Abstract
This proposal addresses community driven health promotion activity to increase knowledge and change attitudes and behaviors that impact the health of individuals and communities. Planned interventions encompass social marketing activities to increase the broader community's knowledge and action to address racial and ethnic health disparities, and activities that increase institutional competency in health delivery, practice and policy.
The proposed study is a highly-structured, 3-phase, participatory, controlled intervention dedicated to sustainable reductions in diabetes and its complications among African- American adults in New Haven and Hartford. In Phase I, formative research will be conducted with the target communities to identify knowledge, attitudes, barriers, and determinants of optimal diabetes management and prevention. In Phase II, the results of phase I will be used to design tailored community interventions, with one city receiving the intervention, and the other serving as the control; baseline data collection will take place. In Phase III, post-intervention data will be collected and evaluated, the control site (randomly determined) will receive a delayed intervention, and the means for sustaining, institutionalizing, and disseminating effective intervention components will be established.
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Principal Investigator
David Katz
Co-Investigator
Gail Melkus
Kari Harwtig
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