This application represents a continuation and further development of our existing NCMHD P60 Center of Excellence, the Columbia Center for the Health of Urban Minorities (CHUM). Building on the successful efforts of CHUM's first three years, we propose to develop CHUM into a multidisciplinary Center of excellence tightly focused on research in the NCMHD priority areas of cardiovascular disease and diabetes. We plan to conduct three research projects aimed at generating new knowledge for improving minority health among Caribbean Latinos. The first project is a randomized controlled trial (RCT) in poorly controlled Latino diabetics to examine the effectiveness of a community based Community Health Worker intervention at improving glycemic control and includes blood pressure and cholesterol as secondary outcomes. The second project is a prospective study examining the long-term consequences of poor glycemic control on cognitive function among diabetics. The third project, also an RCT, will evaluate the effectiveness of a community-based comprehensive therapeutic lifestyle intervention that includes group sessions and motivational interviewing on blood pressure control. The application includes an administrative and research core providing the requisite administrative, methodological, and statistical and data management infrastructure to carry out these three thematically linked research projects. All three projects will be conducted in our local community and the Planning Council established in the 1st phase of CHUM will continue to serve as the formal venue for community input into the overall direction, shape and execution of the CHUM project. Further, both RCTs build on the community partnerships established by CHUM's Community core and include community based organizations as integral members of the research. Lastly, through CHUM's established partnerships and successful efforts at obtaining support from other sources, CHUM will continue to provide training opportunities for junior faculty, post-doctoral trainees, fellows and undergraduate students.
Diabetes and heart disease are major health problems in the Hispanic community. One research project will examine consequences of poorly controlled diabetes on memory, and two will examine innovative community based interventions to better control these diseases among Latinos.
|Palmas, Walter; Findley, Sally E; Mejia, Miriam et al. (2014) Results of the northern Manhattan diabetes community outreach project: a randomized trial studying a community health worker intervention to improve diabetes care in Hispanic adults. Diabetes Care 37:963-9|
|Gurland, Barry; Teresi, Jeanne A; Eimicke, Joseph P et al. (2014) Quality of life impacts on 16-year survival of an older ethnically diverse cohort. Int J Geriatr Psychiatry 29:533-45|
|Trief, Paula M; Izquierdo, Roberto; Eimicke, Joseph P et al. (2013) Adherence to diabetes self care for white, African-American and Hispanic American telemedicine participants: 5 year results from the IDEATel project. Ethn Health 18:83-96|
|Templin, Thomas N; Hays, Ron D; Gershon, Richard C et al. (2013) Introduction to patient-reported outcome item banks: issues in minority aging research. Expert Rev Pharmacoecon Outcomes Res 13:183-6|
|Shea, Steven; Kothari, Dhruva; Teresi, Jeanne A et al. (2013) Social impact analysis of the effects of a telemedicine intervention to improve diabetes outcomes in an ethnically diverse, medically underserved population: findings from the IDEATel Study. Am J Public Health 103:1888-94|
|Ogedegbe, Gbenga; Fernandez, Senaida; Fournier, Leanne et al. (2013) The Counseling Older Adults to Control Hypertension (COACH) trial: design and methodology of a group-based lifestyle intervention for hypertensive minority older adults. Contemp Clin Trials 35:70-9|
|Luchsinger, Jose A; Cheng, Derek; Tang, Ming Xin et al. (2012) Central obesity in the elderly is related to late-onset Alzheimer disease. Alzheimer Dis Assoc Disord 26:101-5|
|Marriott, Lisa K; Nelson, David A; Allen, Shauntice et al. (2012) Using health information technology to engage communities in health, education, and research. Sci Transl Med 4:119mr1|
|Lopes, Mariana; Olfson, Mark; Rabkin, Judith et al. (2012) Gender, HIV status, and psychiatric disorders: results from the National Epidemiologic Survey on Alcohol and Related Conditions. J Clin Psychiatry 73:384-91|
|Remler, Dahlia K; Teresi, Jeanne A; Weinstock, Ruth S et al. (2011) Health care utilization and self-care behaviors of Medicare beneficiaries with diabetes: comparison of national and ethnically diverse underserved populations. Popul Health Manag 14:11-20|
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