Community Partners in Care

描述（由申请人提供）：这是社区护理合作伙伴（CPIC） （1R01MH078853-01A1）的竞争修订，该修订是根据PAR-06-039（重新发布为PAR07-086），“健康的传播和实施研究”而资助的。家长CPIC研究是一项随机试验，比较了在服务不足的洛杉矶社区实施基于证据的工具包来改善抑郁症护理的两种干预措施（partner in care和We care）。一个是社区会议的技术援助。另一个增加了社区参与（CE），利用社区合作参与性研究（CPPR）的原则，建立一个由不同机构组成的网络，以合作改善护理。修订增加了新的目标，以检查干预对机构和提供者的质量管理可持续性的影响，监督和实施“护理伙伴”和“我们关心”，以及对长期健康和就业客户结果的影响。这些目标需要增加36个月的跟踪网络调查机构和供应商和12和18个月的跟踪客户调查。我们还将增加第三个主要社区（东洛杉矶），并在每个社区内对干预效果进行子分析，并对干预实施进行更丰富的观察。主要研究和本次修订将在社区合作参与式研究方法下进行。社区合作伙伴是健康非裔美国人家庭、洛杉矶城市联盟、皇后健康与信仰伙伴关系、Cope健康解决方案和洛杉矶县精神卫生部门；学术合作伙伴是兰德、加州大学洛杉矶分校和南加州大学。此次修订为研究增加了政策和社区意义，允许检查实践中变化的可持续性，以及改善社区护理对长期客户结果（包括健康和就业）的影响。增加第三个完整的社区、对社区内干预效果的子分析以及更丰富的实现分析也增加了对其他社区的潜在相关性和有用性。

DESCRIPTION (provided by applicant): This is a competing revision to Community Partners in Care (CPIC) (1R01MH078853-01A1), which was funded in response to PAR-06-039 (re-issued as PAR07-086), "Dissemination and Implementation Research in Health". The parent CPIC study is a randomized trial comparing two interventions for implementing evidence- based toolkits to improve care for depression (Partners in Care and We Care) in underserved Los Angeles communities. One is technical assistance in a community conference. The other adds Community Engagement (CE), using principles of Community Partnered Participatory Research (CPPR), to build a network of diverse agencies to collaborate in improving care. The revision adds new aims to examine intervention effects on sustainability of quality management oversight and implementation of Partners in Care and We Care by agencies and providers, and effects on longer term health and employment client outcomes clients. These aims require adding 36 month follow-up web surveys for agencies and providers and 12 and 18-month follow- up client surveys. We will also add a 3rd main community (East Los Angeles), and subanalyses of intervention effects and richer observation of intervention implementation, within each community. The main study and this revision will be conducted under a community partnered participatory research approach. The community partners are Healthy African American Families, Los Angeles Urban League, QueensCare Health and Faith Partnerships, Cope Health Solutions, and Los Angeles County Department of Mental Health; the academic partners are RAND, UCLA, and USC. Project Narrative The revision adds policy and community significance to the study by allowing an examination of sustainability of change in practice, and impacts of ways to improve care as a community on long-term client outcomes, including health and employment. The addition of a third full community, subanalyses of intervention effects within communities, and richer implementation analyses also increase potential relevance and usefulness to other communities.