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Abstracts for each funded project are available here - NUCATS: NU ...

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  • 1. ARCC Round 3 Seed Grant Project Summaries PartnershipBuildingGrants Building Bridgesto ConnectFaithto Community Health:A Capacity Building Partnership between a Faith-Based Organization and AcademicPartner Horace Smith,ApostolicFaithChurch,and VirginiaBishop,AssistantProfessorof PreventiveMedicine, FeinbergSchool of Medicine Thisprojectis a community-basedpartnershipbuildingproposalforthe ApostolicFaithChurch(AFC) HealthProfessional Ministry(HPM) andDr.VirginiaBishop,MD,MPH of NorthwesternFeinberg School of Medicine.Thisgrantwill furtherstrengthenthe partnershipbetweenaFaithBased Organization(FBO) andtheiracademicpartner.The goalsof thisgrant proposal are: 1. To increase the capacityto workas equitable researchpartners 2. To identifyourcommunity’sresearchpriorities 3. To prepare fora CBPRimplementationgrant We requestsupportfora twelve monthperiodtodemonstrate how aFBOcan successfullyintegrate the topicsof faith,healthandthe role of the AfricanAmericanchurchin addressingthe publichealth needsof itscommunity(definedasmembersof the congregation) byincorporatingprinciplesof CBPR. By aligningwithanacademicpartner,the HPMof AFCwill be able tobothutilize the skillsand resourcesof an academicpartnerwhohas a workingknowledgeof CBPRaswell asintroduce the unique dynamicof aFBO to an academicresearcher.Thisexchange of knowledgewill provide future academicpartnerswithincreasedperspectivesonthe needsandstrengths of FBOs.Likewisethe FBO will benefitfromlearningthe culture of “academic”researchandgainskillstobe an equitablepartner inCBPR. CommunityPartnership forHealthy Behaviorsin a Latino Community Abel Nunez,CentroRomero,andAdolfoAriza,AssistantProfessorof Pediatrics,FeinbergSchool of Medicine/Children’sMemorial Hospital CentroRomeroand the PediatricPractice ResearchGroupat Children’sMemorial Hospital have a sharedinterestinhealthpromotioninthe Latinocommunity.Thishasledtoa discussionof developingeducationalmaterialsthatwouldfacilitate behavioral changesneeded to preventtype 2 diabetesinhighriskchildren.The educational materialswouldbe aimedat familieswhere aparenthasrecentlybeendiagnosedwithdiabetes.The materialsmightbe used alone or withreinforcementfromahealtheducator. CentroRomeroand the PPRG hope todevelopproposalstoobtainfundingforthese materials. As an initial step,we are seekingaPartnershipBuildingSeedGrantto buildcapacityinboth CentroRomeroand the PPRG,to developthe infrastructure toworktogethereffectively,andto collectbackgroundinformationthatcouldinformsubsequentproposals.Specifically,we aimto undertake traininginCBPRmethodologyand infocusedinterviewing,create anadvisorycommittee, holdfourfocusedmeetingsaboutpreventivestrategies,provide feedbacktobothCentroRomeroand the PPRG and identifyhealthcare providersinthe communitywhomightbecome involvedin
  • 2. subsequentstudies.We anticipate thatbuildingourpartnershipthroughthisprocesswill increase theircapacityfor CBPRin bothgroups. The partnershipandskill developedthroughthisgrantwill facilitatethe developmentof proposalstocreate culturallyappropriate educational materialsandtotestthe use andimpact of these materialsinhealthcare settings. Community-AcademicPartnership to PreventDepression in Latino Youth Marco Jacome,Healthcare AlternativeSystems,and RebeccaFord-Paz,Instructorof Psychiatry and Behavioral Sciences,FeinbergSchool of Medicine/Children’sMemorialHospital We propose todevelopacollaborativeresearchrelationshipandagendabetweenhealthcare AlternativeSystems(HAS),Children’sMemorial Hospital’s(CMH) Department of Child& AdolescentPsychiatry/Northwestern,Alternatives,Inc.,andAlivioMedical Center. Co-Principle Investigator(Co-PI),MarcoJacome,MA,LPC, SCADC,CEAP,isthe CEO of HAS,a nonprofitcommunity-basedorganization(CBO)andleadingproviderof culturallycompetent, bilingual behavioral healthservices,concentratingonalcohol/drugabuse treatmentand