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NCMHD HEALTH DISPARITIES RESEARCH CENTER OF EXCELLENCE AT MEHARRY

Paul D Juarez, Vice Chair
Meharry Medical College, 1005 D. B. Todd Boulevard, Nashville, Tn 37208

Grant 5P20MD000516-06 from National Center On Minority Health And Health Disparities

Abstract: The overarching goals of the Center are to (1) demonstrate the efficacy of a systems framework for conducting health services research that address multi-level determinants of health disparities among racial/ethnic minorities; (2) provide inter-disciplinary mentoring, support, and training of research scientists in conducting health disparities research designed to prevent or delay the onset of diseases and conditions that disproportionately affect minority health; (3) establish academic and community partnerships to develop, implement, translate, and disseminate discoveries from health disparities research into real world, clinical, public health, and public policy practice; and (4) reduce health disparities among racial/ethnic minorities in Nashville/Davidson County. This application builds upon the unique institutional mission of Meharry, existing collaborative relationships with investigators at Tennessee State University and Vanderbilt University, our commitment to community engagement in research, accomplishments of our past EXPORT Center grant, and the new Meharry institutional research plan. For this application, the name of the Meharry EXPORT Center will be changed to the NCMHD Health Disparities Research Center of Excellence at Meharry (HDRCOE or the "Center") to reflect changes in the current RFA and refinement of our mission. The Center will have four cores Administration, Research, Research Training and Community Engagement. Five specific aims have been identified to guide efforts of the NCMHD Health Disparities Research Center of Excellence (HDRCOE or the "Center") in accomplishing its overarching goals 1 Establish an inter-institutional, inter-disciplinary, NCMHD health disparities research center of excellence at Meharry Medical College (MMC); 2 To conduct inter-disciplinary, health disparities research using a systems framework that will advance our understanding of the interrelationships between human factors, community context, and macro social forces as determinants in the development, progression, prevention, and control of disease and public health conditions that lead to health disparities across the lifespan. 3 To train students, residents, and scholarly productivity on health disparities. 4 To increase exchanges of knowledge about health disparities among faculty, students, and community participants about culturally sensitive diagnostic, prevention, treatment, and policy interventions for preventing, delaying, and managing the onset and progression of conditions and diseases that disproportionately affect health outcomes of racial/ethnic minorities and other medically underserved and at-risk populations. 5 To develop an administrative infrastructure that supports inter-institutional community participation in health disparities research across the three institutions. The focus of this grant is to reduce health disparities in racial/ethnic minorities. The two racial/ethnic minority health issues (absolute health status and relative health disparities) parallel and link to two principal goals of Healthy People 2010 (HHS, 2000b). Thus, success in reducing racial/ethnic minority health disparities will contribute to the achievement of both of these two central goals of Healthy People 2010

Keywords: No Project Terms available

Project start date: 2003-09-30

Project end date: 2013-11-30

Budget start date: 5-MAR-2010

Budget end date: 30-NOV-2010

PFA/PA: RFA-MD-08-004

5P20MD000516-06 (2010): $1334118


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COMMUNITY ENGAGEMENT/OUTREACH CORE

Paul D Juarez, Vice Chair
Meharry Medical College, 1005 D. B. Todd Boulevard, Nashville, Tn 37208

