We propose to engage Cleveland's communities and institutions to disseminate evidence-based health disparity interventions. We will build on our previous work and focus on two inter-related and prototypical topics: kidney transplantation and organ donation. Transplantation and donation affect many individuals and have some of the most striking health disparities observed in the United States. The Research Core includes projects that (a) disseminate a transplant navigator intervention across four transplant centers and 1800 end stage renal disease patients and (b) disseminate an online organ donation video intervention across 6 universities and 4000 college students. The Research Training/Education Core involves (a) recruiting students, particularly from minority backgrounds, into educational and service learning programs related to health disparities and (b) supporting junior faculty, particularly from underrepresented groups, to foster research and teaching that can contribute to reducing health disparities. The Community Engagement/Outreach Core will disseminate research and evaluation skills to communities. The Administrative Core will coordinate and foster interactions across projects/cores, provide shared resources and personnel, assist in other community efforts to address disparities, lead interactions with other NIMHD Comprehensive Centers of Excellence, disseminate findings, and develop future initiatives. The proposed projects focus on disseminating novel, evidence-based health disparity interventions. Other strengths of our application include selection of projects through a community-wide approach, a strong institutional commitment, and the productivity of the study team. In addition, the proposed projects have been designed not only to address important aspects of health disparities but also to set the stage for future efforts to achieve measurable reductions in disparities for a broad range of conditions.

National Institute of Health (NIH)
National Institute on Minority Health and Health Disparities (NIMHD)
Comprehensive Center (P60)
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Application #
Study Section
Special Emphasis Panel (ZMD1-RN (02))
Program Officer
Castille, Dorothy M
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Case Western Reserve University
Internal Medicine/Medicine
Schools of Medicine
United States
Zip Code
Huml, Anne M; Sehgal, Ashwini R (2014) BMI, sex, and access to transplantation. Clin J Am Soc Nephrol 9:843-4
Prakash, Suma; Coffin, Rick; Schold, Jesse et al. (2014) Travel distance and home dialysis rates in the United States. Perit Dial Int 34:24-32
Cain, Katrice D; Theurer, Jacqueline R; Sehgal, Ashwini R (2014) Sharing of grant funds between academic institutions and community partners in community-based participatory research. Clin Transl Sci 7:141-4
Hand, Rosa K; Lawless, Mary Ellen; Deming, Nicole et al. (2014) Development and pilot testing of a human subjects protection training course unique to registered dietitian nutritionists. J Acad Nutr Diet 114:2009-16
Thornton, J Daryl; Schold, Jesse D (2013) The authors reply. Crit Care Med 41:e395-6
Thornton, J Daryl; Schold, Jesse D; Venkateshaiah, Lokesh et al. (2013) Prevalence of copied information by attendings and residents in critical care progress notes. Crit Care Med 41:382-8
Schold, J D; Buccini, L D; Heaphy, E L G et al. (2013) The prognostic value of kidney transplant center report cards. Am J Transplant 13:1703-12
Huml, Anne M; Sullivan, Catherine M; Pencak, Julie A et al. (2013) Accuracy of dialysis medical records in determining patients' interest in and suitability for transplantation. Clin Transplant 27:541-5
Leon, Janeen B; Sullivan, Catherine M; Sehgal, Ashwini R (2013) The prevalence of phosphorus-containing food additives in top-selling foods in grocery stores. J Ren Nutr 23:265-270.e2
Schold, J D; Heaphy, E L G; Buccini, L D et al. (2013) Prominent impact of community risk factors on kidney transplant candidate processes and outcomes. Am J Transplant 13:2374-83

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