Health Promotion and Disease Prevention Research Center

描述（申请人提供）：我们在此提出了华盛顿大学健康促进研究中心（HPRC）未来五年的总体计划。1986年由CDC资助的三个预防研究中心之一，HPRC专注于促进健康老龄化，减少50岁及以上成年人的健康差距。基于我们15年来开展旨在扩大有效干预措施的传播和实施研究的经验，我们计划将工作重点放在三个领域：癌症预防和控制、老年人的身心健康和工作场所健康促进。 具体而言，我们将扩大三个旗舰健康老龄化计划的全国范围，这些计划是由HPRC开发和测试的，并由与HPRC合作的社区组织传播。首先是增强健身，一个老年人的团体锻炼计划。自1999年以来，一个为老年人服务的西雅图非营利组织“老年服务”已经向30多个州的500多个社区网站传播了“增强健身”。它已惠及25 000多名老年人，其中大多数是低收入或少数种族和族裔成员。第二个是PEARLS，这是一个在社区环境中提供的抑郁症管理计划。自2003年以来，老龄问题地区机构通过14个州的45个地点，向2 000多名低收入、身体虚弱和居家的老年抑郁症患者提供了PEARLS。第三是工作场所解决方案，这是一套针对工作场所的循证癌症预防实践。自2003年以来，美国癌症协会已向42个州的1,600多个工作场所和690万名员工传播了工作场所解决方案。 增强健身计划的规模扩大，重点是减少种族/民族相关的差异关节炎的痛苦，将是我们的核心研究项目的目标。2011年，高级服务部门将增强健身许可给美国基督教青年会（Y-USA），这是2,700多个基督教青年会的全国网络办公室。由于增强健身减少疼痛和增加关节炎患者的流动性，Y-美国将集中其增强健身实施的一半老年人谁患有关节炎。老年人更有可能参加一个社区为基础的计划，如增强健身，如果它是由医疗保健提供者的建议，所以Y-美国已要求HPRC的帮助，以加强其目前的，有限的方法，以增加提供者的建议增强健身参与。为此，我们将首先与药剂师和物理治疗师进行形成性研究，以了解增加对EnhanceFitness等社区计划的推荐的最有效方法。第二，我们将制定一个增强的方法，以获得药剂师，物理治疗师和初级保健提供者的建议，老年关节炎患者参与YMCAs的EnhanceFitness。第三，我们会进行一项整群随机试验，比较现行方法和改良方法的成效和成本。

DESCRIPTION (provided by applicant): We propose here our overall plan for the Health Promotion Research Center (HPRC) at the University of Washington for the next five years. One of the original three Prevention Research Centers funded by CDC in 1986, HPRC focuses on promoting healthy aging and reducing health disparities among adults aged 50 and older. Building on our 15 years of experience conducting dissemination and implementation research aimed at scale-up of effective interventions, we plan to focus our work in three areas: cancer prevention and control, mental and physical health of older adults, and workplace health promotion. Specifically, we will expand the national reach of three flagship healthy-aging programs that were developed and tested by HPRC and disseminated by community organizations partnering with HPRC. First is EnhanceFitness, a group-exercise program for older adults. Since 1999, Senior Services, a Seattle-based non- profit organization serving older adults, has disseminated EnhanceFitness to more than 500 community sites in more than 30 states. It has reached more than 25,000 older adults, most of whom are low-income or members of racial and ethnic minorities. Second is PEARLS, a depression-management program delivered in community settings. Since 2003, Area Agencies on Aging have delivered PEARLS to more than 2,000 low-income, largely fragile and home-bound older adults with depression, through 45 sites in 14 states. Third is Workplace Solutions, a package of evidence-based cancer prevention practices for the workplace. Since 2003, the American Cancer Society has disseminated Workplace Solutions to more than 1,600 workplaces with 6.9 million employees in 42 states. Scale-up of the EnhanceFitness program, with a focus on reducing race/ethnicity-related disparities in arthritis suffering, will be the objective of our Core Researh Project. In 2011, Senior Services licensed EnhanceFitness to YMCA of the USA (Y-USA), the national-network office for more than 2,700 YMCAs. Because EnhanceFitness decreases pain and increases mobility for persons with arthritis, Y-USA will focus its EnhanceFitness implementation on the half of older adults who suffer from arthritis. Older adults are much more likely to participate in a community-based program like EnhanceFitness if it is recommended by a health care provider, so Y-USA has asked for HPRC's help in enhancing its current, limited approach to increasing provider recommendations for EnhanceFitness participation. To do so, we will first conduct formative research with pharmacists and physical therapists to learn the most effective means of increasing recommendations to a community-based program like EnhanceFitness. Second, we will develop an enhanced approach tailored to obtaining recommendations by pharmacists, physical therapists, and primary-care providers for participation of older-adult arthritis patients in EnhanceFitness at YMCAs. Third, we will conduct a cluster-randomized trial to compare the effectiveness and the cost of the current and enhanced approaches.