Abstract: Under the leadership of Dr. Paul Juarez, the CEOC will establish the Academic/Community Partnership to Reduce Health Disparities (ACP) to coordinate community involved research, education and outreach activities at MMC, TSU, and Vanderbilt University. Dr. Juarez has considerable experience in conducting community-based participatory research, providing continuing education, training, and outreach to health professionals and community providers, and promoting consumer health education. The ACP will extend efforts begun by the Community Outreach Core (COC) of the Meharry EXPORT Center over the past four years in which the COC established an institutional committee to coordinate community engaged research, education, and outreach across research centers at Meharry (see progress report). It is our hypothesis that engaging community participation in efforts to reduce health disparities in racial/ethnic minority communities will yield new knowledge about the role of individual, community, and macro social level determinants of diseases and public health conditions that will lead to effective interventions and a reduction in health disparities among racial/ethnic minorities. The overall goals of the ACP is to provide a comprehensive, coordinated, and integrated plan of activities organized around defined areas of health disparities to (1) advance community participation in health disparities research arising from diseases and public health conditions that disproportionately affect minority populations; (2) promote the translation and diffusion of evidence-based research findings into clinical and public health practice with our community partners; and (3) coordinate community health education and outreach activities among the three academic partner institutions; and (4) reduce health disparities in Nashville/Davidson County. The ACP will work with existing community engagement cores of other research center at the three institutions communities that promotes a systems framework in addressing health disparities. The ACP initially will invite Core research faculty and members of existing community advisory groups of research, education, and training centers at Meharry, TSU, and Vanderbilt to participate in a coordinated effort to reduce health disparities in Nashville/Davidson County. It also will work to identify and coordinate efforts to address other unmet health needs and areas of health disparities. Community partners will include representatives from public, non-profit and faith based organizations, public schools, and businesses in Nashville/Davidson County. For the puipose of this application, the primary community of interest is underserved minority populations that experience health disparities within Nashville/Davidson County. However, our efforts to engage community in research, education, and outreach will extend beyond the community of interest to include other organizations and individuals that are located in or serve the needs of residents of Nashville/Davidson County. Existing centers at the three institutions with organized community-based research continuing health education, and community education and outreach cores to address areas of health disparities include the U54 Vanderbilt/Meharry Cancer Center (UNPAC), the Urban Partnership Academic Center of Excellence to prevent youth violence (NCCYS), the Title HI Ryan White HIV/AIDS Center for Health Promotion (HTV/AIDS Community Advisory Committee), state model AHEC program (community health professions advisory committee), the Center for Women´s Health, and the .HBCU Wellness Program (obesity/diabetes/chronic diseases), and the Vanderbilt/Meharry CTSA. Dr. Juarez serves on the community engagement and/or advisory groups for each of these major research centers. The ACP also will work with Alignment Nashville, a community-based organization established to increase community participation with the public schools, to coordinate health education and careers in health professions education and training opportunities for middle and high school students in the Nashville Public Schools. 4.4.1. Specific Aims. Specific aims of the Community Engagement and Outreach Core are to 1. Establish the Academic/Community Partnership to Reduce Health Disparities in Nashville/Davidson County. 2. Engage the community to participate in the development, conduct, and evaluation of a health disparities research (e.g. CBPR); 3. Provide continuing education on best practices for addressing health disparities to health care providers who work with medically underserved populations; 4. Recruit disadvantaged and underrepresented minority students at the target middle and high schools in Nashville Public Schools to participate in academic enrichment and support services to better prepare them for careers in health professions;. 5. Host promote community outreach and education to reduce health disparities; and 6. Conduct an annual academic/community health summit on health disparities

Keywords: AIDS/HIV; AIDS/HIV problem; Address; Advisory Committees; Affect; Area; Businesses; COBRE; Cancer Center; Center of Biomedical Research Excellence; Centers of Research Excellence; Chronic Disease; Chronic Illness; Clinical; Communities; Community Education; Community Health; Community Health Education; Community Health Taining; Community HealthTutoring; Community Outreach; Community Participation; Continuance of education; Continuing Education; County; Development; Diabetes Mellitus; Diffusion; Disadvantaged; Disease; Disorder; Education; Education and Outreach; Education, Continuing; Educational aspects; Ethnic and Racial Minorities; Evaluation; Faculty; Female Health; Goals; HBCUs; HIV/AIDS; HIV/AIDS problem; Health; Health Care Professional; Health Care Providers; Health Education, Community; Health Instruction; Health Occupations; Health Personnel; Health Professional; Health Professions; Health Promotion; Health Training; Health Tutoring; Health education; Health profession; Healthcare Providers; Healthcare professional; Healthcare worker; Historically Black Colleges; Historically Black Colleges and Universities; Historically Black Institution; Individual; Institution; Instruction and Outreach; Knowledge; Lead; Leadership; Minority; Minority Groups; Modeling; NCMHD; National Center on Minority Health and Health Disparities; Obesity; Outreach, Community; PROV; Participation, Community; Pb element; Population; Programs (PT); Programs [Publication Type]; Progress Reports; Provider; Public Health; Public Health Practice; Recruitment Activity; Reports, Progress; Research; Role; Salutogenesis; Schools; Services; Students; System; System, LOINC Axis 4; Task Forces; Training and Education; Training and Outreach; Translations; Tutoring and Outreach; Underrepresented Minority; Underserved Population; Universities; Wellness Program; Women`s Health; Work; adiposity; base; career; chronic disease/disorder; chronic disorder; community based participatory research; corpulence; corpulency; corpulentia; diabetes; disease/disorder; effective intervention; evidence base; experience; health care personnel; health care worker; health disparities; health disparity; health provider; health science profession; healthcare personnel; heavy metal Pb; heavy metal lead; high school; interest; medical personnel; medically disadvantaged; medically disadvantaged population; medically underserved group; medically underserved population; member; obese; obese people; obese person; obese population; outreach; programs; public health medicine (field); recruit; social; social role; treatment provider; under served population; under-represented minority; underserved minority; underserved people; youth violence prevention

