Rochester Prevention Research Center

描述（由申请人提供）：聋人手语使用者和听力损失人群构成了大多数公共卫生研究、监测和计划所忽视的健康差距人群。罗切斯特预防研究中心（RPRC）的使命是通过社区参与性研究（CBPR）促进这两种不同人群的健康和预防疾病。RPRC的长期目标是消除聋人和听力障碍人群的健康差距。RPRC将通过基于预防研究中心（PRC）的关键要素的六个目标来努力实现使命和目标：目标1 -组织和管理RPRC与D/卫生保健社区开展CBPR；目标2 -让D/HOH个人和利益相关者组织参与RPRC活动的各个方面；目标3 -透过有效的双向沟通渠道，连结区域资源中心与持份者；目标4 -制定教育和培训方案，提高D/ h社区的能力和健康；目标5 -在RPRC逻辑模型和工作计划的指引下，评估RPRC的成就；目标6 -进一步推进与医生/卫生保健社区制定的各自研究议程。RPRC提出了一项传播和实施研究项目，重点关注肥胖，这是一场CDC可以打赢的战斗。本研究的总体目标，被称为聋人体重明智2.0 (DWW 2.0)，是采用一种基于证据的健康生活方式干预方法，用于21-40岁的成年聋人美国手语（ASL）使用者，通过现场团体干预或远程通过视频电话（VP）进行个人咨询干预，并通过随机试验评估干预措施。VP是一项在美国聋人社区几乎无处不在的现有技术，它对聋人和其他人群的远程卫生干预具有广泛的影响。RPRC的首要前提是，一种基于证据的健康生活方式干预，由聋哑人改编，用于聋哑人，并由聋哑人提供，将改善饮食、身体活动和体重。DWW 2.0建立在RPRC的优势之上，包括与罗切斯特聋人社区的长期合作，适应聋人美国手语使用者使用的措施和材料的经验，以及对聋人美国手语使用者肥胖干预的成功研究。DWW 2.0是对聋人社区的回应，因为它关注：1)肥胖，聋人社区选择作为健康研究优先事项的健康差距，2)聋人社区确定的年龄人口统计学，以纳入健康促进研究，3)可扩展性和RPRC研究的好处扩展到罗切斯特以外的聋人社区的要求。RPRC是罗切斯特临床和转化科学研究所的一个单位，为这些问题带来了学术健康中心的专业知识。DWW 2.0与RPRC与罗切斯特社区转型基金和当地卫生部门的工作是一致的。残疾人中心的活动符合《中华人民共和国残疾人权利法》的目标，并支持促进残疾人健康和福祉的《2020年健康人目标》。

DESCRIPTION (provided by applicant): Deaf sign language users and people with hearing loss comprise health disparity populations overlooked by most public health research, surveillance and programs. The mission of the Rochester Prevention Research Center (RPRC) is to promote health and prevent disease with these two distinct populations through community-based participatory research (CBPR). A RPRC long term objective is to eliminate health disparities in Deaf and Hard-of-Hearing (D/HOH) populations. RPRC will work to achieve the mission and that goal through six aims based on the key elements of a Prevention Research Center (PRC): Aim 1 - To organize and administer RPRC to carry out CBPR with D/HOH communities; Aim 2 - To engage D/HOH individuals and stakeholder organizations in all aspects of RPRC activities; Aim 3 - To connect RPRC and stakeholders through effective bi-directional communication channels; Aim 4 - To create education and training programs that enhance D/HOH communities' capacity and health; Aim 5 - To evaluate RPRC achievements guided by the RPRC Logic Model and Work Plans; Aim 6 - To further advance the respective research agendas set with the D/HOH communities. RPRC proposes a dissemination and implementation research project focused on obesity, a CDC winnable battle. The overall goal of this research, called Deaf Weight Wise 2.0 (DWW 2.0), is to adapt an evidenced-based healthy lifestyle intervention for use with Deaf adult American Sign Language (ASL) users ages 21-40, delivered either locally as an in-person group intervention or remotely as an individual counseling intervention via videophone (VP), and to assess the interventions with a randomized trial. The VP, an existing technology that is virtually ubiquitous in the US Deaf community, has broad implications for remote delivery of health interventions with Deaf and other populations. RPRC's overarching premise is that an evidenced-based healthy lifestyle intervention adapted by Deaf people for use with Deaf people and delivered by Deaf people will improve diet, physical activity and weight. DWW 2.0 builds on RPRC strengths including a longstanding collaboration with the Rochester Deaf community, experience adapting measures and materials for use with Deaf ASL users, and a successful research focus on obesity intervention with Deaf ASL users. DWW 2.0 is responsive to the Deaf community in that it focuses on: 1) obesity, a health disparity that the Deaf community selected as a health research priority, 2) an age demographic identified by the Deaf community for inclusion in health promotion research, and 3) scalability and the request that the benefits of RPRC research be extended to reach Deaf communities outside of Rochester. RPRC, a unit of the Rochester Clinical and Translational Science Institute, brings academic health center expertise to these issues. DWW 2.0 is consistent with RPRC's work with the Rochester Community Transformation Grant and local health department. RPRC activities match the PRC FOA aims and support the Healthy People 2020 Goal to promote the health and well-being of people with disabilities.