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 C; Sobal, Jeffery (2018) Religion and Body Weight Among African-American Adults Attempting to Lose Weight: An Exploratory Study. J Relig Health :
Marshall, Sarah Alexandra; Allison, Mary Kathryn; Stewart, Mary Kathryn et al. (2018) Highest Priority Health and Health Care Concerns of Transgender and Nonbinary Individuals in a Southern State. Transgend Health 3:190-200
Stewart, M Kathryn; Spencer, Nicola; Huff Davis, Anna et al. (2018) Developing and Piloting a Community Scientist Academy to Engage Communities and Patients in Research. J Clin Transl Sci 2:73-78
Haynes, Tiffany; Turner, Jerome; Smith, Johnny et al. (2018) Reducing depressive symptoms through behavioral activation in churches: A Hybrid-2 randomized effectiveness-implementation design. Contemp Clin Trials 64:22-29
Yeary, Karen Hye-Cheon Kim; Moore, Page; Turner, Jerome et al. (2018) 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 33:29-36
Stewart, M Kathryn; Archie, Dani Smith; Marshall, S Alexandra et al. (2017) Transform Health Arkansas: A Transgender-Led Partnership Engaging Transgender/Non-Binary Arkansans in Defining Health Research Priorities. Prog Community Health Partnersh 11:427-439
Stewart, Katharine E; Wright, Patricia B; Montgomery, Brooke E E et al. (2017) Reducing Risky Sex among Rural African American Cocaine Users: A Controlled Trial. J Health Care Poor Underserved 28:528-547
Long, Christopher R; Stewart, M Kathryn; McElfish, Pearl A (2017) Health research participants are not receiving research results: a collaborative solution is needed. Trials 18:449
Bachelder, Ashley E; Stewart, M Kate; Felix, Holly C et al. (2016) Health Complaints Associated with Poor Rental Housing Conditions in Arkansas: The Only State without a Landlord's Implied Warranty of Habitability. Front Public Health 4:263
Rutledge, Thomas; Kenkre, Tanya S; Thompson, Diane V et al. (2016) Psychosocial predictors of long-term mortality among women with suspected myocardial ischemia: the NHLBI-sponsored Women's Ischemia Syndrome Evaluation. J Behav Med 39:687-93

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