Mechanisms & Capacity to Reduce Disparities: The Abundant Life Health Ministries

机制

• 批准号: 8147755
• 负责人: RENA Joy PASICK
• 金额: $ 22.94万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-09-30 至 2013-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8147755
• 关键词: Address; Adopted; Adoption; Advocate; African American; Area; Behavior; Case Study; Church; Clergy; Commit; Committee Members; Communities; Complex; Comprehensive Cancer Center; Data; Development; Effectiveness; Elements; Ethnic group; Evidence based intervention; Evidence based practice; Family; Fostering; Generations; Geographic Locations; Grant; Health; Health Promotion; Health Resources; Heart; Home environment; Individual; Institution; Intervention; Intervention Studies; Interview; Leadership; Life; Literature; Maintenance; Measures; Metaphor; Methods; Mission; Modeling; Nature; Phase; Pilot Projects; Process; Religion and Spirituality; Reporting; Research; Research Design; Research Personnel; Resources; Role; Shapes; Surface; Testing; Time; Training; Translations; Work; base; burden of illness; comparative; contextual factors; control trial; design; evidence base; fruits and vegetables; health disparity; health record; informant; innovation; member; outreach; physical conditioning; programs; public health relevance; public health research; real world application; social; therapy design

DESCRIPTION (provided by applicant): The UCSF Abundant Life Health Ministries Initiative (ALHMI) focuses - not on delivering health promotion via the church - but on enhancing the capacity of churches to themselves promote health. AHLMI is part of an academic-faith partnership established in 2005 that subsequently took on the mission of fostering health ministries as a means to reduce health disparities and to do so through dissemination or development of evidence-based interventions designed specifically for the Black church. The AHLMI model has four capacity-building components: outreach, mini-grants to churches who commit to form a health ministry and to begin by adopting an evidence-based intervention, training in health ministry development and maintenance and adoption of specific interventions, and ongoing technical assistance. The proposed study is an exploration and test of the ALHMI model. The significance of this research is based on the assumption that the African American church can and should be a great force for addressing health disparities. Faith-based intervention research has progressed in this direction but is limited by a lack of understanding of how and why churches can effectively prioritize health, how such efforts can be sustained over the long term, and the mechanisms essential to these aspects of church capacity to prioritize and promote health. The innovations of this study include the focus on capacity in the form of health ministries, a highly contextualized approach based on an understanding of churches as complex and dynamic organizations, emphasis on real-world "practice-based" use and generation of evidence, and conceptualization of sustainability as based on enduring and highly participatory academic-faith partnerships. We propose a developmental inductive mixed methods study to elucidate the mechanisms of capacity for sustained health interventions by health ministries. We will conduct comparative case studies which will be examined in relation to process and impact data collected in the course of implementation of the Body & Soul fruits and vegetables intervention. Our specific aims are: 1) To expand the capacity of SF Bay Area African American churches to deliver and sustain evidence- based health promotion interventions by fostering the development of 10 new health ministries and strengthening 10 existing health ministries per year for two years; 2) To measure the impact of this program on key behaviors among 1500 congregants in a delayed intervention controlled trial; 3) To assess and demonstrate expanded church capacity in 10 churches using comparative case studies that include records of health program activities, key informant interviews, and observations. PUBLIC HEALTH RELEVANCE: Program Narrative This study will assess and explore the meaning and implications of a health ministries model developed by an academic-faith partnership that is dedicated to fostering the capacity of African American churches to address health disparities. In this context, we also propose to evaluate a "real-world" application of an evidence-based intervention, Body & Soul, implemented with minimal resources.

描述（由申请人提供）：加州大学旧金山分校丰富的生命健康部倡议（ALHMI）的重点-不是通过教会提供健康促进-而是提高教会自身促进健康的能力。AHLMI是2005年建立的学术-信仰伙伴关系的一部分，该伙伴关系随后承担了促进卫生部的使命，作为减少健康差距的一种手段，并通过传播或制定专门为黑人教会设计的循证干预措施来做到这一点。AHLMI模式有四个能力建设组成部分：外联、向承诺组建卫生部并开始采取循证干预措施的教会提供小额赠款、卫生部发展和维持方面的培训以及采取具体干预措施，以及持续的技术援助。 本研究是对ALHMI模型的探索和检验。这项研究的意义是基于这样一个假设，即非洲裔美国人教会可以而且应该成为解决健康差距的一支强大力量。基于信仰的干预研究已经朝着这个方向取得了进展，但由于缺乏对教会如何以及为什么能够有效地优先考虑健康的理解，这种努力如何能够长期持续，以及教会优先考虑和促进健康能力的这些方面所必需的机制，而受到限制。本研究的创新之处包括：注重卫生部的能力;基于对教会作为复杂和动态组织的理解，采用高度情境化的方法;强调现实世界中“基于实践”的使用和证据生成;以及基于持久和高度参与性的学术-信仰伙伴关系，将可持续性概念化。 我们提出了一个发展归纳混合方法研究，以阐明卫生部的持续卫生干预能力的机制。我们将进行比较案例研究，这些研究将与在实施身体和灵魂水果和蔬菜干预措施过程中收集的过程和影响数据进行审查。我们的具体目标是：1）通过促进10个新的卫生部的发展和加强10个现有的卫生部，每年持续两年，扩大旧金山湾区非洲裔美国人教会提供和维持循证健康促进干预措施的能力; 2）在延迟干预对照试验中，测量该计划对1500名会众关键行为的影响; 3）评估和展示10个教会的扩大教会能力，使用比较案例研究，包括健康计划活动的记录，关键的线人访谈，和观察。 公共卫生关系：计划叙述本研究将评估和探索的意义和影响的卫生部模型开发的学术信仰的伙伴关系，致力于促进非洲裔美国人教会的能力，以解决健康差距。在这种情况下，我们还建议评估一个“现实世界”的应用程序，以证据为基础的干预，身体和灵魂，实施最少的资源。