Idaho Partnership for Hispanic Health: Implementation Phase

描述（由申请人提供）：山区国家集团目前的爱达荷州西班牙裔健康伙伴关系（IPHH）NCMHD第一阶段赠款已经完成了重要的规划工作。IPHH在五个研究、社区和卫生保健组织之间建立了核心团队伙伴关系;建立了一个运作良好的西班牙裔社区咨询委员会;完成了一项全面的社区健康评估;确定了项目的疾病重点和干预模式;并规划了试点干预措施。拟议的五年执行研究将继续IPHH与爱达荷州西南部西班牙裔社区的伙伴关系工作。基于社区评估结果、社区决策和二级数据，疾病重点将是代谢综合征。将实施干预措施-改编促进者（社区卫生工作者）土著健康教育、外联和宣传模式-以加强西班牙裔家庭和社区的力量。定义的社区将仍然是西南部的爱达荷州西班牙裔人口。该项目有四个研究目标。1)由于行为改变是预防和治疗代谢综合征的第一线，干预将在家庭层面开展工作，研究干预对680名家庭成员饮食和身体活动变化的影响。2)干预措施还将在社区一级发挥作用，以改变社区饮食和锻炼的规范和做法，并建立支持和加强社区行为改变的资源。基线和项目结束数据将记录这些社区一级的影响。3)由于社区参与对研究的各个方面都至关重要，因此还将通过定性调查以及在整个项目期间与核心团队和CAB进行访谈来评估社区参与的贡献。4)最后，IPHH将研究为维持促进者干预模式而建立的地方能力。该项目将记录西班牙裔卫生保健利用当地诊所和医院服务的变化，并展示当地卫生设施投资促进计划的价值。项目合作伙伴包括作为申请组织和伙伴关系召集人的山区国家集团，作为研究和评估合作伙伴的华盛顿大学，作为社区合作伙伴的社区和正义中心，作为卫生保健教育合作伙伴的博伊西州立大学护理系，以及作为传播合作伙伴的爱达荷州西班牙裔事务委员会。该项目直接针对2010年健康人的几个目标，包括“将水果消费量增加到每天至少两份”，“将蔬菜消费量增加到每天至少三份”，以及“将适度的体育活动增加到每天至少30分钟”。“这项研究还强调了预防服务在预防和管理慢性病方面的关键作用。

DESCRIPTION (provided by applicant): Mountain States Group's current Idaho Partnership for Hispanic Health (IPHH) NCMHD phase one grant has completed significant planning work. IPHH has built a Core Team partnership among five research, community, and health care organizations; established a functioning Hispanic Community Advisory Board; completed a comprehensive community health assessment; determined the project's disease focus and intervention model; and planned out the pilot intervention. The proposed five-year implementation study will continue IPHH's partnership work with the Hispanic community in southwest Idaho. The disease focus -based on community assessment results, community decision-making, and secondary data - will be metabolic syndrome. The intervention - an adaptation of the promotores (community health worker) indigenous health education, outreach and advocacy model -will be implemented to build on Hispanic family and community strengths. The defined community will remain the southwest Idaho Hispanic population. The project has four study aims. 1) As behavior change is the first line of prevention and treatment of metabolic syndrome, the intervention will work at the family level to research the impact of the intervention on changes in diet and physical activity of 680 family members. 2) The intervention will also work at the community level to create change in community norms and practices on diet and exercise, and to build resources that support and reinforce community level behavior change. Baseline and end-of-project data will document these community level impacts. 3) As community involvement is vital to all aspects of the study, the contribution of community participation will also be evaluated through qualitative surveys and interviews with the Core Team and CAB throughout the project. 4) Finally, IPHH will study the local capacity built to sustain the promotores intervention model. The project will document changes in Hispanic health care utilization of local clinic and hospital services, and demonstrate the value of local health facility investment in the promotores program. Project partners include Mountain States Group as applicant organization and partnership convener, University of Washington as research and evaluation partner, Centra de Comunidad y Justicia (Center for Community and Justice) as a community partner, Boise States University Department of Nursing as health care education partner, and Idaho Commission on Hispanic Affairs as dissemination partner. The project directly addresses several Healthy People 2010 objectives, including "increase consumption of fruit to at least two daily servings," "increase consumption of vegetables to at least three daily servings," and "increase moderate physical activity to at least 30 minutes per day." The study also emphasizes the critical role of preventive services in preventing and managing chronic diseases.