Bronx Youth as Partners in Community Participatory Research on Health Disparities

描述（由申请人提供）：这个为期三年的项目采用基于社区的参与性行动研究来解决纽约布朗克斯的非洲裔美国人和拉丁裔青年之间的健康差距，他们是这个项目定义的“社区”。我们将设计、实施和开展一项干预措施的过程评估，以减少该社区选择的一种健康差距。青少年是主要的决策者；有两个级别的伙伴关系：项目规划组（PPG）和布朗克斯青少年健康联盟（联盟），两者都将全面参与每一阶段的工作。PPG包括：14名14-19岁的布朗克斯青少年，他们代表了布朗克斯青少年的更大社区；2名具有科学专业知识的研究人员；2名具有制定/实施干预措施专业知识的项目专家；还有3位医生提供健康信息。该联盟包括在服务青年方面具有广泛经验或在保健差距方面具有专门知识的组织，并将提供咨询以及政治和实际支持。具体目标1，建立伙伴关系，将通过推荐的战略来实现（例如，有人负责培养伙伴关系本身，共同承担制定规则和流程的责任，公平决策）。具体目标2，进行需求评估，包括分析国家和地方数据；与利益相关者进行深入的社区访谈；“风挡之旅”，找出社区因素；以及有关布朗克斯项目的数据。具体目标3，选择一个健康差距，将以弗里埃的倾听-对话-行动的结构化对话模式为指导。将使用共识方法来选择一个差异。Friere的行动阶段将在制定干预措施的具体目标4中实施。我们将使用在青少年干预试验中使用的技术来开发这个项目。PPG/联盟将确定目标，PPG工作人员将提供技术援助。具体目标5，试点/进行过程评估，将确定招聘，保留，接受等方面的问题。具体目标6，评估伙伴关系，将使用伙伴关系自我评估工具和定性访谈来评估伙伴关系在领导/管理、协作过程、效率、协同、授权和满意度方面的成功。这一过程将导致一种可测试的基于社区的干预，这种干预是从社区自身的经验和专业知识中发展出来的，并由流行病学数据、项目专业知识和理论提供信息。

DESCRIPTION (provided by applicant): This 3-year project uses community-based participatory action research to address health disparities among African American and Latino youth in the Bronx, NY, who are the defined "community" for this project. We will design, implement and conduct a process evaluation of an intervention to reduce one health disparity selected by this community. Adolescents are the lead decision-makers; there are two levels of partnership: The Project Planning Group (PPG) and The Bronx Coalition for Adolescent Health (Coalition) Both will be full participants in each phase of the work. The PPG includes: 14 Bronx teenagers age 14-19 that represent the larger community of Bronx teens; 2 researchers with scientific expertise; 2 program specialists with expertise on developing/implementing interventions; and 3 physicians who will provide health information. The Coalition includes organizations having broad experience serving youth or specific expertise in a health disparity and will provide advice, and political and practical support. Specific Aim 1, building a partnership, will be accomplished through recommended strategies (e.g., having someone responsible for nurturing the partnership itself, shared responsibility for developing rules and processes, equity in decision making). Specific Aim 2, conducting a needs assessment, includes analyses of national and local data; in-depth community interviews with stakeholders; a "Windshield Tour" to identify community factors; and data on relevant Bronx programs. Specific Aim 3, selecting a health disparity, will be guided by Friere's structured dialogue model of listening-dialogue-action. Consensus methods will be used to select one disparity. Friere's action phase will be implemented in Specific Aim 4, developing the intervention. We will develop the program using techniques used in our adolescent intervention trials. The PPG/Coalition will identify goals with the PPG staff will provide technical assistance. Specific Aim 5, piloting/conducting a process evaluation, will identify problems in recruitment, retention, receptivity, etc. Specific Aim 6, evaluating the partnership, will assess the success of the partnership on leadership/management, the collaborative process, efficiency, synergy, empowerment, and satisfaction using the Partnership Self-Assessment Tool along with qualitative interviews. This process will lead to a testable community-based intervention that has grown from the community's own experience and expertise, informed by epidemiologic data, program expertise and theory.