RESEARCH CORE

拟议的中心致力于创建有效的、可持续的、受社区启发的计划，以 改善哈莱姆区少数民族社区的健康状况。通过我们过去和继续的工作，我们已经 制定了一项行之有效的战略，以克服我们社区中健康的多重障碍。这 战略需要确定未充分使用已证实有效的疗法的可修改的原因；制定 文化上适当的干预措施，以补救这些原因，并特别强调提高患者 自我管理技能；严格测试这些干预措施；如果它们被证明有效，则将其转化为 实施医疗保健计划。社区合作伙伴参与这一过程的每一个阶段。这个 Research Core将在此基础上进行阐述和展开。研究核心的具体目标是： 1.开发针对产后抑郁症和复发的新的健康改善干预措施 中风是造成哈莱姆区健康差距的两种重要疾病， 2.将这些干预措施的重点放在通过改善患者的自我管理来减少有效护理的利用不足 技能， 3.使用最严格的研究方法和设计评估这些干预措施， 4.使用复杂的数据建模方法来确定哪些组件被证明有效 干预措施最有责任实现其效益，而且 5.促进将行之有效的干预措施转化为可持续的临床做法。 根据我们在进行高质量差异研究方面的丰富经验，我们相信这些项目 被选为研究核心的人对改善我们社会的健康有着巨大的希望。这个 探索干预措施的哪些组成部分有助于其成功，将深化我们的 了解如何弥补差异，以及如何有效地将研究转化为 临床实践中的可持续计划。在完成这些目标的过程中，研究核心将 促进研究项目之间的协作和信息交流； 中心内部以及中心与更大的西奈山差异研究界之间的核心问题。

The proposed Center is dedicated to the creation of effective, sustainable, community-inspired programs to improve the health of minority communities in Harlem. Through our past and continuing work, we have developed a proven strategy for overcoming the multiple barriers to good health in our community. This strategy entails identifying the modifiable causes of underuse of proven-effective therapies; developing culturally-appropriate interventions to remedy those causes, with specific emphasis on enhancing patient self-management skills; rigorously testing these interventions; and, if they prove effective, transforming them into operating health programs. Community partners participate in every stage of this process. The Research Core will elaborate and expand on this foundation. The specific aims of the Research Core are: 1. To develop new health improvement interventions that target postpartum depression and recurrent stroke-two important illnesses contributing to health disparities in Harlem, 2. To focus these interventions on reducing underuse of effective care by improving patients' selfmanagement skills, 3. To evaluate these interventions using the most rigorous research methods and designs, 4. To employ sophisticated data modeling methods to ascertain which components of proven-effective interventions are most responsible for delivering their benefits, and 5. To facilitate the translation of proven-effective interventions into sustainable clinical practices. From our extensive experience in conducting high quality disparities research, we believe the projects selected for the Research Core hold great promise for improving the health of our community. The exploration of what components of the interventions contribute to their success will deepen our understanding of how disparities can be remedied, and how research can be efficiently translated to sustainable programs in clinical practice. Throughout the completion of these aims, the Research Core will facilitate collaboration and exchange of information between research projects with in the Core; between Cores within the Center, and between the Center and the larger Mount Sinai disparities research community.