Developing Effective, Sustainable CBPR to Reduce Obesity in Rural Alabama

描述(由申请人提供)：由于缺乏文化意识和理解，传统研究往往无法解决健康差距问题。医学博士查尔斯·勒迈斯特曾经说过：“如果你想找到治疗癌症的方法，你需要找出人们吃什么以及他们为什么吃，而唯一能做到这一点的方法就是坐在他们的厨房餐桌前问他们。”其目标是提供一种方式，让社区和研究人员坐在餐桌前，共同制定有效、可持续的干预措施，以减少健康差距。肥胖及其有害影响是阿拉巴马州农村黑带社区和研究人员关注的问题。阿拉巴马州是美国肥胖最严重的州之一(39.2%对47.9%)，黑带农村县是最肥胖的县。这些百分比使黑带地区的人患糖尿病、心脏病、癌症和其他健康状况的风险更高。在与社区合作缩小这些差距的过程中，我们将合作建设基础设施，以开发 通过以下具体目标进行有效、可持续的干预：1)建立和维持一个社区咨询委员会，该委员会将为基础设施发展的指导提供监督，并促进这些CBPR项目努力的传播、实施和评估；2)创建和维持一个研究培训计划，建设社区成员和社区组织(CBO)的CBPR能力，并与社区成员和CBO合作，提高跨学科学术研究人员的文化能力；3)开发一个社区参与学术教育计划，为当前和未来对在黑带开展CBPR感兴趣的社区参与家庭医学临床医生和跨学科学术研究人员提供教育和培训；4)建立和维护一个传播计划，以便在社区成员、当前和未来的社区参与家庭医学临床医生以及内部和外部的跨学科学术研究人员之间共享分析和报告结果和经验；以及，5)建立和试点CBPR干预孵化器，以开发和监督社区参与的研究干预措施，旨在影响定义的黑带社区内的肥胖水平。 相关性(见说明)：该项目寻求与社区合作，创建有效和可持续的干预措施，以减少阿拉巴马州农村黑带的肥胖症和相关的健康差距。如果我们能够创造一种方式，让社区、乡村医生和学术研究人员能够相互理解，并共同努力制定、实施、评估和传播干预措施，他们就更有可能取得成功。

DESCRIPTION (provided by applicant): Traditional research often fails to address health disparities because of a lack of cultural awareness and understanding. Charles LeMaistre, MD, once said "If you want to find the cure for cancer you need to find out what people eat and why they eat it, and the only way you can do that is to sit at their kitchen table and ask them." The goal is to provide a way for communities and researchers to sit at the kitchen table and together develop effective, sustainable interventions to reduce health disparities. Obesity and its detrimental effects are concerns of Alabama rural Black Belt communities and researchers. Alabama is one of the most obese states in the nation (39.2 percent to 47.9 percent) and rural Black Belt counties are the most obese. These percentages put people In the Black Belt at higher risk for diabetes, heart disease, cancer, and other health conditions. In working with communities to reduce these disparities, we will collaboratively build an infrastructure to develop effective, sustainable interventions through the following Specific Aims: 1) establish and maintain a Community Advisory Board that will provide oversight for the guidance of infrastructure development and to facilitate dissemination, implementation, and evaluation of these CBPR project efforts; 2) create and maintain a research training program that builds the CBPR capacity of community members and community-based organizations (CBOs), and work with community members and CBOs to increase the cultural competency of interdisciplinary academic researchers; 3) develop a Community Engaged Academic education program that provides education and training to current and future Community Engaged Family Medicine clinicians and interdisciplinary academic researchers who have an interest in conducting CBPR in the Black Belt; 4) establish and maintain a dissemination plan for shared analysis and reporting of results and experiences among community members, current and future Community Engaged Family Medicine clinicians, and interdisciplinary academic researchers both internally and externally; and, 5) construct and pilot a CBPR Intervention Incubator to develop and oversee community-engaged research interventions aimed to impact obesity levels within a defined Black Belt community. RELEVANCE (See instructions): This project seeks to work with communities to create effective and sustainable interventions that will reduce obesity and related health disparities in the rural Black Belt of Alabama. If we can create a way that communities, rural physicians, and academic researchers can understand each other and work together to develop, implement, evaluate, and disseminate interventions, they are more likely to be successful.