Project AsPIRE (Asian American Partnerships in Research)

描述（由申请人提供）：这项为期三年的规划补助金的总体目标是通过使用患者导航仪改善居住在纽约市大都市区的菲律宾裔美国人的心血管疾病（CVD）的健康获取和状况。这项申请有四个具体目标：（1）建立一个基础设施，促进以社区为基础的参与性研究（CBPR）的进行，（2）进行一项描述性研究，检查菲律宾裔美国人社区的知识，健康实践，健康获取和心血管疾病的风险因素，（3）进行一项实验研究，以评估强化患者导航干预在改善菲律宾裔美国人心血管疾病的健康可及性和状况方面的疗效，评估CBPR作为解决和消除健康差距的方法。第一年的重点是伙伴关系的发展和创造，与社区参与，病人导航干预，以改善高血压控制在菲律宾裔美国人。 卡卢苏干人（即，“健康”在菲律宾）联盟-由学术界和社区合作伙伴服务的菲律宾裔美国人社区-自2004年以来举行了会议。 一个社区咨询委员会和七个由联盟成员组成的工作队将在第一年成立并举行会议。 第2年和第3年实施试点干预，以测试患者导航干预的有效性。 将进行随机对照试验。 在社区筛查期间被确定为高血压的25-55岁菲律宾裔美国男性和女性将被随机分配到更密集（n = 108）和不太密集（n = 108）的患者导航器干预中。 更密集的干预将提供由患者导航员进行的六次协议化会议;在健康信念模型和社会支持理论的指导下，会议将侧重于（a）提供有关高血压和心血管疾病的信息，（B）联系和协商获得初级保健医生，（c）提供社会支持，以及（d）确保坚持服药和预约。 将进行一次基线和两次随访访谈，以评估客户的结果，包括收缩压和舒张压以及服药和预约的依从性。相关性：菲律宾裔美国人高血压发病率高，因此心血管疾病和中风的风险高。 然而，为这一人群制定和实施的干预措施很少，以解决这些问题。 一个病人导航干预，与社区投入，以确保其文化和语言的适当性，有可能预防心血管疾病和中风，帮助菲律宾裔美国人控制他们的血压。

DESCRIPTION (provided by applicant): The overall goal of this three-year planning grant is to improve health access and status for cardiovascular disease (CVD) in Filipino Americans living in the New York City metropolitan area through the use of patient navigators. This application has four specific aims: (1) to create an infrastructure that facilitates the conduct of community-based participatory research (CBPR), (2) to conduct a descriptive study that examines the Filipino American community's knowledge, health practices, health access, and risk factors for CVD, (3) to conduct an experimental study to assess the efficacy of an intensive patient navigator intervention in improving health access and status for CVD among Filipino Americans, and (4) to evaluate CBPR as an approach for addressing and eliminating health disparities. Year 1 focuses on partnership development and creation, with community participation, of a patient navigator intervention to improve hypertension control in Filipino Americans. The Kalusugan (i.e., "health" in Pilipino) Coalition-comprised of academic and community partners serving the Filipino American community-has met since 2004. A community advisory board and seven taskforces comprised of Coalition members will be created and meet during Year 1. Years 2 and 3 implement a pilot intervention to test the efficacy of the patient navigator intervention. A randomized controlled trial will be conducted. Filipino American men and women ages 25-55 identified as hypertensive during community screenings will be randomized into a more intensive (n = 108) and less intensive (n = 108) patient navigator intervention. The more intensive intervention will provide six protocolized sessions conducted by patient navigators; guided by the Health Belief Model and social support theory, sessions will focus on (a) providing information on high blood pressure and CVD, (b) linking and negotiating access to a primary care physician, (c) providing social support, and (d) assuring adherence to medication taking and appointment keeping. A baseline and two follow-up interviews will be conducted to assess client outcomes, including systolic and diastolic blood pressure and adherence to medication taking and appointment keeping. RELEVANCE: Filipino Americans exhibit high rates of hypertension and are therefore at high risk for cardiovascular disease and stroke. However, few interventions have been developed and implemented for this population to address these concerns. A patient navigator intervention, developed with community input to ensure its cultural and linguistic appropriateness, has the potential to prevent cardiovascular disease and stroke by helping Filipino Americans control their blood pressure.