Center of Excellence in Promotion of Cardiovascular Health

描述(申请人提供)：尽管20年来美国心血管死亡率显著下降，但许多易受伤害的亚群仍然经历着显著的心血管健康差距。这在一定程度上是因为缺乏有效的干预性研究，以及缺乏基于文化敏感的服务基础设施。由于1)改进循证实践的工具转化速度极其缓慢(包括实施和传播)，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)技术辅助卫生干预措施的使用有限，个人简历健康差距预计会扩大。为了应对开发和测试创新的、文化上合适的干预措施的迫切需要，并将这一新科学转化为弱势群体的实践，约翰·霍普金斯大学护理学院的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)。除了在心血管健康促进领域拥有国际公认的护士研究人员外，霍普金斯大学还拥有首屈一指的密集研究环境，拥有独特的资源和多学科和跨专业合作的文化，这将促进CCVHP的运作和成就。该中心将由三个核心组成-管理、干预和翻译。每个机构都将负责加强约翰·霍普金斯大学内外现有的和不断发展的合作，以实现以下广泛目标：1)提供致力于推进护理科学以改善弱势群体心血管健康的基础设施；2)培养在促进弱势群体心血管健康领域从事跨学科/跨专业研究的新一代护理学者；3)在弱势群体中加强心血管健康领域研究的翻译和传播。 与公共健康相关：心血管疾病仍然是美国的主要死亡原因，并将在世界范围内继续存在。为了实现上述目标，我们建议建立一个可持续的模式研究中心--弱势人群心血管健康中心--通过地方和国家的研究、培训和政策行动，为显著减少心血管健康差距做出贡献。 中心作为一个整体，包括行政核心和评估计划

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