Budget start date: 1-DEC-2009

Budget end date: 30-NOV-2010

5P20MD000516-06_7213 (2010): $182425


ADMINISTRATIVE CORE

Paul D Juarez, Vice Chair
Meharry Medical College, 1005 D. B. Todd Boulevard, Nashville, Tn 37208

Abstract: The Administrative Core is responsible for coordinating strategic Center planning, providing support for activities of each of the four cores, and the day to day management of operations including accounting, personnel, communications, website maintenance, maintaining meeting agendas and minutes, grant record keeping, purchasing supplies and equipment, travel arrangements, institutional research protocols, personnel, grants management, and evaluation activities. 4.1.1. Organizational Structure. The Center will operate using a combined functional and matrix organizational structure (see Figure 2). The functional structure includes four cores an administrative core, research core, research training core, and a community engagement core. It Committee. Administrative core personnel include Valerie Montgomery Rice, MD, Principal Investigator, Paul D. Juarez, PhD, co-Principal Investigator and Program Director, and Roger Zoorob, MD, MPH, Scientific Director. Support staff members include a part-time administrative assistant, and a part-time fiscal officer. 4.1.1.1. The matrix organizational structure is used to depict the operational relationships between the four center cores and core research faculty of the affiliated academic programs, other institutional research centers at Meharry Medical College, and areas of health disparities research (see Figure 1). Ad hoc groups will be formed by Center leadership on an as-needed basis to work together on new initiatives and respond to RFAs on emerging topics. 4.1.1.2. Center Leadership. Center leadership will meet with directors of each of the cores and with the directors of the affiliated Centers at TSU and Vanderbilt on a monthly basis to provide updates on projects and activities and to plan new opportunities. Other core and affiliated faculty will assemble at least quarterly or on an as-needed basis to propose new research opportunities, develop research grants, provide critiques and/or consultation to investigators on research applications prior to submissions, and to prepare manuscripts for submission to peer reviewed journals. 4.1.1.3. Personnel in the Administrative Core include Valerie Montgomery Rice, MD PI, Paul D. Juarez, PhD, co-PI/Program Director, Roger Zoorob, MD, MPH, Scientific Director, and a TEN Administrative Assistant. In addition to the regular monthly steering committee meetings, the PI, co-PI/Program Director, and Scientific Director will meet on an as-needed basis to discuss progress and issues that need to be resolved. The PI, co-Pi, and Scientific Director, with input from members of the IAC and ESAC will be responsible for the recruitment and selection of core center faculty. Dr. Montgomery Rice, PI, will promote inter-disciplinary collaboration between MMC, TSU and Vanderbilt, among institutional research centers at Meharry Medical College, and encourage and support collaborative translational research opportunities. Investigators of all of the other institutional research centers report to the Dean. The PI will promote the sharing of information between investigators, health practitioners, and members of lay communities in pursuit of mutually relevant goals collaborative ventures. Paul Juarez, PhD, Co-Pi and Program Director will oversee all grant management and budgetary aspects of the award, be responsible for payment authorization for all expenditures, reconciliation of Center ledgers, and for the submission of regular reports and non-competitive renewals of the award. He will also serve as an ex-officio member of each of the Cores. He will meet regularly with Core directors to ensure progress is being made on meeting their goals and objectives and to identify emerging topics and opportunities. Roger Zoorob, MD, MPH, Scientific Director will organize and chair all meetings of the Internal Advisory Committee and the Scientific Advisory Committee. Dr. Zoorob will provide leadership on setting funding priorities on minority health and health disparities research conducted within the center, oversee the solicitation and review processes of new pilot projects, and review progress of funded projects. Linda Redd, MSHSA, will provide administrative and clerical support for the Program Director, the PI, the Scientific Director, Core Directors, and other personnel engaged in the Center´s research, training and community outreach. The administrative assistant shall prepare agendas and materials and take minutes for all Core Committee meetings. Support staff will assist affiliated investigators and staff with the preparation of presentations for scientific and community meetings, research reports, manuscripts, grants, and the dissemination of information regarding Center activities Terri Codi, MSPH. Fiscal Officer. Ms. Codi will be responsible for all fiscal activities of the grant, including preparing required fiscal reports for the granting agency, processing all purchasing requisitions, preparing invoices, and keeping the program director updated on the fiscal status of each of the cores