preventionservicesforLatinoadolescentsandadults.ThroughoutMr.Jacome’stenure,HAS has beeninvolvedinseveral community-engagedresearch programswithacademicpartners. AcademicCo-PI,RebeccaFord-Paz,PhD,isanAttendingClinical ChildPsychologistatCMH, Instructorof Psychiatryand Behavioral Sciences,NU,andthe Coordinatorof the moonand AnxietyProgramatCMH. Dr. Ford-Pazhasworkedwiththe LatinopopulationandCBOsin bothclinical andresearchcapacitiesthroughouthercareer. The projectwill focusondevelopingalong-termcommunity-academicpartnershipwitha community-informedresearchagendaaimedatthe reductionof mental healthdisparitiesfor Latinoyouthand familiesbytargetingpreventionof adolescentdepression.The proposal includesaperiodof relationship-buildingandCBPRskill development.Throughaseriesof meetingswithaCommunityAdvisoryBoard,the partnershipwillpresentevidence-based approachesto depressionprevention,hostfocusgroups,andgenerate researchquestionsof interesttothe communityandideasforculturallysensitive preventionprogramming.Based on these data,a logicmodel will informthe designof aninnovative,durable,andmulti- prongedpreventionprogramandfuture researchagenda.Thiscollaborationwilllaythe foundationforfuture researchcollaborationsfocusingonprogramimplementationand evaluation.The last3monthsof thisgrant will be devotedtodevelopingcollaborativelyan ARCCimplementationseedgrantproposal aswell asproposalsforresearchfundingfrom othersources.
  • 3. Partnership fora Better Roseland SheridaMorrison,Demoiselle 2Femme,and VirginiaBishop,AssistantProfessorof Preventive Medicine,FeinbergSchool of Medicine. The “Partnershipfora BetterRoseland”projectisacollaborationof Demoiselle2Femme,NFPto engage inCommunity-BasedParticipatoryResearch(CBPR),throughthe Alliance forResearchin ChicagolandCommunitiesatNorthwesternUniversity. The target area forthe proposedprojectisthe Roselandcommunitywhichislocatedonthe farsouth side of Chicagoand has beenona constantsocial and economicdeclinedue tochronichealthissues, increasedpoverty,crime andviolence,abandonedhomes,vacantlots,businessclosures,poor performingschoolsandotherdisparities.Increasingly,thesecommunityissueshave tremendously impactedthe livesof Roselandyouth.Recognizingthatthe future healthof a communityispredicated on the attitudesandbehaviorof itsyouth,the purpose of thisprojectisto developtrue community partnershipswhichaddressthe healthandwellnessof adolescentfemaleswhoreside inRoseland. The primarygoals of the projectare to identifythe available resources(within Roseland) whichcreate a foundationforconductingresearch;buildthe capacityof itscommunity-basedorganizationsto engage inCBPR andthroughrespectful andthoughtful collaborationprioritizeRoselandyouth-specific publichealthissues.ProjectpartnersidentifiedtoparticipateinCBPRactivitiesinclude:youthserving organizations,faithbasedorganizations,aparkdistrict,school administratorsandahealthprovider. The partnershipwill include 2½ -hourmonthlymeetingstoprovide trust-building,community awareness,collaborativeopportunities,CBPRtrainingandcapacitybuilding.The expectedoutcomes include:developmentof astrong researchquestionwhichaddressesthe healthandwellnessof girlsin Roselandthatcreatesopportunitiestoconductan implementationproject;increasedcapacityof communityorganizationstoengage inCBPR;collaborationamongcommunitypartnersandincreased knowledge of the serviceseachprovides;the developmentof areadinesstool whichassessesan organizationscapacitytoengage inCBPR;and the creationof a standardof engagementforresearch conductedinRoselandwhichrespectsthe needsof the communitywhile focusingonaddressing solutionsthroughacademicresearch. ImplementationGrants Evaluation of Park-Based Promotion of Healthy Vending Lucy Gomez,Logan Square NeighborhoodAssociation,andMaryannMason, AssistantProfessor of Pediatrics,FeinbergSchool of Medicine/Children’sMemorial Hospital. Projectpartnersare NorthwesternUniversity,LoganSquare NeighborhoodAssoication,UIC’s ChicagoPartnershipforHealthPromotion,ChicagoParkDistrict(CPD) andthe Consortiumto LowerObesityinChicagoChildren(CLOCC). In the fall of 2010, CPD will deployvendingmachinesofferingonlysnacksmeetingAmerican Heart Associationhealthyfoodguidelines.The projectevaluatesaninnovative intervention
