Bronx Faith-based Initiative to Eliminate Racial Dispar*

描述（由申请人提供）：长期目标：拟议的社区研究项目的总体目标是消除西南项目中健康结果的种族差异。该项目由Bronx Health REACH（一个由40个社区和信仰组织组成的联盟）、城市家庭健康研究所（一个社区卫生保健提供者）和纽约大学卫生与公共服务研究中心赞助。自1999年以来，该联盟制定了一系列以社区为基础的干预措施，旨在通过健康促进和疾病预防活动来衡量和改变知识、态度和行为，其中包括旨在教导社区居民有效地利用医疗保健系统和克服他们在接受医疗保健时面临的种族差异的活动。具体目标：拟议的项目，布朗克斯消除健康方面种族差异的基于信仰的倡议，将评估REACH基于信仰的倡议的优势和局限性，并确定面临糖尿病和心血管疾病风险的社区成员未满足的需求。它将确定制定和实施以信仰为基础的干预措施的关键要素，以改善少数民族人口的健康和保健，并试点一项干预措施，并评估实施方案的障碍和促进因素。理由：越来越多的文献指出，卫生保健系统中的差异在少数民族的健康状况较差方面发挥了作用。通过将教育和行为策略与基于信仰的机构和领导人联系起来，该联盟试图确定是否可以利用强大的社区资源，通过教育社区成员来减少差距。方法：拟议的CBPR模型将采用一系列研究措施，包括关键信息提供者访谈、焦点小组和调查，这些措施将由社区成员、PI和科研合作伙伴组成的社区研究委员会设计和实施。公共卫生价值：拟议的CBPR将有助于建立关于基于信仰的卫生干预措施的知识库，并通过确定有助于或限制基于信仰的干预措施的发展和有效性的因素来改善未来的合作，以减少卫生方面的种族差异。

DESCRIPTION (provided by applicant): Long term goal: The overall goal of the proposed community-based research project is to eliminate racial disparities in health outcomes in the southwest project. The project is sponsored by Bronx Health REACH, a Coalition of 40 community and faith-based organizations, the Institute for Urban Family Health, a community health care provider, and the Center for Health and Public Service Research at New York University. Since 1999, the Coalition has developed a series of community-based interventions designed to measure and change knowledge, attitudes, and behavior through health promotion and disease prevention activities, including activities aimed at teaching community residents to navigate the healthcare system effectively and overcome the racial disparities they face in the health care they receive. Specific aims: The proposed project, the Bronx Faith-based Initiative to Eliminate Racial Disparities in Health, will assess the strengths and limitations of the REACH faith-based initiative and identify the unmet needs of community members at risk for diabetes and cardiovascular disease. It will identify the key elements for developing and implementing a faith-based intervention to improve the health and health care of minority populations, and pilot an intervention and evaluate the barriers and facilitating factors for program implementation. Rationale: A growing body of literature points to the role that disparities in the health care system play in poorer health outcomes for minorities. By linking educational and behavioral strategies with faith-based institutions and leaders, the Coalition seeks to determine whether a strong community resource can be tapped to reduce disparities by educating community members. Methods: The proposed CBPR model will use a host of research measures, including key informant interviews, focus groups, and surveys, which will be designed and implemented by a Community Research Committee that consists of community members, the PI and the scientific research partners. Public Health Value: The proposed CBPR will contribute to the knowledge base about faith-based health interventions and improve future collaborations by determining the factors that contribute to or limit the development and effectiveness of faith-based interventions to reduce racial disparities in health.