WV Prevention Research Center

描述(由申请人提供)：西弗吉尼亚州在大多数主要健康指数中一直排名垫底或接近垫底。世界卫生组织公共卫生局和我们的其他合作伙伴将与烟草以及肥胖和代谢性疾病(OMD)有关的差异确定为卫生方面的首要优先事项。自1994年以来，WV预防研究中心一直与这些合作伙伴合作，通过社区参与的研究和评估来改变公共卫生政策和做法，重点是烟草和OMD。我们建议通过以下具体目标扩大我们的影响：(1)发展和维持一个基于多学科的学术中心，用于创新的、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，解决国家确定的健康优先事项和差距；(3)促进、 开展并转化社区参与的应用预防研究和评估，以改进公共卫生成果、实践和政策；(4)加强公共卫生从业人员、教职员工、学生、社区成员和伙伴组织开展和应用预防研究以解决实际公共卫生问题的能力；以及(5)与州和地方卫生和教育部门合作：(5A)界定和记录西弗吉尼亚州小学当前的学校体育课(PE)和课间休息实践，并根据学校实践比较学生健康和学业成果；(5b)根据学生和学校水平的结果，比较两种校本体育和活动干预措施与标准体育的影响；以及(5c)迅速将研究结果转化为州和地方各级的环境和政策建议，以增加学生获得有效的体育活动和体育的机会。目标5与我们的应用儿童肥胖干预项目有关，该项目解决了疾控中心的一场胜利之战。它还解决了重点人群(即农村人口)预防战略的效力/效力方面的差距，以及《社区预防服务指南》中体力活动干预措施审查中发现的差距。这个多方法项目涉及主要和次要数据分析，包括学生身体活动水平、有氧健康、学业成绩和健康风险因素(如超重/肥胖和血压升高)的直接(加速计)和观测测量。它采用横断面设计(研究目标1)和随机对照试验(目标2)；目标3涉及知识转化。我们假设，实现所有五个目标需要与州/地方公共卫生和教育、社区、提供者进行互利合作，并确保合作伙伴的信任和研究相关性，并促进将应用研究和评估快速转化为解决主要健康差距的公共卫生政策和实践。我们希望通过提供可用于改善未来几年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.