Bronx Faith-Based Initiative to Eliminate Racial Disparities in Health

长期目标：拟议项目的总体目标是消除健康结果方面的种族差异。 在布朗克斯西南部的居民中。该项目是由布朗克斯健康REACH，一个联盟， 40个社区和宗教组织、城市家庭健康研究所和健康中心 和纽约大学公共服务研究所。该联盟成立于1999年， 一系列基于社区的干预措施，以衡量和改变知识、态度和行为 通过健康促进和疾病预防活动。这些活动的重点是长期的 高流行率和社区成员关注的疾病，以及那些适合初级保健的疾病， 通过改变生活方式和自我管理进行预防。 具体目标：拟议的项目，布朗克斯基于信仰的健康公平倡议，将评估 基于信仰的干预措施对改善社区成员健康和保健的影响 糖尿病和相关的心血管疾病。该干预措施代表了评估期间确定的最佳做法。 该项目的规划阶段，并调整这些为一个双文化社区。它将识别，评估变化 在知识，态度和行为，评估该计划对教会计划和政策的影响， 并确定解决健康差距的双语、双文化方案的关键要素。 基本原理：越来越多的文献指出，医疗保健方面的差距在健康状况较差方面发挥了作用 少数民族的成果。通过将教育和行为战略与基于信仰的机构联系起来， 领导人，联盟寻求确定是否可以利用强大的社区资源，以减少 社区成员之间的差异。 方法：所提出的CBPR模型将采用具有干预队列的准实验设计 教会和控制教会的每一个计划的目标。将评估对会众的影响 通过前后纵向调查。对教会的影响，以及关键计划要素的确定 将通过焦点小组和关键线人访谈确定。 公共卫生价值：拟议的CBPR将有助于建立基于信仰的健康知识库 通过确定有助于或限制有效性的因素， 基于信仰的干预措施，以减少健康方面的种族差异。

Long term goal: The overall goal of the proposed project is to eliminate racial disparities in health outcomes among residents of the southwest Bronx. The project is sponsored by Bronx Health REACH, a coalition of 40 community and faith-based organizations, the Institute for Urban Family Health, and the Center for Health and Public Service Research at New York University. Established in 1999, the Coalition has developed a series of community-based interventions to measure and change knowledge, attitudes and behaviors through health promotion and disease prevention activities. These activities have focused on chronic diseases of high prevalence and concern to community members and those which are amenable to primary prevention through lifestyle modification and self-management. Specific aims: The proposed project, The Bronx Faith-Based Initiative for Health Equity, will evaluate the impact of a faith-based intervention to improve health and health care of community members at risk for diabetes and related cardiovascular disease. The intervention represents best practices identified during the planning phase of this project, and adapts these for a bicultural community. It will identify, evaluate changes in knowledge, attitudes, and behaviors, assess the impact of the program on church programs and policies, and identify key elements of a bilingual, bicultural program to address health disparities. Rationale: A growing body of literature points to the role that disparities in health care 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 among community members. Methods: The proposed CBPR model will utilize a quasi-experimental design with a cohort of intervention churches and control churches for each of the program aims. Impact on congregants will be assessed through longitudinal pre-and post-surveys. Impact on churches, and identification of key program elements will be identified through focus groups and key informant interviews. Public health value: The proposed CBPR will contribute to the knowledge base about faith-based health interventions and improve future collaborations by identifying factors contribute to or limit the effectiveness of faith-based interventions to reduce racial disparities in health.