Center of Excellence in Promotion of Cardiovascular Health

描述（由申请人提供）：尽管美国心血管死亡率已显著降低了20年，但许多脆弱亚组仍存在显著的心血管健康差异。这部分是由于缺乏有效的干预性研究和缺乏文化敏感的服务基础设施。心血管健康差异预计会增加，因为1）改善循证实践的工具转化（包括实施和传播）速度极其缓慢，2）一旦患者进入医疗保健系统，获得护理和信息（包括循证护理）的系统性障碍，以及3）技术辅助健康干预措施的使用有限。为了解决迫切需要开发和测试创新的，文化上适当的干预措施，并将这一新的科学转化为弱势群体的实践，约翰霍普金斯大学护理学院经验丰富的健康差距研究人员提出了弱势群体心血管健康中心（CCHVP）。除了国际公认的心血管健康促进护士研究人员外，霍普金斯还拥有首屈一指的研究密集型环境，拥有独特的多学科和跨专业合作资源和文化，这将增强CCVHP的运营和成就。该中心将由三个核心组成-管理，干预和翻译。每个人都将负责加强约翰霍普金斯内外现有和不断发展的合作，以实现以下广泛目标：1）提供一个致力于推进护理科学的基础设施，以改善弱势群体的心血管健康，2）培养新一代从事跨学科/跨学科的护理学者，促进弱势群体心血管健康领域的专业研究，以及3）加强弱势群体心血管健康领域研究的翻译和传播。 公共卫生相关性：心血管疾病仍然是美国和世界的主要死亡原因。为了实现上述目标，我们建议建立一个可持续的模型研究中心-脆弱人群心血管健康中心-通过研究，培训和地方和国家的政策行动，为显着减少心血管健康差异做出贡献。 中心作为一个整体，包括行政核心和评价中心

DESCRIPTION (provided by applicant): Despite two decades of impressive reductions in US cardiovascular mortality, many vulnerable sub-groups still experience significant cardiovascular health disparities. This stems in part from a paucity of valid interventional research and a lack of culturally sensitive service based infrastructure. CV health disparities can be expected to increase in the face of 1) an extremely slow pace of translation (including both implementation and dissemination) of tools to improve evidence-based practice, 2) systematic barriers to access to care and information including evidence based care once patients enter the medical care system, and 3) limited use of technology assisted health interventions. To address the urgent need to develop and test innovative, culturally appropriate interventions and to translate this new science into practice for vulnerable populations, experienced health disparity researchers at the Johns Hopkins University School of Nursing propose the Center for Cardiovascular Health for Vulnerable Populations (CCHVP). In addition to internationally recognized nurse researchers in cardiovascular health promotion, Hopkins has a research intensive environment second to none with unique resources and culture of multidisciplinary and trans-professional collaboration that will enhance both the operations and achievements of the CCVHP. The Center will be comprised of three cores-Administration, Intervention, and Translation. Each will be charged with strengthening existing and evolving collaborations within, as well as beyond Johns Hopkins to achieve the following broad goals: 1) To provide an infrastructure dedicated to advancing nursing science to improve the cardiovascular health of vulnerable populations, 2) To foster a new generation of nursing scholars who are engaged in interdisciplinary/trans-professional research in the area of cardiovascular health promotion for vulnerable populations, and 3) To enhance the translation and dissemination of research in the area of cardiovascular health among vulnerable populations. PUBLIC HEALTH RELEVANCE: Cardiovascular disease remains the leading cause of death in the US and will be in the world. To accomplish the aims above we propose to build a sustainable model research center - the Center for Cardiovascular Health in Vulnerable Populations - to contribute to significant reductions of cardiovascular health disparities through research, training and policy action locally and nationally. CENTER AS A WHOLE, INCLUDING ADMINISTRATIVE CORE AND EVALUATION PLAN