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

描述（由申请人提供）：本申请是阿肯色大学医学科学学院（UAMS）公共卫生学院（COPH）阿肯色健康差异中心（ARCHD）探索性COE的第二个资助周期的续签申请。虽然总部设在COPH，但ARCHD已经聘请了UAMS的教师，他们要么参与少数民族健康差异研究，要么对发展健康差异研究项目感兴趣。强有力的机构支持不仅体现在担任Pl/PD的COPH院长（Raczynski博士），还体现在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45万美元）作为可自由支配的资金。ARCHD成立于2007年10月，最初的财政年度为8个月。因此，在提交申请时，该中心仅获得了大约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仍在进行中，尚未取得结果，但ARCHD试点研究项目已经获得了3项NIH奖励（2项roi和1项R03）。yary博士在本延续申请中提出的研究项目是基于第4个试点研究项目。这一延续申请的总体主题仍然是：发展研究，改善获得高质量的预防和医疗保健计划，为种族和少数民族消除健康差距的目标。ARCHD将继续关注慢性病差异，重点关注重大的流行病慢性病风险因素，以及通过机构安置对导致发病率、死亡率和成本过高的其他慢性病风险因素的管理。建议开设四个必修核心单元（行政、教育/培训、研究、社区参与）。此外，还提出了两个研究项目：Holly Felix博士，PI -社区卫生工作者与长期护理服务标准外展的效果比较，长期护理预防方案的比较有效性评估；Karen Kim Yeary博士，PI -农村非裔美国人信仰社区的减肥和维持，一个以社区为基础的，以信仰为基础的，非专业健康顾问干预农村非裔美国人。

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.