Emory Prevention Research Center

埃默里预防研究中心

• 批准号: 10238720
• 负责人: MICHELLE C KEGLER
• 金额: $ 276.81万
• 依托单位: EMORY UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-09-30 至 2024-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10238720
• 关键词: Emory; Prevention; Research; Center

PROJECT SUMMARY/ABSTRACT The obesity epidemic continues to worsen, with low-income and rural populations as well as African American women disproportionately affected. Using community-based participatory research, the Emory Prevention Research Center has developed and rigorously tested an intervention to create home food environments that support healthy eating and weight gain prevention with partners in rural southwest Georgia (SW GA). The proposed core research is a hybrid effectiveness-implementation study of this intervention, called Healthy Homes/Healthy Families, delivered through a regional 2-1-1 system. 2-1-1 is a nationally designated 3-digit telephone exchange, similar to 9-1-1, that links callers to community-based health and social services. Our long-term goal is to leverage this collaborative infrastructure to address the obesity epidemic and scaling up of effective interventions through the national 2-1-1 system. Callers to 2-1-1 are disproportionately low-income, unemployed, uninsured, and have fewer years of education relative to the general population. Specifically, in collaboration with community partners in rural SW GA and four United Way 2-1-1 partners, we propose to conduct a hybrid effectiveness-implementation trial and scalability assessment to rigorously assess: a) the impact of a telephone-based home food environment intervention on weight-related dietary behaviors, b) implementation outcomes (i.e., reach, acceptability, barriers and facilitators), c) cost-effectiveness, and d) the scalability potential of a regional 2-1-1 system to deliver Healthy Homes/Healthy Families and other evidence-based cancer prevention interventions. We are uniquely positioned for this research given our long-standing track record in collaborating with 2-1-1s in disseminating research-tested interventions across multiple states and our expertise in implementation science. This novel approach to translational research, in combination with plans for broader faculty engagement across Emory through a multi-disciplinary Internal Advisory Board, a Stakeholder Advisory Board for Translation with nontraditional partners including United Way agencies and Cooperative Extension, and a deeply engaged Community Advisory Board in rural SW GA, position the EPRC to be a major player in prevention research with clear relevance for public health practice in Georgia and beyond. Nationally, we will establish a model for taking interventions developed through CBPR to scale through existing 2- 1-1 systems. This model of developing interventions locally in SW GA through CBPR and then scaling up with an innovative translation partner, such as 2-1-1, is a promising model with significant potential for translating public health interventions into practice for population-level impact.

项目摘要/摘要 肥胖症的流行继续恶化，低收入和农村人口以及非洲人 美国女性受到的影响不成比例。利用基于社区的参与性研究， 埃默里预防研究中心开发并严格测试了一种干预措施，以创建 支持健康饮食和预防体重增加的家庭食品环境，与农村合作伙伴 佐治亚州西南部(西南佐治亚州)。拟议的核心研究是一种混合有效性-实施 这项名为健康家庭/健康家庭的干预研究，通过地区2-1-1提供 系统。2-1-1是一种国家指定的3位数字电话交换机，类似于9-1-1，它将呼叫者联系起来 以社区为基础的卫生和社会服务。我们的长期目标是利用这种协作性 基础设施以解决肥胖症流行问题，并通过 国家2-1-1系统。拨打2-1-1的呼叫者不成比例地低收入、失业、没有保险和 与一般人口相比，受教育年限较少。具体地说，与 南加州郊区的社区合作伙伴和四个联合之路2-1-1合作伙伴，我们建议进行 混合有效性-实施试验和可扩展性评估，以严格评估：a)影响 基于电话的家庭食物环境干预对与体重相关的饮食行为的影响，b) 执行成果(即覆盖面、可接受性、障碍和促进者)，c)成本效益，以及 D)区域2-1-1系统提供健康家庭/健康家庭的可伸缩性潜力 其他循证癌症预防干预措施。我们在这项研究中处于独特的地位 鉴于我们与2-1-1合作传播研究测试的长期记录 多个州的干预措施和我们在实施科学方面的专业知识。这一新方法 致力于翻译研究，同时计划在整个埃默里地区扩大教职员工参与度 通过多学科内部咨询委员会，利益攸关方翻译咨询委员会 包括联合之路机构和合作推广在内的非传统合作伙伴，以及深度 参与西南部佐治亚州农村社区咨询委员会的工作，将EPRC定位为 与佐治亚州及其他地区的公共卫生实践具有明显相关性的预防研究。全国范围内， 我们将建立一个模型，将通过CBPR开发的干预措施扩展到现有的2- 1-1系统。这种通过CBPR然后扩展在西弗吉尼亚州本地开发干预措施的模式 与2-1-1这样的创新翻译合作伙伴合作，是一种具有巨大潜力的有前景的模式 将公共卫生干预措施转化为实践，以产生人口层面的影响。