Keywords: AIDS test; AIDS/HIV test; Abnormal coordination; Academia; Academic Medical Centers; Accounting; Address; Advisory Committees; Advocacy; Apparatus and Instruments; Appointment; Area; Articulation; Authorization; Authorization documentation; Award; Behavioral; Behavioral Research; Budgets; COBRE; Cancer Center; Capital; Care, Health; Center of Biomedical Research Excellence; Centers of Research Excellence; Clinical Research; Clinical Study; Clinical Trials; Clinical Trials, Unspecified; Co-ordination disorder; Cohort Studies; Collaborations; Commerce; Commerces; Communications Personnel; Communities; Community Education; Community Health; Community Health Education; Community Health Taining; Community HealthTutoring; Community Outreach; Community Participation; Computers; Concurrent Studies; Consultations; Coordination Disorder; Critiques; Curriculum; Data Set; Dataset; Decision Making; Development; Development Plans; Development and Research; Discipline; Distance Learning; Doctor of Philosophy; Drug Formulations; Dyscoordination; Education; Education and Outreach; Educational Curriculum; Educational aspects; Electronics; Ensure; Epidemiologist; Epidemiology, Molecular; Equipment; Equipment and Supplies; Evaluation; Event; Expenditure; Faculty; Farm; Farming environment; Female Health; Formulation; Formulations, Drug; Frustration; Funding; Goals; Grant; HIV test; Health; Health Care Providers; Health Care Research; Health Carnival; Health Education, Community; Health Fairs; Health Instruction; Health Personnel; Health Promotion; Health Services; Health Services Evaluation; Health Services Research; Health Training; Health Tutoring; Health education; Health expo; Health exposition; Healthcare; Healthcare Providers; Healthcare Research; Healthcare worker; Housing; Human; Human Resources; Human immunodeficiency virus test; Human, General; Incoordination; Information Dissemination; Infrastructure; Institution; Instruction and Outreach; Investigators; Investments; Jobs; Joints; Journals; Lack of Coordination; Lead; Leadership; Learning; Learning, Distance; Lectures; Lectures (PT); Lectures [Publication Type]; Libraries; Location; MMG; Magazine; Maintenance; Maintenances; Mammogram; Mammography; Man (Taxonomy); Man, Modern; Manpower; Manuscripts; Medical; Medical Care Research; Medical Students; Mentors; Mentorship; Methodology, Research; Mission; Modeling; Molecular Epidemiology; NCMHD; National Center on Minority Health and Health Disparities; Newsletter; Occupations; Operation; Operative Procedures; Operative Surgical Procedures; Organization Charts; Outcome; Outreach, Community; PYMT; Participation, Community; Patients; Pb element; Pediatrics; Peer Review; Permission; Personnel, Communications; Ph.D.; PhD; Pilot Projects; Plans, Development; Policies; Policy Research; Position; Positioning Attribute; Poverty; Preparation; Prevention education; Prevention of violence; Preventive Medicine; Primary Care; Primary Health Care; Primary Healthcare; Principal Investigator; Procedures; Process; Productivity; Professional Postions; Programs (PT); Programs [Publication Type]; Protocol; Protocols documentation; R & D; R&D; R01 Mechanism; R01 Program; RPG; Recruitment Activity; Reporting; Research; Research Grants; Research Infrastructure; Research Methodology; Research Methods; Research Personnel; Research Project Grants; Research Projects; Research Projects, R-Series; Research Resources; Research Training; Researchers; Residencies; Resource Allocation; Resource Sharing; Resources; Rice; Salaries; Salutogenesis; Schools; Schools, Medical; Scientist; Screening procedure; Secure; Series; Structure; Students; Students, Medical; Surgical; Surgical Interventions; Surgical Procedure; Talents; Task Forces; Teleconferences; Tennessee; Testing; Time; Training; Training Activity; Training Programs; Training and Education; Training and Outreach; Translational Research; Translational Research Enterprise; Translational Science; Travel; Trust; Tutoring and Outreach; Underrepresented Minority; Universities; University Medical Centers; Update; Wages; Wolves; Women`s Health; Work; Youth; Youth 10-21; base; behavioral health; career; clinical investigation; community based participatory research; community organizations; conference; disease prevention; disorder prevention; evidence base; experience; graduate student; health care personnel; health care service; health care worker; health disparities; health disparity; health provider; healthcare personnel; heavy metal Pb; heavy metal lead; interdisciplinary collaboration; interest; lectures; medical personnel; medical schools; meetings; member; minority health; novel; organizational structure; outreach; outreach program; payment; personnel; pilot study; population based; preventative medicine; programs; public health research; recruit; research and development; screening; screenings; services research; social; surgery; symposium; translation research enterprise; treatment provider; under-represented minority; underserved minority; violence prevention; web site; working group; youth violence prevention

