Hopkins Center for Eliminate Cardiovascular Health Disparities

我们的目标是建立一个跨学科的研究中心，改善心血管疾病的结果， 在马里兰州的巴尔的摩，减少了种族和民族在护理方面的差异。我们将以社区为基础， 参与式研究原则，在研究人员、医疗保健提供者网络 社区成员和政策制定者。我们正在建立在以前的工作和建立与巴尔的摩的大量非洲裔美国人的关系，我们将首先集中在高血压。该中心将包括3个独立但相关的干预研究，以改善非裔美国人高血压的识别，治疗和结局; 3个综合和免费的核心;一个内部指导委员会;以及一个社区和供应商咨询委员会。研究1是一项实用的临床试验，旨在检查6个社区初级保健实践中多方法质量改进干预的实施情况。研究2是一项随机对照试验，旨在测试患者、家庭和社区成员自我管理和解决问题培训的有效性和长期可持续性。研究3是一项3组随机对照试验，研究了文化定制的营养建议和含有钾、镁和维生素C的矿物质补充剂。所有3项研究的主要结局均为收缩压和舒张压以及血压控制。行政核心将进行赠款的全面管理，指导和协调共享资源和培训活动，并管理中心的研究。共享资源核心将为研究设计、数据库开发、数据管理和分析、患者招募和保留、干预开发、测量标准化以及中心项目和管理及培训核心的结果传播提供基础设施和支持。培训核心将提供跨学科的培训和指导，在医学，公共卫生和护理学院的博士前，博士后，初级教师，并建立教师的健康差距。

Our goal is to create a transdisciplinary research center that improves cardiovascular outcomes and reduces racial and ethnic disparities in care in Baltimore, Maryland. We will use community-based participatory research principles to build strong ties among researchers, healthcare provider networks, community members, and policy-makers. We are building on prior work and established relationships with the large African American population in Baltimore, and we will initially focus on hypertension. The Center will Include 3 separate but related intervention studies to improve the identification, treatment, and outcomes of African Americans with hypertension; 3 integrated and complimentary Cores; an Internal Steering Committee; and a Community and Provider Advisory Board. Study 1 is a pragmatic clinical trial that examines the implementation of a multi-method quality improvement intervention in 6 community-based primary care practices. Study 2 is a randomized controlled trial to test the effectiveness and long-term sustainability of self-management and problem-solving training for patients, family and community members. Study 3 is a 3-arm randomized controlled trial of culturally-tailored nutritional advice and a mineral supplement containing potassium, magnesium, and Vitamin C. Primary outcomes for all 3 studies are systolic and diastolic blood pressure and blood pressure control. The Administrative Core will carry out the overall administration of the grant, guiding and coordinating shared resources and training activities and managing the Center's studies. The Shared Resources Core will provide infrastructure and support for study design, database development, data management and analysis, patient recruitment and retention, intervention development, standardization of measurements and dissemination of results for the Center Projects and Administrative and Training Cores. The Training Core will provide transdisciplinary training and mentorship in health disparities for pre-doctoral, post-doctoral, junior faculty, and established faculty in the Schools of Medicine, Public Health, and Nursing.