CDC initially funded the UAB Center for Health Promotion(CHP) in 1993. Since then the CHP has successfully conducted community-based research projects to reduce risk for chronic diseases in impoverished, rural communities in Alabama's Black Belt and attracted a broadly interdisciplinary faculty from across UAB (10 of 12 schools), other state institutions of higher education,and the state health and education departments, including 37 administrative units. Building on a history of highly acclaimed research and training programs integrated with multiple institutions and agencies across the state, this application describes a bold project called Flying Sparks that dramatically increases community-based health promotion activities throughout the Black Belt. FlyingSparkswill expand the CHPs expertise to explore the determinants of community adoption,ownership,and enhancement of the Community HealthAdvisor(CHA) intervention strategies. It tests the requirements for rapid dissemination of these programs to multiple communities simutaneously. These efforts are supported bythe CHP score infrastructure,which includes personnel and facilities for high quality evaluation, community organization and capacity building, production and dissemination of tailored health promotion materials, and training and research. Our mission remains to bridge the gap between public health science and practice in risk reduction strategies across the lifespan among African-American and other underserved communities. Flying Sparks will determine the long-term benefits of efforts to build community capacity to address risk factors in these communities. Crucial to this strategy is evaluating the appropriateness of Flying Sparks as a dissemination model and understanding the community dimensions that influence dissemination, adoption, and maintenance of risk reduction programs.

National Institute of Health (NIH)
National Center for Chronic Disease Prev and Health Promo (NCCDPHP)
Health Promotion and Disease Prevention Research Centers (U48)
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Special Emphasis Panel (ZDP1-AJS (01))
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University of Alabama Birmingham
Other Health Professions
Schools of Public Health
United States
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Williams, Randi M; Wilkerson, Thomas; Holt, Cheryl L (2018) The role of perceived benefits and barriers in colorectal cancer screening in intervention trials among African Americans. Health Educ Res 33:205-217
Correnti, Christina M; Klein, David J; Elliott, Marc N et al. (2018) Racial disparities in fifth-grade sun protection: Evidence from the Healthy Passages study. Pediatr Dermatol 35:588-596
Jones, LaRita C; Mrug, Sylvie; Elliott, Marc N et al. (2017) Chronic Physical Health Conditions and Emotional Problems From Early Adolescence Through Midadolescence. Acad Pediatr 17:649-655
Cabral, Patricia; Wallander, Jan L; Song, Anna V et al. (2017) Generational status and social factors predicting initiation of partnered sexual activity among Latino/a youth. Health Psychol 36:169-178
Coker, Tumaini R; Elliott, Marc N; Toomey, Sara L et al. (2016) Racial and Ethnic Disparities in ADHD Diagnosis and Treatment. Pediatrics 138:
Ladapo, Joseph A; Elliott, Marc N; Kanouse, David E et al. (2016) Firearm Ownership and Acquisition Among Parents With Risk Factors for Self-Harm or Other Violence. Acad Pediatr 16:742-749
Toomey, Sara L; Elliott, Marc N; Schwebel, David C et al. (2016) Relationship Between Adolescent Report of Patient-Centered Care and of Quality of Primary Care. Acad Pediatr 16:770-776
Fradkin, Chris; Wallander, Jan L; Elliott, Marc N et al. (2015) Associations between socioeconomic status and obesity in diverse, young adolescents: variation across race/ethnicity and gender. Health Psychol 34:1-9
Wiesner, Margit; Windle, Michael; Kanouse, David E et al. (2015) DISC Predictive Scales (DPS): Factor structure and uniform differential item functioning across gender and three racial/ethnic groups for ADHD, conduct disorder, and oppositional defiant disorder symptoms. Psychol Assess 27:1324-36
Coker, Tumaini R; Elliott, Marc N; Schwebel, David C et al. (2015) Media violence exposure and physical aggression in fifth-grade children. Acad Pediatr 15:82-8

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