Hopkins Center for Eliminate Cardiovascular Health Disparities

我们的目标是创建一个跨学科的研究中心，改善心血管疾病的结果，并 减少了马里兰州巴尔的摩的种族和民族护理差距。我们将使用基于社区的 参与性研究原则，在研究人员、医疗保健提供者网络、 社区成员和政策制定者。我们正在建立在之前的工作和建立的关系 巴尔的摩的大量非裔美国人，我们首先将重点放在高血压上。《中心》 将包括3项独立但相关的干预研究，以改善识别、治疗和结果 患有高血压的非裔美国人；3个集成和赠送的核心；内部转向 委员会；以及社区和提供者咨询委员会。研究1是一项务实的临床试验， 检查了在6个社区实施多方法质量改进干预的情况 初级保健实践。研究2是一项随机对照试验，以测试其有效性和长期疗效。 对患者、家庭和社区成员进行自我管理和解决问题培训的可持续性。 研究3是一项三臂随机对照试验，研究对象为文化定制的营养建议和矿物质。 含有钾、镁和维生素C的补充剂。所有3项研究的主要结果是 收缩和舒张压及血压控制。行政核心将执行 全面管理赠款，指导和协调共享资源和培训活动，以及 管理中心的研究。共享资源核心将为研究提供基础设施和支持 设计、数据库开发、数据管理和分析、患者招募和保留、 中心的干预发展、测量标准化和成果传播 项目以及行政和培训核心。培训核心将提供跨学科培训和 指导博士后、博士后、初级教职员工和在校教职员工的健康差距 医学院、公共卫生和护理学院。

Our goal is to create a transdisciplinary research center that improves cardiovascular outcomes and reduces racial and ethnic disparities in care in Baltimore, Maryland. We will use community-based participatory research principles to build strong ties among researchers, healthcare provider networks, community members, and policy-makers. We are building on prior work and established relationships with the large African American population in Baltimore, and we will initially focus on hypertension. The Center will Include 3 separate but related intervention studies to improve the identification, treatment, and outcomes of African Americans with hypertension; 3 integrated and complimentary Cores; an Internal Steering Committee; and a Community and Provider Advisory Board. Study 1 is a pragmatic clinical trial that examines the implementation of a multi-method quality improvement intervention in 6 community-based primary care practices. Study 2 is a randomized controlled trial to test the effectiveness and long-term sustainability of self-management and problem-solving training for patients, family and community members. Study 3 is a 3-arm randomized controlled trial of culturally-tailored nutritional advice and a mineral supplement containing potassium, magnesium, and Vitamin C. Primary outcomes for all 3 studies are systolic and diastolic blood pressure and blood pressure control. The Administrative Core will carry out the overall administration of the grant, guiding and coordinating shared resources and training activities and managing the Center's studies. The Shared Resources Core will provide infrastructure and support for study design, database development, data management and analysis, patient recruitment and retention, intervention development, standardization of measurements and dissemination of results for the Center Projects and Administrative and Training Cores. The Training Core will provide transdisciplinary training and mentorship in health disparities for pre-doctoral, post-doctoral, junior faculty, and established faculty in the Schools of Medicine, Public Health, and Nursing.