Prevention Research Center in St. Louis

项目摘要 背景和使命。圣路易斯预防研究中心（PRC-StL）由实践， 政策、社区和学术合作伙伴。住房九个积极的项目，中国-StL位于一个大的， 充满活力的研究环境。圣路易斯的华盛顿大学提供了87.5万美元的配套捐款 5年融资周期。我们的使命是应用实施科学和循证医学方面的专业知识， 开展慢性病防治、改善健康公平、促进人群健康的政策研究。 核心研究计划。我们的研究项目将开发和传播各种方法， 实施循证政策（EBP），以减少肥胖差异，促进健康公平， 注重采取有效的地方一级政策。我们针对两种特定类型的政策制定者在com- 社区一级：选举产生的地方官员（市长、市理事会成员）和任命的地方官员（地方行政首长） 部门）。我们将与一个社区咨询委员会密切合作，该委员会在以下方面拥有丰富的经验： 心理学、地方政府、政策研究、肥胖预防和传播。在目标1中，我们将描述 在200个经历过OBE的社区样本中， 性别差异。在目标2中，我们将测试一套方法，用于将关于肥胖EBP的研究转化为 地方政策制定者。Aim 2包括一项随机试验，共有320名地方决策者（160名民选官员，160名ap- 该项目测试将政策简报转化为当地决策者的决策，以支持 采用EBP。有四个条件：通常的照顾，风险框架，叙事，风险框架+叙事。在 目标3，我们将测试社会网络知情的实施策略的剪裁对各种 与EBP有关的政策相关进程和成果，以解决肥胖问题。20个社区的网络模型 关系（10个干预，10个对照）将突出网络结构的差异（例如，密度，存在iso- 晚些时候），这可能会影响有关肥胖EBP的沟通和吸收。基于Aims的数据 1和2，我们将应用和评估业主驱动的实施战略的影响（例如，政策 简报、社交媒体），介绍与政策相关的成果，如宣传和采纳基于环境的商业做法。 翻译、传播、创新和影响。通过应用我们的翻译计划，我们的团队将采取系统- 在传播项目结果时采取有针对性的方法，认识到不同的受众需要具体的 信息和渠道。我们的项目具有创新性和影响力，因为：（1）理解 有效政策进程的驱动因素可以导致持续利用现有资源;（2）利用社会资源 网络分析，相对较新的实施科学，有很高的潜力，阐明网络预测 （3）我们的研究将是第一个描述叙事传播在塑造中的作用的研究。 在存在健康差异的地区制定地方政策;（4）使用混合方法，我们的研究将有助于更好地 界定地方政策的过程、内容和结果，这对EBP至关重要，但人们对此知之甚少。

PROJECT SUMMARY Background and Mission. The Prevention Research Center in St. Louis (PRC-StL) is comprised of practice, policy, community, and academic partners. Housing nine active projects, the PRC-StL is located in a large and vibrant research environment. Matching contributions from Washington University in St. Louis total $875,000 over the 5-year funding cycle. Our mission is to apply expertise in implementation science and evidence-based policy research to prevent chronic diseases, improve health equity, and promote population health. Proposed Core Research Project. Our research project will develop and disseminate approaches to increase implementation of evidence-based policies (EBPs) to reduce obesity disparities and promote health equity, fo- cusing on the uptake of effective local-level policies. We target two specific types of policy makers at the com- munity level: elected local officials (mayors, city council members) and appointed local officials (heads of local departments). We will work closely with a Community Advisory Board that has a wealth of experience in imple- mentation, local government, policy research, obesity prevention, and dissemination. In Aim 1, we will describe the prevalence and contextual determinants of local EBPs in a sample of 200 communities experiencing obe- sity disparities. In Aim 2, we will test a set of approaches for translation of research about obesity EBPs among local policy makers. Aim 2 involves a randomized trial of 320 local policy makers (160 elected officials, 160 ap- pointed officials) that tests research translation of policy briefs into local policy makers’ decisions to support EBP adoption. There are four conditions: usual care, risk framing, narrative, and risk framing + narrative. In Aim 3, we will test the effect of social network-informed tailoring of implementation strategies on a variety of policy-relevant processes and outcomes related to EBPs to address obesity. Network models in 20 communi- ties (10 intervention, 10 control) will highlight differences in network structure (e.g., density, presence of iso- lates) that are likely to influence communication about and uptake of obesity EBPs. Building on data from Aims 1 and 2, we will apply and evaluate the effects of stakeholder-driven implementation strategies (e.g., policy briefs, social media) on policy-relevant outcomes such as communication about and uptake of EBPs. Translation, Dissemination, Innovation, and Impact. By applying our Translation Plan, our team will take a sys- tematic approach when disseminating project findings, recognizing that different audiences require specific communication messages and channels. Our project is innovative and impactful because: (1) understanding the drivers of an effective policy process can lead to sustained use of existing resources; (2) the use of social network analysis, relatively new for implementation science, has high potential to elucidate network predictors of implementation; (3) our study will be among the first to describe the role of narrative communication in shap- ing local-level policy in areas with health disparities; and (4) using mixed methods, our study will help to better define the local policy process, content, and outcomes, which are fundamental to EBPs and poorly understood.