  • 4. for healthysnackvendingsalesandincreasingparkstaff motivationandabilitytopromote healthyvendinguse. The interventionwillbe pilotedat3 CPD park sitesandinvolves3tiers- eachtargetingspecific groupof park patrons/staff;3matchedparks maintainusual vendingmachine salespractices serve ascontrol sites.Interventionparksiteswillbe comparedtocontrol sitesregarding vendingsalesandstaff nutritionknowledge,attitude,andbehavior.Thisstudywillbe usedto informdevelopmentof anexpandedinterventionandCPDvendingandstaff trainingpolicies.  1st tier:Patron taste testpromotionsfeaturinghealthyvendingitems.Goal:introduce patronsto healthyitems,allowingthemtotrynew itemswithoutcostto determine itemtheylike andreduce perceivedriskof purchasingnew itemsnottotheirliking.  2nd tier:On-site nutritioneducationsessionsandtaste testpromotions withall interventionsite parkstaff.Goals:increase parkstaff awarenessof the importance of nutritionforthemselvesandparkpatrons,provide positive experienceswithhealthy vendingitems,emphasize parkstaff’srole in healthpromotion.  3rd tier: Nutritioneducationsessionwithparksupervisorsresponsible forpark operationsatinterventionsite parks.Goal:increase administrators’capacityfor establishingenvironmentssupportive of healthyeating. The evaluationfollowsaquasi-experimental designinwhichoutcomesare comparedfor3 control and 3 interventionparksfordifferencesin1) healthyvendingitemsalesand2) park staff nutritionknowledge,attitude,andbehavioratpre/postinterventiontime points. Developing and Implementing a CBPRPartnership to Find Solutionsto PhysicalInactivity in Chicago’sSouthAsian Community SantoshKumar,MetropolitanAsianFamilyServices,andNamrathaKandula,AssistantProfessor of General Internal Medicine,FeinbergSchool of Medicine AsianIndiansandPakistanis(SouthAsians) inthe UnitedStates(U.S.) are at higher riskfor coronary heartdisease (CHD) andtype 2 diabetes(DM) thanmostother racial/ethnicgroups. Regularphysical activity(PA)hasbeenshowntopreventCHDandDM, yetthere islittle evidence of successful PA interventionsforSouthAsians.Inour recentsurveyof the SouthAsian communityinChicago’sDevon-areaneighborhood,we foundveryhighlevelsof physical inactivityandoverweight/obesity,especiallyamongwomen.These individualswere mostly recentimmigrantswhodescribedhowthe social, economic,andcultural contextof immigration made it difficulttoengage inhealthybehaviors. Inan efforttoaddressthese highratesof physical inactivity,MetropolitanAsianFamilyServices(MAFS) andNorthwesternUniversityare partneringtofindsolutionsthatwill have relevance inthiscommunity’scontext. Thisprojectwill use acommunity-basedparticipatoryresearch(CBPR) approachtofirst understandhowSouthAsianwomenconceptualize PA anditsrelationshiptotheirhealth.From
  • 5. thisunderstanding,we will developaculturallyappropriate PA intervention.The researchwill take place in Chicago’sWestRidge andRogersPark neighborhoods;adenselypopulated residentialareawhichencompassesDevonAvenue,one of the largestSouthAsianbusiness districtsinthe U.S. Specificaimsare to:1) Use focus groupsto understandthe social,cultural, economic,andenvironmental factorsthataffectPA inSouthAsianwomen;2) Conduct4 group exercise classes;3) Disseminate the resultstothe community,toproviders,andtoorganizations that are developingPA interventionsforSouthAsiansorotherimmigrantpopulations;4) Use informationlearnedtodevelopandevaluateaphysical activityinterventionforSouthAsian women.Bythe endof thisprocess,we will alsohave developedasustainable community- academicpartnershipaimedathelpingChicago’sSouthAsiansachieve betterhealth. Chicago CommunityHealthWorker/PromotorSurvey and Mapping Project:Community-Based Analysisof RogersParkPilot Data Laura Bahena,ChicagoCommunityHealthWorkerLocal Network,andDaniel Block,Adjunct AssistantProfessorof Preventive Medicine,FeinbergSchool