Health Promotion and Disease Prevention Research Center

描述(申请人提供)：本提案旨在建立一个疾控中心综合预防研究中心，专注于与2020年健康人疾病预防目标相一致的健康促进。拟建的达特茅斯健康促进研究中心(HPRCD)将利用新罕布夏州(NH)初级保健和社区精神健康中心的优势和覆盖范围，开展健康促进战略的传播和实施研究，重点关注减少肥胖和吸烟的人口健康目标。我们的目标是通过与初级保健、精神卫生、州机构和社区合作伙伴合作，确定需求、提供技术援助、实施和研究循证实践，系统地解决疾控中心的两个主要“可赢之战”：肥胖和吸烟，从而显著降低NH的心血管风险因素。HPRCD的目标1是支持以证据为基础的、临床上可行的肥胖和戒烟健康促进干预措施的实施和结果评估，将其作为整个NH初级保健环境的一个综合组成部分。我们将通过建立一个全面的CDC预防研究中心来实现第一个目标，该中心包括六个核心举措：1)基层保健促进实施工作组；2)流动健康促进技术工作组；3)健康促进早期研究职业生涯指导计划；4)达特茅斯合作基层保健研究网络计划；5)卫生署社区健康改善计划；以及6)与区域重新思考健康倡议合作。该中心将通过以下方式支持和补充这些努力：提供行政和基础设施支持；吸引社区合作伙伴并提供技术援助；交流和传播知识；提供健康促进和实施研究方面的培训；以及评估项目成果。HPRCD的目标2是评估长期减肥、戒烟和全州范围内精神卫生保健环境中综合健康促进的示范项目的可持续性。我们将通过开展传播和实施研究项目来实现第二个目标，该项目将建立在全州医疗保险和医疗补助中心示范计划的基础上，在新罕布夏州的社区精神卫生系统中实施综合健康促进干预措施。这项拟议的研究将评估：1)1500名患有精神疾病的肥胖或烟草依赖型成年人在计划完成后心血管风险的长期降低；2)长期减肥和戒烟的促进者；3)综合健康促进计划的长期可持续性和成本。

DESCRIPTION (provided by applicant): This proposal seeks to establish a CDC Comprehensive Prevention Research Center focused on health- promotion aligned with the disease-prevention objectives of Healthy People 2020. The proposed Health Promotion Research Center at Dartmouth (HPRCD) will leverage the strengths and reach of primary care and community mental health centers in New Hampshire (NH) to conduct dissemination and implementation research on health promotion strategies with a focus on the population health goal of reducing obesity and smoking. Our goal is to measurably decrease cardiovascular risk factors in NH by partnering with primary care, mental health, state agencies, and community partners to identify needs, provide technical assistance, implement, and study evidence-based practices that systematically address two of the CDC's primary "Winnable Battles": obesity and smoking. Aim 1 of the HPRCD is to support the implementation and outcome assessment of evidence- based, clinically feasible health promotion interventions for obesity and smoking cessation as an integrated component in primary care settings across NH. We will accomplish this first aim by establishing a Comprehensive CDC Prevention Research Center with six core initiatives: 1) a primary care health promotion implementation workgroup; 2) a mobile health promotion technology workgroup; 3) a health promotion early research career mentoring program; 4) Dartmouth COOP Primary Care Research Network projects; 5) DH Community Health Improvement Plan projects; and 6) collaboration with the regional ReThink Health Initiative. The Center will support and complement these efforts by providing administration and infrastructure support; engaging community partners and providing technical assistance; communicating and disseminating knowledge; providing training in health promotion and implementation research; and evaluation of program outcomes. Aim 2 of the HPRCD is to evaluate long-term weight reduction, smoking cessation, and program sustainability of a statewide demonstration of integrated health promotion in mental health care settings across NH. We will accomplish this second aim by conducting a dissemination and implementation research project that will build on a novel, statewide Centers for Medicare and Medicaid demonstration program implementing integrated health promotion interventions in New Hampshire's Community Mental Health System. The proposed study will evaluate: 1) long-term reduced cardiovascular risk after program completion for 1,500 obese or tobacco dependent adults with mental illness; 2) facilitators of long-term weight loss and smoking cessation: and 3) the long-term sustainability and costs of integrated health promotion programs.