Budget start date: 1-DEC-2009

Budget end date: 30-NOV-2010

5P20MD000516-06_7209 (2010): $158830


Paul D Juarez
Meharry Medical College

Project start date: 2003-09-30

Project end date: 2013-11-30


NCMHD HEALTH DISPARITIES RESEARCH CENTER OF EXCELLENCE AT MEHARRY

Paul D Juarez
Department/ Educational Institution Type:

Grant 5P20MD000516-07 from National Institute On Minority Health And Health Disparities

Project start date: 2003-09-30

Project end date: 2013-11-30

Budget start date: 1-DEC-2010

Budget end date: 30-NOV-2011

PFA/PA: RFA-MD-08-004

5P20MD000516-07 (2011): $1203371



Grants awarded to Paul D Juarez

NCMHD Health Disparities Research Center Of Excellence At Meharry

Paul D Juarez, Senior Vice President Health Affairs
Meharry Medical College

Grant 2P20MD000516-05A1 from National Center On Minority Health And Health Disparities IRG: ZRG1

Abstract: The overarching goals of the Center are to (1) demonstrate the efficacy of a systems framework for conducting health services research that address multi-level determinants of health disparities among racial/ethnic minorities; (2) provide inter-disciplinary mentoring, support, and training of research scientists in conducting health disparities research designed to prevent or delay the onset of diseases and conditions that disproportionately affect minority health; (3) establish academic and community partnerships to develop, implement, translate, and disseminate discoveries from health disparities research into real world, clinical, public health, and public policy practice; and (4) reduce health disparities among racial/ethnic minorities in Nashville/Davidson County. This application builds upon the unique institutional mission of Meharry, existing collaborative relationships with investigators at Tennessee State University and Vanderbilt University, our commitment to community engagement in research, accomplishments of our past EXPORT Center grant, and the new Meharry institutional research plan. For this application, the name of the Meharry EXPORT Center will be changed to the NCMHD Health Disparities Research Center of Excellence at Meharry (HDRCOE or the "Center") to reflect changes in the current RFA and refinement of our mission. The Center will have four cores Administration, Research, Research Training and Community Engagement. Five specific aims have been identified to guide efforts of the NCMHD Health Disparities Research Center of Excellence (HDRCOE or the "Center") in accomplishing its overarching goals 1 Establish an inter-institutional, inter-disciplinary, NCMHD health disparities research center of excellence at Meharry Medical College (MMC); 2 To conduct inter-disciplinary, health disparities research using a systems framework that will advance our understanding of the interrelationships between human factors, community context, and macro social forces as determinants in the development, progression, prevention, and control of disease and public health conditions that lead to health disparities across the lifespan. 3 To train students, residents, and scholarly productivity on health disparities. 4 To increase exchanges of knowledge about health disparities among faculty, students, and community participants about culturally sensitive diagnostic, prevention, treatment, and policy interventions for preventing, delaying, and managing the onset and progression of conditions and diseases that disproportionately affect health outcomes of racial/ethnic minorities and other medically underserved and at-risk populations. 5 To develop an administrative infrastructure that supports inter-institutional community participation in health disparities research across the three institutions. The focus of this grant is to reduce health disparities in racial/ethnic minorities. The two racial/ethnic minority health issues (absolute health status and relative health disparities) parallel and link to two principal goals of Healthy People 2010 (HHS, 2000b). Thus, success in reducing racial/ethnic minority health disparities will contribute to the achievement of both of these two central goals of Healthy People 2010

Project start date: 2003-09-30

Project end date: 2013-11-30


Paul D Juarez
Meharry Medical College

Project start date: 2003-09-30

Project end date: 2013-11-30


Community-Based Intervention To Increase Seat Belt Use Among Teens In Jackson, MS

Paul D Juarez, Professor & Vice Chair
Family And Community Medicinemeharry Medical College
1005 D. B. Todd Boulevard
nashville, Tn 37208

Grant 5U49CE001022-02 from National Center For Injury Prevention And Control IRG: SCE

Project start date: 2006-09-01

Project end date: 2011-08-31


Nashville Youth Violence Prevention Urban Partnership Center Of Excellence

Paul D Juarez, Professor & Vice Chair
Family And Community Medicinemeharry Medical College
1005 D. B. Todd Boulevard
nashville, Tn 37208

Grant 5U49CE001091-02 from National Center For Injury Prevention And Control IRG: SCE

Project start date: 2006-09-01

Project end date: 2011-08-31