of Medicine The Chicago CommunityHealthWorkers(CHW) Local NetworkandDr.Daniel Blockrequest funding to analyze pilotdataforthe Chicago CHW/PromotorSurveyandMappingProjectusing a Community BasedParticipatoryResearchapproach. CHWs and promotoresdesalud are frontline publichealthworkerswhoactas intermediaries between healthproviders,social serviceagencies,andcommunitiesinordertofacilitate improvedaccessand deliveryof services.Theirworkisof particularinteresttoorganizations addressinghealthdisparities rootedinsocial determinants. In 2008, the ChicagoCHW Local Network,itsfiscal agentHealthConnectOne,the Chicago Partnership for PublicHealth,andmanylocal organizationshostingandsupportingCHW programs,determined there wasa clearneedtoidentify whatservicesCHWsprovide withinthe cityandwheretheyprovide them.The ChicagoSurveyandMapping Projectwasdevelopedby thisextensive partnershipto identifyandmapcurrentCHW/Promotorprograms,collect informationtoexpandandsupport sustainabilityof these programsandstrengthenthe connectionamongpartners. A pilotforthe SurveyandMapping Projectiscurrentlyinfinal planningstagesinRogersPark, with surveyimplementationplannedduringsummer2010. AnARCC SeedGrantwouldassist the projectin a community-basedanalysisof pilotdataandincorporate these findingsintoa citywide survey. Althoughthe overarchinggoal of the pilotistodevelopthe foundationfora comprehensive citywide survey,the immediate goalsof the pilotinclude buildingCHW infrastructure throughacooperative community-basedanalysisof the RogersParksurveys,and workingwithRogersParkpartnerstoalign CHW servicestothe needsof residents.We propose todothisthroughthe development,inteamwith CHW and RogersPark partners,of two setsof community-basedanalysismeetings,one withRogers Park communityleadersandresidents,and one withthe CHWLocal Network.
  • 6. Breast CancerDisparities in the Hispanic/Latina Community in Chicago JudithGuitelman,Networkof Strength,andJudithAbramson,Instructor,Preventive Medicine,Feinberg School of Medicine. Backgroundand Purpose:AmongLatinas,breastcanceristhe leadingcause of cancer death.Mortality ratesare 20% higherthanwhite womenof comparable age andcancerstage despite alower incidence of breastcancer.Latinasconfrontnumeroushealthcare,cultural,andlanguage barriersthat hinderunderstandingof theirmanagement,affectcancertreatmentchoices,andcommunicationwith providers.Familyinvolvementincare iscommon.A familymember(actingasa caregiver) oftenacts as intermediary,translator,anddecisionmakerforthe patientasshe navigatesthroughthe medical system. Participants&Methods:We will explore the etiologyof thesedisparitiesandassessthe needsand experiencesof Latinabreastcancersurvivorsthroughcommunity-basedparticipatoryresearch(CBPR) involvingcollaborationbetweenBreastCancerNetworkof StrengthandNorthwesternUniversity. These collaboratinginstitutionswillpartnerwithothercommunityorganizationsorhealthcare sites that serve the Latinocommunitysuchas RushCopleyMedical Center,Gilda’sClub,andMacNeal Hospital.We will conductfocusgroupswithLatinabreastcancer survivorsandbreastcancer survivor/caregiverpairstoassessparticipants’survivorshipexperiences,needs,preferences,andthe impactof culture.Communitypartnerswill assistinall phasesof researchincludinginstrument development,recruitment,analysisandinterpretationof results. Data Analysis:Transcribedaudiotapesfromcommunityfocusgroupswillbe thematicallyanalyzed usingqualitativemethods. ExpectedOutcomes:1) Strengtheningthe collaborativecommunity-basedandacademicpartnerships, 2) Buildingcapacityforresearchbetweenthe academicandcommunitypartners,3) Collecting, translating,anddisseminatingimportant,relevantdataonthe cultural needsandexperiencesof Latina breastcancer survivorsthatwill informfutureresearch,and4) Identifyingfundingsourcesfor researchto developculturallysensitive breastcancersurvivorshipprogramsforLatinas.These efforts will sustainpartnershipsestablishedduringthisproject. Sharingthe Findings:Resultswill be sharedthroughcommunitypresentationsandmanuscript development.