Arkansas Center for Health Disparities (ARCHD): An NIMHD Exploratory COE

描述（由申请人提供）：本申请是阿肯色州健康差异中心（ARCHD）探索性COE在阿肯色州医学科学大学（UAMS）公共卫生学院（COPH）的第二个资助周期的续期申请。虽然总部设在COPH，ARCHD已经从事教师在UAMS谁是参与少数民族健康差距研究或谁有兴趣在发展健康差距研究计划。强大的机构支持不仅表现在COPH院长（博士）担任PL/PD，而且还表现在UAMS校长Rahn的大力支持和资金承诺，以匹配ARCHD产生的间接成本（每年约450，000美元）作为可自由支配的资金。ARCHD最初成立于2007年10月，最初的财政年度为8个月。因此，在提交本申请时，该中心仅获得约3个半日历年的资助。尽管时间很短，大多数资助的研究项目正在进行，但尚未获得结果，ARCHD试点研究项目已经获得了3项NIH奖项（2项ROI和1项R 03）。Yeary博士在本延续申请中提出的研究项目是基于第四个试点研究项目。该延续申请的总体主题仍然是：发展研究，改善种族和少数民族获得高质量预防和医疗保健计划的机会，以消除健康差距。ARCHD将继续关注慢性病的差异，重点是重大的流行性慢性病风险因素，以及通过机构安置管理导致发病率、死亡率和费用过高的其他慢性病风险因素。四个强制性的核心单位（行政，教育/培训，研究，社区参与）。此外，提出了两个研究项目：冬青费利克斯，博士，PI -社区卫生工作者的效果相比，标准的长期护理服务外展，长期护理预防方案的比较有效性评估;和卡伦金Yeary，博士，PI -减肥和维护农村，非裔美国人社区的信仰，一个以社区为基础的参与，以信仰为基础，为农村非裔美国人提供非专业健康顾问干预。

DESCRIPTION (provided by applicant): This application is a renewal application for the Arkansas Center for Health Disparities (ARCHD) Exploratory COE at the University of Arkansas for Medical Sciences' (UAMS) College of Public Health (COPH) for a 2nd funding cycle. Although based in the COPH, ARCHD has engaged faculty across UAMS who are either involved in minority health disparities research or who are interested in developing health disparities research programs. Strong institutional support is demonstrated not only by the COPH Dean (Dr. Raczynski) serving as Pl/PD but also by strong support from UAMS Chancellor Rahn and commitment of funding to match the indirect costs generated by ARCHD (approximately $450,000 annually) as discretionary funds. ARCHD was originally founded in October 2007 with an initial 8-month fiscal year. Hence, the Center has been only funded for approximately 3 1/2 calendar years when this application was submitted. Despite this short period and most funded research projects on-going with no results yet available, ARCHD Pilot Research Projects have already resulted in 3 NIH awards (2 ROIs and 1 R03). Dr. Yeary's Research Project proposed in this continuation application is based on a 4th Pilot Research Project. The overall theme for this continuation application remains: to develop research that improves access to quality prevention and healthcare programs for racial and ethnic minorities with a goal of eliminating health disparities. ARCHD will continue to focus on chronic disease disparities with an emphasis on significant epidemic chronic disease risk factors and the management of other chronic disease risk factors that lead to excess morbidity, mortality and costs through institutional placements. Four mandatory core units are proposed (Administrative, Education/Training, Research, Community Engagement). In addition, two research projects are proposed: Holly Felix, PhD, PI - Effect of community health workers compared to standard outreach for long-term care services, a comparative effectiveness evaluation of a program for long-term care prevention; and Karen Kim Yeary, PhD, PI -Weight loss and maintenance for rural, African American communities of faith, a community-based participatory, faith-based, lay health advisor intervention for rural African Americans.