This proposal seeks to establish a CDC Comprehensive Prevention Research Center focused on health- promotion aligned with the disease-prevention objectives of Healthy People 2020. The proposed Health Promotion Research Center at Dartmouth (HPRCD) will leverage the strengths and reach of primary care and community mental health centers in New Hampshire (NH) to conduct dissemination and implementation research on health promotion strategies with a focus on the population health goal of reducing obesity and smoking. Our goal is to measurably decrease cardiovascular risk factors in NH by partnering with primary care, mental health, state agencies, and community partners to identify needs, provide technical assistance, implement, and study evidence-based practices that systematically address two of the CDC's primary "Winnable Battles": obesity and smoking.
Aim 1 of the HPRCD is to support the implementation and outcome assessment of evidence- based, clinically feasible health promotion interventions for obesity and smoking cessation as an integrated component in primary care settings across NH. We will accomplish this first aim by establishing a Comprehensive CDC Prevention Research Center with six core initiatives: 1) a primary care health promotion implementation workgroup;2) a mobile health promotion technology workgroup;3) a health promotion early research career mentoring program;4) Dartmouth COOP Primary Care Research Network projects;5) DH Community Health Improvement Plan projects;and 6) collaboration with the regional ReThink Health Initiative. The Center will support and complement these efforts by providing administration and infrastructure support;engaging community partners and providing technical assistance;communicating and disseminating knowledge;providing training in health promotion and implementation research;and evaluation of program outcomes.
Aim 2 of the HPRCD is to evaluate long-term weight reduction, smoking cessation, and program sustainability of a statewide demonstration of integrated health promotion in mental health care settings across NH. We will accomplish this second aim by conducting a dissemination and implementation research project that will build on a novel, statewide Centers for Medicare and Medicaid demonstration program implementing integrated health promotion interventions in New Hampshire's Community Mental Health System. The proposed study will evaluate: 1) long-term reduced cardiovascular risk after program completion for 1,500 obese or tobacco dependent adults with mental illness;2) facilitators of long-term weight loss and smoking cessation: and 3) the long-term sustainability and costs of integrated health promotion programs.

Public Health Relevance

The goal of this project is to establish the Health Promotion Research Center at Dartmouth that will improve the health of people in New Hampshire by translating and studying the most effective and practical ways to reduce obesity and smoking within primary care and mental health settings.

Agency
National Institute of Health (NIH)
Type
Health Promotion and Disease Prevention Research Centers (U48)
Project #
1U48DP005018-01
Application #
8739119
Study Section
Special Emphasis Panel (ZDP1)
Project Start
Project End
Budget Start
Budget End
Support Year
1
Fiscal Year
2014
Total Cost
Indirect Cost
Name
Dartmouth College
Department
Public Health & Prev Medicine
Type
Schools of Medicine
DUNS #
City
Hanover
State
NH
Country
United States
Zip Code
03755
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Naslund, John A; Aschbrenner, Kelly A; Scherer, Emily A et al. (2016) Lifestyle Intervention for People With Severe Obesity and Serious Mental Illness. Am J Prev Med 50:145-53
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Naslund, J A; Aschbrenner, K A; Marsch, L A et al. (2016) The future of mental health care: peer-to-peer support and social media. Epidemiol Psychiatr Sci 25:113-22
Schifferdecker, Karen E; Adachi-Mejia, Anna M; Butcher, Rebecca L et al. (2016) Translation of an Action Learning Collaborative Model Into a Community-Based Intervention to Promote Physical Activity and Healthy Eating. Health Promot Pract 17:70-9
Adachi-Mejia, A M; Schifferdecker, K E (2016) A mixed-methods approach to assessing barriers to physical activity among women with class I, class II, and class III obesity. Public Health 139:212-215
Naslund, John A; Aschbrenner, Kelly A; Bartels, Stephen J (2016) How people with serious mental illness use smartphones, mobile apps, and social media. Psychiatr Rehabil J 39:364-367

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