The proposed Center is dedicated to the creation of effective, sustainable, community-inspired programs to improve the health of minority communities in Harlem. Through our past and continuing work, we have developed a proven strategy for overcoming the multiple barriers to good health in our community. This strategy entails identifying the modifiable causes of underuse of proven-effective therapies;developing culturally-appropriate interventions to remedy those causes, with specific emphasis on enhancing patient self-management skills;rigorously testing these interventions;and, if they prove effective, transforming them into operating health programs. Community partners participate in every stage of this process. The Research 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 recurrent stroke-two important illnesses contributing to health disparities in Harlem, 2. To focus these interventions on reducing underuse of effective care by improving patients'selfmanagement skills, 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-effective interventions are most responsible for delivering their benefits, and 5. 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 projects selected for the Research Core hold great promise for improving the health of our community. The exploration of what components of the interventions contribute to their success will deepen our understanding of how disparities can be remedied, and how research can be efficiently translated to sustainable programs in clinical practice. Throughout the completion of these aims, the Research Core will facilitate collaboration and exchange of information between research projects with in the Core;between Cores within the Center, and between the Center and the larger Mount Sinai disparities research community.
| 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 |
| 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 |
| Phillips, L Alison; Tuhrim, Stanley; Kronish, Ian M et al. (2014) Stroke survivors' endorsement of a ""stress belief model"" of stroke prevention predicts control of risk factors for recurrent stroke. Psychol Health Med 19:519-24 |
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