The proposed Center is dedicated to the creation of effective, sustainable, community-inspired programs toimprove the health of minority communities in Harlem. Through our past and continuing work, we havedeveloped a proven strategy for overcoming the multiple barriers to good health in our community. Thisstrategy entails identifying the modifiable causes of underuse of proven-effective therapies; developingculturally-appropriate interventions to remedy those causes, with specific emphasis on enhancing patientself-management skills; rigorously testing these interventions; and, if they prove effective, transforming theminto operating health programs. Community partners participate in every stage of this process. TheResearch Core will elaborate and expand on this foundation.
The specific aims of the Research Core are:1. To develop new health improvement interventions that target postpartum depression and recurrentstroke-two important illnesses contributing to health disparities in Harlem,2. To focus these interventions on reducing underuse of effective care by improving patients' selfmanagementskills,3. To evaluate these interventions using the most rigorous research methods and designs,4. To employ sophisticated data modeling methods to ascertain which components of proven-effectiveinterventions are most responsible for delivering their benefits, and5. To facilitate the translation of proven-effective interventions into sustainable clinical practices.From our extensive experience in conducting high quality disparities research, we believe the projectsselected for the Research Core hold great promise for improving the health of our community. Theexploration of what components of the interventions contribute to their success will deepen ourunderstanding of how disparities can be remedied, and how research can be efficiently translated tosustainable programs in clinical practice. Throughout the completion of these aims, the Research Core willfacilitate collaboration and exchange of information between research projects with in the Core; betweenCores within the Center, and between the Center and the larger Mount Sinai disparities research community.

Agency
National Institute of Health (NIH)
Institute
National Institute on Minority Health and Health Disparities (NIMHD)
Type
Comprehensive Center (P60)
Project #
2P60MD000270-06
Application #
7417998
Study Section
Special Emphasis Panel (ZMD1-MR (08))
Project Start
2007-07-01
Project End
2012-04-30
Budget Start
2007-07-01
Budget End
2008-04-30
Support Year
6
Fiscal Year
2007
Total Cost
$165,216
Indirect Cost
Name
Mount Sinai School of Medicine
Department
Type
DUNS #
078861598
City
New York
State
NY
Country
United States
Zip Code
10029
Bodnar-Deren, Susan; Benn, E K T; Balbierz, Amy et al. (2017) Stigma and Postpartum Depression Treatment Acceptability Among Black and White Women in the First Six-Months Postpartum. Matern Child Health J 21:1457-1468
Balakrishnan, Revathi; Kaplan, Benjamin; Negron, Rennie et al. (2017) Life after Stroke in an Urban Minority Population: A Photovoice Project. Int J Environ Res Public Health 14:
Fei, Kezhen; Benn, Emma K T; Negron, Rennie et al. (2016) Prevalence of Depression Among Stroke Survivors: Racial-Ethnic Differences. Stroke 47:512-5
Nadkarni, Girish N; Horowitz, Carol R (2016) Genomics in CKD: Is This the Path Forward? Adv Chronic Kidney Dis 23:120-4
Bodnar-Deren, Susan; Klipstein, Kimberly; Fersh, Madeleine et al. (2016) Suicidal Ideation During the Postpartum Period. J Womens Health (Larchmt) 25:1219-1224
Balbierz, Amy; Bodnar-Deren, Susan; Wang, Jason J et al. (2015) Maternal depressive symptoms and parenting practices 3-months postpartum. Matern Child Health J 19:1212-9
Phillips, L Alison; Diefenbach, Michael A; Abrams, Jessica et al. (2015) Stroke and TIA survivors' cognitive beliefs and affective responses regarding treatment and future stroke risk differentially predict medication adherence and categorised stroke risk. Psychol Health 30:218-32
Goldfinger, Judith Z; Edmondson, Donald; Kronish, Ian M et al. (2014) Correlates of post-traumatic stress disorder in stroke survivors. J Stroke Cerebrovasc Dis 23:1099-105
Howell, Elizabeth A; Bodnar-Deren, Susan; Balbierz, Amy et al. (2014) An intervention to extend breastfeeding among black and Latina mothers after delivery. Am J Obstet Gynecol 210:239.e1-5
Phillips, L Alison; Diefenbach, Michael A; Kronish, Ian M et al. (2014) The necessity-concerns framework: a multidimensional theory benefits from multidimensional analysis. Ann Behav Med 48:7-16

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