CHEER Center for the Study of Community Health

项目摘要 UAB社区健康研究中心是一个大学跨学科研究中心， 具体目标是：1）为社区参与式研究（CBPR）提供大学平台; 2）参与 通过教育和服务的利益相关者; 3）追求提高社区健康的研究;和4）促进 将循证方案转化为实践。长期目标是：1）开发CBPR工具， 方法;和2）创建一个统一的社区参与门户网站的大学。核心干预研究 项目，“社区健康从参与和环境更新（CHEER），”源于会议与城市 居民谁定义他们的主要社区需求为枯萎病和儿童的未来成功。CHEER建立在我们和其他 观察性研究表明，青少年的危险行为与家庭和邻里的逆境有关。 多项研究为我们了解许多上游社会决定因素奠定了坚实的研究基础 这导致健康状况不佳和健康差距扩大。虽然我们知道改变未来的轨迹 脆弱的城市青年将需要影响家庭和社区系统的多层面努力， 没有进行或传播足够强度的干预措施，以产生可衡量的持久效果。 社区卫生研究的进一步发展将需要严格的研究，以检验因果假设， 一项随机对照试验，评估家庭系统干预和 社区系统干预与等待列表控制条件的比较。在这个为期5年的项目中，我们将采用2 × 2 设计并招募780对父母-青少年，以研究（并旨在改善）家庭中的逆境（如母亲 压力、抑郁和养育方式）和社区（例如邻里的劣势和衰退，以及社会 隔离）水平，测试其独立和综合效果，包括这些干预措施可能的协同作用， 我们的主要成果是改善社会规范、社会凝聚力和集体效能，减少过早和危险性行为。 以及青少年的外化和内化行为。家庭系统干预将测试一个人 定制（使用基线技能水平来确定剂量），由社区卫生促进的个人节奏干预 通过电子保健或印刷媒体提供咨询。目标是加强产妇的应对和情绪调节， 积极影响父母的做法和亲子沟通，减少家庭冲突。社区 系统干预将通过社区驱动的项目（如： 目标是鼓励社会互动，以增强社会凝聚力， 提高集体效能，增加共同规范。这些社区项目将由志愿者社区领导 领导者和组织者。CHEER将向科学通报每种干预措施的直接影响及其潜在影响。 机制等CHEER有效的干预措施将转化为确保可持续性和 可伸缩性随着提高生活质量和减少健康差距的总体目标，CHEER将有助于 社区参与的研究，并作为未来的循证公共卫生的蓝图，可以 翻译并确保可持续性和可扩展性。

Project Abstract THE UAB Center for the Study of Community Health, a University Wide Interdisciplinary Research Center, has adopted specific aims to 1) provide a University platform for community-based participatory research (CBPR); 2) engage stakeholders via education and service; 3) pursue research that enhances community health; and 4) facilitate the translation of evidence-based programs into practice. Long-term objectives are to 1) develop CBPR tools and methodologies; and 2) create a unified community engagement portal for the University. The core intervention research project, “Community Health from Engagement and Environmental Renewal (CHEER),” originates from meetings with city residents who defined their key community needs as blight and children’s future success. CHEER builds on our and other observational studies demonstrating that youth risk behaviors are associated with family and neighborhood adversities. Multiple studies have built a solid research base to inform our understanding of the many upstream social determinants that contribute to poor health and increased health disparities. While we know that altering the future trajectories of vulnerable urban youth will require multilevel efforts that influence both family and community systems, efforts to do so with interventions of sufficient intensity to bring measured lasting effects have not been conducted or disseminated. Further advancements in community health research will require rigorous studies that test causal hypotheses in a randomized controlled trial that evaluates the independent and combined effects of a Family System intervention and a Community System intervention compared to a Wait-List Control condition. In this 5-year project we will employ a 2 x 2 design and recruit 780 parent-youth pairs to examine (and aim to improve) adversities at the family (e.g. maternal stress, depression, and parenting practices) and community (e.g. neighborhood disadvantage and decay, and social isolation) levels, testing their independent and combined effects, including possible synergies of these interventions, on our primary outcomes of improved social norms, social cohesion, and collective efficacy and reduced early and risky sex and externalizing and internalizing behaviors among youth. The Family System Intervention will test an individually tailored (using baseline skill levels to determine dose), personally paced intervention facilitated by Community Health Advisors and delivered via e-health or print media. Goals are to enhance maternal coping and emotional regulation to positively impact parenting practices and parent-child communication and to reduce family conflict. The Community System Intervention will offer micro-grants for greening vacant, unkempt lots through community-driven projects (e.g. gardens, picnic, and playground areas) Goals are to encourage social interactions to enhance social cohesion and collective efficacy and to increase shared norms. These neighborhood projects will be led by volunteer community leaders and organizers. CHEER will inform the science on direct effects of each intervention as well as their underlying mechanisms. The CHEER effective interventions will be translated with deliverables that ensure sustainability and scalability. With the overall goal to improve quality of life and reduce health disparities, CHEER will contribute to community engaged research and serve as a blueprint for the future of evidence-based public health that can be translated and ensure sustainability and scalability.