Bronx Faith-based Initiative to Eliminate Racial Disparity

描述（由申请人提供）：长期目标：拟议的基于社区的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。 该项目由布朗克斯健康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，以及纽约大学健康和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，包括旨在教育社区居民有效地浏览医疗保健系统并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，布朗克斯信仰为基础的倡议，以消除种族差异的健康，将评估的优势和限制的REACH信仰为基础的倡议，并确定未满足的需求，社区成员的风险，糖尿病和心血管疾病。它将确定制定和实施基于信仰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，并试点干预措施，评估方案实施的障碍和促进因素。理由：越来越多的文献指出，医疗保健系统的不平等在少数群体健康状况较差方面发挥了作用。 通过将教育和行为战略与基于信仰的机构和领导人联系起来，该联盟寻求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。 研究方法：拟议的CBPR模式将使用一系列研究措施，包括关键信息提供者访谈、焦点小组和调查，这些措施将由社区研究委员会设计和实施，该委员会由社区成员、PI和科研合作伙伴组成。公共卫生价值：拟议的CBPR将有助于建立关于基于信仰的健康干预措施的知识库，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，以减少健康方面的种族差异。

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.