CE19-001, UNC INJURY PREVENTION RESEARCH CENTER

项目摘要/摘要 30多年来，北卡罗来纳大学(UNC)伤害预防研究中心(IPRC) 改变和推进了伤病控制领域。IPRC处于有利地位，将继续成为一个世界 在减少伤害和暴力的发生率和负担的合作努力中处于领先地位。我们的使命是 通过跨学科研究和培训建立伤害和暴力预防(IVP)领域 下一代静脉内注射研究者和实践者。本文件中描述的5年期提案的主题 应用是“建设预防伤害和暴力的能力，以保护弱势群体。”北卡罗来纳大学 IPRC有五个核心：行政、外展、教育和培训、方法和研究。这些方法 CORE将由我们机构提供的250,000美元的匹配成本份额提供资金。 我们的研究核心围绕五个重点领域组织，这些领域与以下优先事项密切一致 CDC的NCIPC：基于性别的暴力，阿片类药物过量，虐待和忽视儿童，创伤性脑损伤， 和道路交通伤害。本申请中提出的四个研究项目提供了创新的、 响应从业者群体的优先事项的跨学科科学。项目1，题为 “从青春期到成年的性少数群体中的亲密伴侣暴力”，利用了一个大型的，前期的 现有队列来检验性少数群体的IPV体验的纵向模式 异性恋者。项目2，题为“扩大医疗补助以及#年阿片类药物过量和暴力造成的死亡” 将量化医疗补助扩大对阿片类药物过量、杀人罪的影响， 以及最近从监狱释放的亲身自杀。项目3，题为“母亲和母亲的改编 青少年安全约会网络交付计划“借鉴了北卡罗来纳州大学在以下领域的30年历史 通过将经过验证的干预计划转换为基于网络的交付平台来实现青少年约会暴力。 项目4，题为“制定急诊科以病人为中心的干预措施” 预防长期使用阿片类药物“考察了一个简单、廉价的急诊科的疗效- 基于干预的目的是改善早期疼痛管理，减少向长期使用阿片类药物的过渡。 此外，在本报告中提出的外展、翻译、方法、培训和教育倡议 应用程序旨在提高IVP工作人员的专业能力，促进循证 关于伤害和暴力问题的政策变化，并广泛传播基于证据的伤害和暴力 解决办法。总之，本申请中提出的研究和基于实践的倡议将推动 IVP概念和程序的科学、翻译和应用。

PROJECT SUMMARY/ABSTRACT For more than 30 years, the University of North Carolina (UNC) Injury Prevention Research Center (IPRC) has transformed and advanced the field of injury control. IPRC is well-positioned to continue to be a world leader in collaborative efforts to reduce the incidence and burden of injury and violence. Our Mission is to build the field of injury and violence prevention (IVP) through interdisciplinary research studies and by training the next generation of IVP researchers and practitioners. The theme for the 5-year proposal described in this application is “building injury and violence prevention capacity for protecting vulnerable populations.” UNC IPRC has five Cores: Administrative, Outreach, Education & Training, Methods, and Research. The Methods Core will be funded by a matching cost share of $250,000 from our institution. Our Research Core is organized around five Focus Areas, which are closely aligned with the priorities of CDC's NCIPC: Gender-based Violence, Opioid Drug Overdose, Child Abuse & Neglect, Traumatic Brain Injury, and Road Traffic Injury. The four research projects proposed in this application provide innovative, interdisciplinary science that is responsive to the priorities of the practitioner community. Project 1, entitled “Intimate Partner Violence among Sexual Minorities from Adolescence into Adulthood,” leverages a large, pre- existing cohort to examine longitudinal patterns of IPV experiences among sexual minorities and heterosexuals. Project 2, entitled “Medicaid Expansion and Deaths from Opioid Overdose and Violence in Formerly Incarcerated Persons,” will quantify the effect of Medicaid expansion on opioid overdose, homicide, and suicide in person recently released from incarceration. Project 3, entitled “Adaptation of the Moms and Teens for Safe Dates Program for Web-Based Delivery,” draws on UNC's 30-year history in the area of adolescent dating violence by translating a proven intervention program to a web-based delivery platform. Project 4, entitled “Development of an Emergency Department Patient-Centered Intervention for the Prevention of Long-Term Opioid Use,” examines the efficacy of a simple, inexpensive emergency department- based intervention intended to improve early pain management and reduce transition to long-term opioid use. In addition, the outreach, translation, methodologic, training, and educational initiatives proposed in this application are designed to increase the professional capacity of the IVP workforce, facilitate evidence-based policy change on injury and violence issues, and broadly disseminate evidence-based injury and violence solutions. Together, the research and practice-based initiatives proposed in this application will advance the science, translation, and application of IVP concepts and programs.