This application is a renewal application for the Arkansas Center for Health Disparities (ARCHD) Exploratory COE at the University of Arkansas for Medical Sciences'(UAMS) College of Public Health (COPH) for a 2nd funding cycle. Although based in the COPH, ARCHD has engaged faculty across UAMS who are either involved in minority health disparities research or who are interested in developing health disparities research programs. Strong institutional support is demonstrated not only by the COPH Dean (Dr. Raczynski) serving as Pl/PD but also by strong support from UAMS Chancellor Rahn and commitment of funding to match the indirect costs generated by ARCHD (approximately $450,000 annually) as discretionary funds. ARCHD was originally founded in October 2007 with an initial 8-month fiscal year. Hence, the Center has been only funded for approximately 3 1/2 calendar years when this application was submitted. Despite this short period and most funded research projects on-going with no results yet available, ARCHD Pilot Research Projects have already resulted in 3 NIH awards (2 ROIs and 1 R03). Dr. Yeary's Research Project proposed in this continuation application is based on a 4th Pilot Research Project. The overall theme for this continuation application remains: to develop research that improves access to quality prevention and healthcare programs for racial and ethnic minorities with a goal of eliminating health disparities. ARCHD will continue to focus on chronic disease disparities with an emphasis on significant epidemic chronic disease risk factors and the management of other chronic disease risk factors that lead to excess morbidity, mortality and costs through institutional placements. Four mandatory core units are proposed (Administrative, Education/Training, Research, Community Engagement). In addition, two research projects are proposed: Holly Felix, PhD, PI - Effect of community health workers compared to standard outreach for long-term care services, a comparative effectiveness evaluation of a program for long-term care prevention;and Karen Kim Yeary, PhD, PI -Weight loss and maintenance for rural, African American communities of faith, a community-based participatory, faith-based, lay health advisor intervention for rural African Americans.

Public Health Relevance

Minority health disparities result in significant excess death and disability for minority health disparities populations but also a major cost burden for all citizens. Health indicators are among the poorest in the country, and health disparities in Arkansas are among the worst in the country. Thus, finding approaches to eliminate minority health disparities is extremely important in reducing human and financial costs.

National Institute of Health (NIH)
National Institute on Minority Health and Health Disparities (NIMHD)
Exploratory Grants (P20)
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Special Emphasis Panel (ZMD1-RN (04))
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Dankwa-Mullan, Irene
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University of Arkansas for Medical Sciences
Schools of Public Health
Little Rock
United States
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Yeary, Karen Hye-Cheon Kim; Moore, Page; Turner, Jerome et al. (2016) Feasibility Test of a Community-Relevant Intervention Designed to Promote African American Participation in Translational, Breast Cancer Disparities Research: Know About Health Options for Women (Know HOW). J Cancer Educ :
Sheffer, Christine; Brackman, Sharon; Lercara, Charnette et al. (2016) When Free Is Not for Me: Confronting the Barriers to Use of Free Quitline Telephone Counseling for Tobacco Dependence. Int J Environ Res Public Health 13:ijerph13010015
Booth, Brenda M; Wright, Patricia B; Ounpraseuth, Songthip T et al. (2015) Trajectory of substance use after an HIV risk reduction intervention. Am J Drug Alcohol Abuse 41:345-52
Yeary, Karen Hye-cheon Kim; Cornell, Carol E; Prewitt, Elaine et al. (2015) The WORD (Wholeness, Oneness, Righteousness, Deliverance): design of a randomized controlled trial testing the effectiveness of an evidence-based weight loss and maintenance intervention translated for a faith-based, rural, African American population usi Contemp Clin Trials 40:63-73
Wright, Patricia B; Booth, Brenda M; Curran, Geoffrey M et al. (2014) Correlates of HIV testing among rural African American cocaine users. Res Nurs Health 37:466-77
Montgomery, Brooke E E; Stewart, Katharine E; Bryant, Keneshia J et al. (2014) Dimensions of religion, depression symptomatology, and substance use among rural African American cocaine users. J Ethn Subst Abuse 13:72-90
Gullette, Donna; Booth, Brenda M; Wright, Patricia B et al. (2014) Sexual sensation seeking, transactional sex, and rural African American cocaine users. J Assoc Nurses AIDS Care 25:289-96
Montgomery, Brooke E E; Stewart, Katharine E; Yeary, Karen H K et al. (2014) Religiosity and sexual risk behaviors among African American cocaine users in the rural South. J Rural Health 30:284-91
Felix, Holly C; Thostenson, Jeffrey D; Bursac, Zoran et al. (2013) Effect of weight on indwelling catheter use among long-term care facility residents. Urol Nurs 33:194-200
Wright, Patricia B; Curran, Geoffrey M; Stewart, Katharine E et al. (2013) A qualitative analysis of provider barriers and solutions to HIV testing for substance users in a small, largely rural southern state. J Rural Health 29:420-31

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