WV Prevention Research Center

描述（由申请人提供）：西弗吉尼亚州（WV）在大多数主要健康指数中一直处于或接近底部。西弗吉尼亚州公共卫生局和我们的其他合作伙伴将与烟草和肥胖及代谢性疾病有关的差距确定为最优先的健康事项。自1994年以来，西弗吉尼亚预防研究中心与这些伙伴合作，通过社区参与的研究和评估，重点是烟草和OMD，改变公共卫生政策和做法。我们建议通过以下具体目标扩大我们的影响：（1）发展和维持一个多学科的学术中心，用于创新，社区参与的健康促进和疾病预防研究和评估;（2）与州和地方卫生部门，社区机构和其他社区合作伙伴合作，以解决州确定的健康优先事项和差距;（3）促进， 开展并翻译社区参与的应用预防研究和评估，以改善公共卫生成果、实践和政策;（4）加强公共卫生从业人员、教师、工作人员、学生、社区成员和伙伴组织开展和应用预防研究的能力，以解决实际的公共卫生问题;（5）与州和地方卫生和教育部门合作，以：（5a）定义和记录西弗吉尼亚州小学目前的学校体育（PE）和课间实践，并比较基于学校实践的学生健康和学业成果;（5 b）比较两种基于学校的体育和活动干预措施对基于学生和学校水平成果的标准体育的影响;以及（5c）迅速将研究结果转化为州和地方层面的环境和政策建议，以增加学生有效的体育活动和体育。目标5与我们的应用儿童肥胖干预项目有关，该项目解决了CDC的胜利之战。它还涉及针对重点人群（即，农村）和《社区预防服务指南》中对体育活动干预措施的审查中发现的差距。这个多方法项目涉及主要和次要数据分析，包括直接（加速度计）和观察到的学生身体活动水平，有氧健身，学业成绩和健康风险因素，如超重/肥胖和血压升高的措施。它采用了横断面设计（研究目标1）和随机对照试验（目标2）;目标3解决知识翻译。我们假设，所有五个目标的实现需要与州/地方公共卫生和教育，社区，供应商的互利合作，并确保合作伙伴的信任和研究的相关性，并促进应用研究和评估的快速转化为公共卫生政策和实践，解决关键的健康差距。我们期望通过提供可用于在未来几年改善人口健康和活力的有形产品，提供公平，可持续和具有成本效益的研究，培训和服务。

DESCRIPTION (provided by applicant): West Virginia (WV) consistently ranks at or near the bottom in most major health indices. The WV Bureau for Public Health and our other partners identify disparities related to tobacco and to obesity and metabolic disease (OMD) as top health priorities. Since 1994, the WV Prevention Research Center has collaborated with these partners to transform public health policy and practice through community-engaged research and evaluation, with emphasis on tobacco and OMD. We propose to expand our impact through the following Specific Aims: (1) grow and sustain a multi-disciplinary academic-based center for innovative, community- engaged health promotion and disease prevention research and evaluation; (2) collaborate with state and local health departments, community agencies and other community partners to address state-identified health priorities and disparities; (3) foster, conduct, and translate community-engaged applied prevention research and evaluation to improve public health outcomes, practice and policy; (4) strengthen the capacity of public health practitioners, faculty, staff, students, community members, and partner organizations to conduct and apply prevention research to address practical public health problems; and (5) partner with state and local departments of health and education to: (5a) define and document current school physical education (PE) and recess practices among elementary schools in WV and compare student health and academic outcomes based on school practices; (5b) compare the impact of two school-based PE and activity interventions to standard PE based on student- and school-level outcomes; and (5c) rapidly translate research findings into environmental and policy recommendations at the state and local levels to increase student access to effective physical activity and PE. Aim 5 relates to our applied childhood obesity intervention project that addresses a CDC Winnable Battle. It also addresses gaps about the efficacy/effectiveness of prevention strategies for a priority population (i.e., rural) and a gap identified in the physical activity interventions' review in the Guide to Community Preventive Services. This multi-method project involves primary and secondary data analysis, including direct (accelerometer) and observed measures of student physical activity levels, aerobic fitness, academic achievement, and health risk factors such as overweight/obesity and elevated blood pressure. It employs a cross sectional design (Study Aim 1) and a randomized control trial (Aim 2); Aim 3 addresses knowledge translation. We hypothesize that accomplishment of all five Aims requires mutually-beneficial engagement with state/local public health and education, communities, providers, and to ensure partner trust and research relevance, and facilitate the rapid translation of applied research and evaluation to public health policies and practices that address key health disparities. We expect to provide fair, sustainable, and cost- effective research, training, and service by delivering tangible products that can be used to improve population health and vitality for years to come.