Project EXPORT - A Center of Excellence (PEACE)

100多年前，W·E·B·杜布瓦(W.E.B.Dubois)写了一本名为《费城黑人》(The Philadelphia Nero)的书，这本书详细介绍了对非裔美国人社区的最早社会科学研究之一--他们的集体历史和个人家庭；他们的健康、教育、职业、经济和政治地位；他们的教堂和企业；他们的个人习惯、偏见和生活条件--揭示了研究作为纠正社会不公正和影响社会变革的手段的潜力。今天，现在被称为“健康差距”的问题不仅继续困扰着非裔美国人，而且还困扰着其他有色人种和医疗服务不足的人，社会正在努力寻找方法来改善少数族裔的困境，同时保持“文化能力”和“敏感性”。我们认为，二十世纪的科学方法，特别是涉及服务不足的社区的方法，在二十一世纪将行不通。我们需要一种更全面的方法，不仅涉及科学发现，还包括科学发现与现实世界的应用和社区服务相结合。少数群体健康研究中心(CRMH)是国会授权的第一个联邦政府以外的少数群体健康和健康差距研究中心，草原景观农工大学(PVAMU)及其护理学院与Project EXPORT一起建立了一个成功的方法来弥合科学和社区之间的鸿沟。在更新项目EXPORT，现在被称为“项目EXPORT--卓越中心”(PRESS)时，我们将继续使用相同的整体方法解决健康差距问题，在我们的教育和推广方案的基础上加强和扩大我们的研究努力，以便：(A)整合和集中正在进行的少数群体健康和健康差距方面的努力，将项目EXPORT纳入CRMH作为英才研究中心，同时在研究培训、社区参与和外联方面开发新的方案(所有核心)；(B)维持和发展在设计上具有“生物-心理-社会”性质的研究方案，承认生物、环境、行为和社会因素在多个社会背景和多个社会层面上独立或独立地发挥作用，决定健康结果(研究和社区关系核心)；(C)加强现有的研究培训活动，使少数群体和未得到充分服务的人群的研究人员能够进行有价值的少数群体健康和健康差距研究；(D)在当地和国外建立社区和机构伙伴关系，以改善少数群体和医疗服务不足者的健康(研究、社区关系和研究教育与培训核心)。我们将继续与癌症信息服务部门和M.D.安德森公共教育办公室合作，为公众、医疗保健提供者和潜在的临床试验参与者提供关于癌症治疗和预防试验的信息，并将推进专业培训工作，以：(1)改进促进癌症健康差距研究的课程；(2)为寻求健康差距研究事业的少数族裔学生提供经验；以及(3)与M.D.安德森生物统计和应用科学系合作，与PVAMU共同开发数据管理系统，培训Prairie View学生为未来的研究项目维护和更新该系统。这些只是这个应用程序的几个独特功能。我们打算有所作为。

Over 100 years ago W.E.B. Dubois wrote "The Philadelphia Negro," a book detailing one of the first social-scientific studies of a community of African Americans - their collective history and individual families; their health, educational, occupational, economic and political status; their churches and businesses; their personal habits, biases and living conditions - revealing the potential of research as a means to correct social injustice and effect societal change. Today, the issue of what is now termed "health disparities" continues to plague not only African Americans, but also other people of color and the medically underserved, and society struggles with ways to improve the plight of minorities while remaining "culturally competent" and "sensitive." It is our opinion that the scientific approaches of the twentieth century, especially those involving underserved communities, will not work in the twenty-first century. We need a more comprehensive approach that will involve not scientific discovery alone, but scientific discovery coupled with real-world applications and community service. The Center for Research on Minority Health (CRMH), the first Congressionally mandated center on minority health and health disparities outside of the federal government, and Prairie View A & M University (PVAMU) and its College of Nursing, established with Project EXPORT a successful approach to bridging the gap between science and community. In the renewal of Project EXPORT, now referred to as "Project EXPORT - A Center of Excellence" (PEACE), we will continue to address health disparities using the same holistic approach, building on our educational and outreach programs to enhance and expand our research efforts, so as to: (a) integrate and centralize ongoing minority health and health disparities efforts of Project EXPORT into the CRMH as a research center of excellence, while developing new programs in research training, community engagement, and outreach (All Cores); (b) maintain and develop research programs that are "biopsychosocial" in design, recognizing that biological, environmental, behavioral and social factors, acting independently or dependently across multiple social contexts and multiple social levels, determine health outcomes (Research & Community Relations Cores); (c) enhance existing research training activities that prepare researchers from minority and underserved populations to conduct meritorious minority health and health disparities research; (Research Education & Training Core); and (d) build upon community and institutional partnerships, both locally and abroad, that will effect improvements in the health of minorities and the medically underserved (Research, Community Relations, and Research Education & Training Cores). We will continue to work with Cancer Information Services and the M. D. Anderson Office of Public Education to inform the public, health care providers, and potential clinical trial participants about cancer treatment and prevention trials, and will move forward with professional training efforts to: (1) enhance a curriculum promoting research in cancer health disparities; (2) provide experience to minority students seeking careers in health disparities research; and (3) develop, with the M. D. Anderson Biostatistics & Applied Sciences Department, a data management system with PVAMU, training Prairie View students to maintain and update the system for future research projects. These are but a few of the unique features of this application. We intend to make a difference.