Center of Excellence in Promotion of Cardiovascular Health

描述（由申请人提供）：尽管20年来美国心血管死亡率显著降低，但许多弱势亚群体仍然经历着显著的心血管健康差异。这在一定程度上是由于缺乏有效的干预研究和缺乏对文化敏感的服务基础设施。CV健康差异可能会在以下情况下增加：1)改善循证实践的工具的翻译（包括实施和传播）速度极其缓慢；2)患者进入医疗保健系统后获得护理和信息（包括循证护理）的系统性障碍；3)技术辅助卫生干预措施的使用有限。为了解决开发和测试创新的、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方面拥有国际公认的护士研究人员外，霍普金斯大学还拥有无与伦比的研究密集型环境，拥有独特的多学科和跨专业合作的资源和文化，这将提高CCVHP的运作和成就。该中心将由三个核心组成：行政、干预和翻译。每个部门都将负责加强约翰霍普金斯大学内部和外部现有的和正在发展的合作，以实现以下广泛目标：1)为促进弱势群体心血管健康的护理科学发展提供基础设施；2)培养从事弱势群体心血管健康促进领域跨学科/跨专业研究的新一代护理学者；3)加强弱势群体心血管健康领域研究成果的转化和传播。

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