UMass Worcester Prevention Research Center

描述(由申请人提供)：本提案寻求对UMW-PRC(UMW-PRC)的支持，该中心最初由疾病控制与预防中心于2009年作为一个发展中的PRC提供资金。资金将支持全面核心基础设施的发展和加强，以促进与州和地方公共卫生部门以及众多社区合作伙伴建立应用公共卫生研究伙伴关系。我们的教师进行干预研究、实施研究和基于公共卫生实践的研究，目标是疾控中心在马萨诸塞州伍斯特地区打赢的营养、体力活动和肥胖之战。UMW-PRC有六个优先领域：种族和民族健康差距、建筑环境和系统、共病肥胖和精神健康、儿童和青少年健康、工作场所健康促进以及社区和临床联系。在拟议的资助周期中，UMW-PRC将进一步发挥以下作用：1)应用公共卫生研究的机构领导者，2)马萨诸塞州伍斯特合作公共卫生系统的组成部分，3)全州应用公共卫生研究专业知识的资源，4)整合学术医学、公共卫生、医疗保健和社区的双向应用公共卫生研究的国家典范。这将通过在中华人民共和国的每个方案组成部分中进行创新来实现：行政和基础设施、社区参与和技术援助、沟通和传播、培训和评价。在此基础设施的基础上，我们拟议的应用型公共卫生预防研究项目将在种族/民族多元化的联合山社区实施，伍斯特市因其高犯罪率、贫困和失业率、日益恶化的建筑环境和高慢性病负担而优先振兴该社区。有针对性的资源投资旨在改善犯罪和安全以及经济发展。与此同时，联合山将成为马萨诸塞州公共卫生部(MDPH)运动大众/社区转型赠款(MIM-CTG)的目标，以实施公共政策和环境改善，以促进身体活动和健康饮食，减少肥胖。感知到的社会规范、影响儿童肥胖行为的有限的父母效能以及与儿童肥胖行为相关的有限的育儿技能可能会减少建筑环境干预的影响。这项拟议的研究将测试建筑环境干预加上以家庭为中心的社区卫生工作者(CHW)提供的组成部分的影响，与建筑环境干预加上以家庭为中心的社区卫生工作者(CHW)提供的组成部分相比，建筑环境干预加上以家庭为中心的社区卫生工作者(CHW)提供的组成部分通过改善社会规范、父母效能和育儿技能来提高家庭导航环境的能力，并促进健康饮食和活动。这项研究使用准实验设计来评估对孩子和父母饮食、体力活动和BMI的影响。我们将使用MDPH全州儿童BMI数据来比较联合山的联合建筑环境干预措施和仅在可比的马萨诸塞州城市社区实施的MIM-CTG计划的影响。

DESCRIPTION (provided by applicant): This proposal seeks support for the UMass Worcester Prevention Research Center (UMW-PRC), initially funded by the CDC in 2009 as a developmental PRC. Funding will support the growth and enhancement of a comprehensive core infrastructure that fosters applied public health research partnerships with state and local departments of public health and numerous community partners. Our faculty conduct intervention research, implementation research and public health practice-based research that targets the CDC Winnable Battles of nutrition, physical activity and obesity in the Worcester, MA area. The UMW-PRC has six priority areas: racial and ethnic health disparities, the built environment and systems, comorbid obesity and mental health, child and adolescent health, worksite health promotion, and community-clinical linkages. In the proposed funding cycle, the UMW-PRC will further its role as 1) an institutional leader in applied public health research, 2) an integral part of the collaborative public health system within Worcester, MA, 3) a statewide resource for applied public health research expertise, and 4) a national model for bidirectional applied public health research that integrates academic medicine, public health, health care and communities. This will be accomplished through innovations in each of the PRC programmatic components: administration and infrastructure, community engagement and technical assistance, communication and dissemination, training, and evaluation. Building from this infrastructure, our proposed applied public health prevention research project will be implemented in the racial/ethnically diverse Union Hill neighborhood, which the City of Worcester has prioritized for revitalization due to its high rates of crime, poverty and unemployment, deteriorating built environment, and high chronic disease burden. Targeted resource investments aim to improve crime and safety and economic development. Simultaneously, Union Hill will be targeted by a Massachusetts Department of Public Health (MDPH) Mass in Motion/Community Transformation Grant (MiM- CTG) to implement public policy and environmental improvements to promote physical activity and healthy eating and reduce obesity. Perceived social norms, limited parental efficacy to influence child obesogenic behaviors and limited parenting skills related to child obesogenic behaviors may reduce the impact of built environment interventions. The proposed study will test the impact of the built environment intervention plus a family-focused community health worker (CHW)-delivered component to improve ability of families to navigate their environment and promote healthy eating and activity through improvements in social norms, parental efficacy, and parenting skills, compared to the built environment intervention plus an attention control CHW- delivered component. The study uses a quasi-experimental design to assess impact on child and parent diet, physical activity and BMI. We will use MDPH statewide child BMI data to compare impact of the combined built environment interventions in Union Hill to the MiM-CTG program only in comparable MA urban communities.