, Active Iowa focuses on translation of Active Ottumwa across Iowa and the neighboring states. Specific Aims include: 1)Translating Active Ottumwa into Active Iowa, guided by the Consolidated Framework for Implementation Research (CFIR), into three clusters of micropolitan communities in Iowa. 2) Rigorously evaluating the implementation and behavioral outcomes of Active Iowa using a randomized cluster stepped-wedge design to a) examine facilitators, barriers, and contextual factors associated with the adoption, implementation, and sustainability of Active Iowa, and b) Evaluate Active Iowa using the Reach Effectiveness Adoption Implementation and Maintenance framework (RE-AIM), applying mixed research methods to evaluate implementation at multiple levels of influence and with multiple stakeholders across clusters;3) Disseminate Active Iowa in Iowa, Nebraska, Missouri, and Kansas (CDC Region G). PRC-RH research and activities will address a major evidence gap by knowledge of how best to translate and evidence-based interventions in the rural Midwest.