DP19-001, Health Promotion and Disease Prevention Research Center

项目总结/摘要 肥胖症的流行继续恶化，低收入和农村人口以及非洲 美国妇女受到的影响不成比例。通过社区参与式研究， 埃默里预防研究中心已经开发并严格测试了一种干预措施， 家庭食品环境，支持健康饮食和体重增加预防与合作伙伴在农村 位于格鲁吉亚西南部。建议的核心研究是一个混合的有效性-实施 这项干预措施的研究，称为健康家园/健康家庭，通过区域2-1-1 系统2-1-1是一个国家指定的3位数电话交换机，类似于9-1-1，连接呼叫者 社区卫生和社会服务。我们的长期目标是利用这种合作 基础设施，以解决肥胖流行病和扩大有效的干预措施， 全国2-1-1系统拨打2-1-1的人不成比例地低收入，失业，没有保险， 受教育年限相对于一般人口较少。具体而言，与 社区合作伙伴在农村西南GA和四个联合之路2-1-1合作伙伴，我们建议进行一个 混合有效性-实施试验和可扩展性评估，以严格评估：a） 基于电话的家庭食物环境干预对体重相关饮食行为的影响，B） 执行成果（即，覆盖面、可接受性、障碍和促进因素），c）成本效益，以及 d）区域2-1-1系统提供健康家园/健康家庭的可扩展性潜力， 其他循证癌症预防干预措施。我们在这项研究中处于独特的地位 考虑到我们长期以来与2-1- 1 s合作传播经过研究测试的 我们在多个国家的干预和我们在实施科学的专业知识。这种新方法 转化研究，结合埃默里大学更广泛的教师参与计划， 通过一个多学科的内部咨询委员会，一个利益相关者翻译咨询委员会， 非传统的合作伙伴，包括联合之路机构和合作推广，以及一个深入 参与西南GA农村社区咨询委员会，将EPRC定位为 预防研究与格鲁吉亚及其他地区的公共卫生实践具有明确的相关性。在全国范围内， 我们将建立一个模型，采取通过CBPR制定的干预措施，通过现有的2- 1-1系统.这种通过CBPR在SW GA中局部开发干预措施，然后进行缩放的模型 与创新的翻译合作伙伴，如2-1-1，是一个有前途的模式，具有巨大的潜力 将公共卫生干预措施转化为实践，对人口产生影响。

PROJECT SUMMARY/ABSTRACT The obesity epidemic continues to worsen, with low-income and rural populations as well as African American women disproportionately affected. Using community-based participatory research, the Emory Prevention Research Center has developed and rigorously tested an intervention to create home food environments that support healthy eating and weight gain prevention with partners in rural southwest Georgia (SW GA). The proposed core research is a hybrid effectiveness-implementation study of this intervention, called Healthy Homes/Healthy Families, delivered through a regional 2-1-1 system. 2-1-1 is a nationally designated 3-digit telephone exchange, similar to 9-1-1, that links callers to community-based health and social services. Our long-term goal is to leverage this collaborative infrastructure to address the obesity epidemic and scaling up of effective interventions through the national 2-1-1 system. Callers to 2-1-1 are disproportionately low-income, unemployed, uninsured, and have fewer years of education relative to the general population. Specifically, in collaboration with community partners in rural SW GA and four United Way 2-1-1 partners, we propose to conduct a hybrid effectiveness-implementation trial and scalability assessment to rigorously assess: a) the impact of a telephone-based home food environment intervention on weight-related dietary behaviors, b) implementation outcomes (i.e., reach, acceptability, barriers and facilitators), c) cost-effectiveness, and d) the scalability potential of a regional 2-1-1 system to deliver Healthy Homes/Healthy Families and other evidence-based cancer prevention interventions. We are uniquely positioned for this research given our long-standing track record in collaborating with 2-1-1s in disseminating research-tested interventions across multiple states and our expertise in implementation science. This novel approach to translational research, in combination with plans for broader faculty engagement across Emory through a multi-disciplinary Internal Advisory Board, a Stakeholder Advisory Board for Translation with nontraditional partners including United Way agencies and Cooperative Extension, and a deeply engaged Community Advisory Board in rural SW GA, position the EPRC to be a major player in prevention research with clear relevance for public health practice in Georgia and beyond. Nationally, we will establish a model for taking interventions developed through CBPR to scale through existing 2- 1-1 systems. This model of developing interventions locally in SW GA through CBPR and then scaling up with an innovative translation partner, such as 2-1-1, is a promising model with significant potential for translating public health interventions into practice for population-level impact.