Involving Communities in Delivering and Disseminating Health Disparity Interventions

摘要：总体组件 我们提出了一个创新的和协同的研究，职业发展和社区的组合 将使社区参与提供和传播健康差距的伙伴关系活动 干预措施。这种社区参与有可能增强创新、潜力、相关性， 以及减少健康差距的努力的可持续性。 行政核心将监督、管理和协调所有拟议的活动，并将促进 与社区、机构和其他利益相关者建立公平、协作和可持续的关系。 研究者发展核心将公布试点项目计划的可用性，并利用在线 提交和审查申请的制度。学术研究者和社区组织 将为试点获奖者提供密集的支持，以确保项目顺利完成。我们两 补充性研究项目涉及使社区成员参与的新方法。第一 该项目旨在解决作为高血压管理障碍的社会背景因素。我们 将培训非专业健康顾问，帮助控制不佳的高血压非洲裔美国患者解决 这些障碍。第二个项目旨在增加健康差距人口对 通过医学期刊传播研究成果。我们将培训和指导社区成员， 为两家著名期刊审稿期刊编辑团队将在决策中使用这些评论 接受、修改或拒绝手稿。社区参与和传播核心将参与 与社区成员，伙伴组织，服务组织， 政策制定者和科学家。社区核心还将制定一项战略计划， 对可持续社区和系统一级的变化进行调查，对少数群体产生可衡量的影响 健康和健康差距。一名独立的评估员将监测和评估进程和结果。 我们的活动。我们将使用持续的评估来修改和改进我们的活动。 我们的应用程序的优势和创新功能包括广泛的社区参与 组织、机构和多学科教职员工;使用理论模型或概念 指导每个核心和项目工作的框架;协同使用重叠的人员、社区 合作伙伴，并在核心和项目之间共享活动;凯斯西方的强大机构承诺 储备大学和MetroHealth医疗中心，包括提供额外资源;以及 卓越中心人员的经验、专业知识和先前的生产力。

ABSTRACT: OVERALL COMPONENT We propose an innovative and synergistic combination of research, career development, and community partnership activities that will engage communities in delivering and disseminating health disparity interventions. Such community involvement has the potential to enhance the innovation, potency, relevance, and sustainability of efforts to reduce health disparities. The Administrative Core will oversee, manage, and coordinate all proposed activities and will facilitate equitable, collaborative, and sustainable relationships with communities, institutions, and other stakeholders. The Investigator Development Core will publicize the availability of a pilot project program and utilize an online system for submission and review of applications. Both academic investigators and community organizations will provide intensive support to pilot awardees to ensure successful project completion. Our two complementary research projects involve novel approaches for engaging community members. The first project seeks to address social contextual factors that function as barriers to hypertension management. We will train lay health advisors to help African American patients with poorly controlled hypertension to address these barriers. The second project seeks to increase the input of health disparity populations into the dissemination of research findings by medical journals. We will train and mentor community members to review manuscripts for two prominent journals. Journal editorial teams will then use these reviews in decisions to accept, revise, or reject manuscripts. The Community Engagement and Dissemination Core will engage with and disseminate research findings to community members, partner organizations, service organizations, policymakers, and scientists. The Community Core will also develop a strategic plan to translate research findings into sustainable community and system-level changes that will have a measurable impact on minority health and health disparities. An independent evaluator will monitor and evaluate the processes and outcomes of our activities. We will use ongoing evaluations to modify and improve our activities. Strengths and innovative features of our application include involvement of a broad range of community organizations, institutions, and multidisciplinary faculty and staff; use of theoretical models or conceptual frameworks to guide the work of each Core and project; synergistic use of overlapping personnel, community partners, and shared activities across Cores and projects; strong institutional commitment by Case Western Reserve University and MetroHealth Medical Center, including provision of additional resources; and the experience, expertise, and prior productivity of the personnel involved in the Center of Excellence.