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.

Agency
National Institute of Health (NIH)
Institute
National Institute on Minority Health and Health Disparities (NIMHD)
Type
Exploratory Grants (P20)
Project #
5P20MD002329-08
Application #
8626179
Study Section
Special Emphasis Panel (ZMD1-RN (04))
Program Officer
Dankwa-Mullan, Irene
Project Start
2007-09-30
Project End
2017-02-28
Budget Start
2014-03-01
Budget End
2015-02-28
Support Year
8
Fiscal Year
2014
Total Cost
$934,355
Indirect Cost
$252,756
Name
University of Arkansas for Medical Sciences
Department
Type
Schools of Public Health
DUNS #
122452563
City
Little Rock
State
AR
Country
United States
Zip Code
72205
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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
Yeary, Karen Hye-Cheon Kim; Greene, Paul (2015) Usefulness of the Audience Response System in training lay health advisors for chronic disease prevention. Med Res Arch 3:
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
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

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