Rocky Mountain Prevention Research Center

摘要 这项中心建议建立在我们在圣路易斯农村地区长期合作的基础上 山谷、国家伙伴关系和向HHS区域8的其他州扩张的必要性。 中心的具体目标涵盖了所需的关键要素和活动，并分为五个部分 最重要的长期调查领域：1)建立并完成为期5年的中心 研究和翻译议程，促进家庭和儿童的健康和福祉，蓬勃发展 落基山区的社区和卫生公平；2)发展和加强 社区伙伴关系，将研究与公共卫生实践联系起来；3)发展和维持 科罗拉多州的翻译工作；4)在科罗拉多州交流和传播研究成果 和地区8；和5)培训公共卫生和医疗从业人员、学生和多部门人员 科罗拉多州和第八区的从业者。 以公共卫生实践为基础的核心研究项目旨在减少 圣路易斯河谷不良童年经历(ACE)的代际传播 科罗拉多州的(SLV)，这些是可改变的风险因素，对 人的健康。为了实现这一目标，一个社区参与、利益相关者驱动的多层次 干预，题为立场(将系统与儿童早期的A级问题联系起来) 是提议的。立场干预有三个主要组成部分：1)普遍评估 为所有0至5岁的儿童及其主要照顾者提供ACES，2)实施 早期托儿教育环境中的金字塔模式，以促进积极的社会情绪 发展，以及3)社区级别的社交网络分析，以利用和加强 更好地满足人数众多的儿童和家庭的需要的护理系统 ACEs和相关的下游健康结果。主要的有效性结果将是 使用在约15个欧洲经委会中心进行的阶梯式楔形整群随机设计进行评估 (约730名儿童)。一种制度变革的方法，将幼儿园、社区组织、 政府机构、政策制定者和研究人员将增加成功的机会 在ACES造成的健康问题的复合影响之前，易受伤害的儿童。 中心和研究组件一起代表了研究和研究的集成 具有有意义的社区参与的实践将导致响应于 在促进社区参与研究模板的同时，地方公共卫生需求也 与其他设置相关。通过积极协作，我们将建设本地执行能力 循证公共卫生实践。

Abstract This Center proposal builds on our long history of partnerships in the rural San Luis Valley, state partnerships and the need for expansion to other states in HHS Region 8. The Center’s specific aims cover the required key elements and activities and are framed in five over-arching long-term areas of investigation: 1) Establish and complete a 5-year center research and translation agenda to promote family and child health and well-being, thriving communities, and health equity in the Rocky Mountain Region; 2) Develop and strengthen community partnerships to bridge research to public health practice; 3) Develop and sustain translation efforts across Colorado; 4) Communicate and disseminate findings across Colorado and Region 8; and 5) Train public health and medical practitioners, students and multisector practitioners across Colorado and Region 8. The public health practice-based core research project is designed to reduce the intergenerational transmission of adverse childhood experiences (ACEs) in the San Luis Valley (SLV) of Colorado, which are modifiable risk factors that have a profound and lasting effect on a person’s health. To accomplish this, a community-engaged, stakeholder-driven, multi-level intervention, entitled STANCE (Linking Systems To address ACES iN Childhood Early on) is proposed. The STANCE intervention has three primary components: 1) Universal assessment of ACES for all children aged zero to five and their primary caregivers, 2) Implementation of the pyramid model in early childcare education (ECE) settings to promote positive social-emotional development, and 3) a community-level social network analysis to leverage and strengthen the system of care to better meet the needs of children and families struggling with a high number of ACEs and associated downstream health outcomes. The primary effectiveness outcomes will be evaluated using a stepped wedge cluster randomized design conducted in ~15 ECE centers (~730 children). A systems change approach that marries preschools, community organizations, government agencies, policy-makers, and researchers, will increase the chances for success for vulnerable children prior to the compounding effects of health problems caused by ACEs. Center and research components together represent the integration of research and practice with meaningful community participation which will lead to results that are responsive to local public health needs while promoting templates of community-engaged research also relevant for other settings. Through active collaboration, we will build local capacity to execute evidence-based public health practice.