Heart matters: collaborate and leverage evidence in an african american rural network to implement risk reduction strategies for CVD (heart matters: CO-learn to reduce CVD)
Active Project Grant Awarded Last action
- Award ID
- R01HL157255
- Recipient
-
University Of North Carolina At Chapel Hill UEI D3LHU66KBLD5 Part of University Of North Carolina System Office
- Awarding agency
-
National Heart Lung and Blood Institute
National Institutes of Health, Department of Health and Human Services
- Obligated
- $6,233,571
Award facts
- Assistance listing
- 93.837 Cardiovascular Diseases Research
- Completion date 87% complete
- Originally
- Funding
-
- $5,542,145.00 Federal
- $691,426.00 Non-federal
- Place of performance
- Chapel Hill, NC 27599, USA
Award details come from USAspending.gov.
Description
- Abstract
- Cardiovascular disease (CVD) exacts a disproportionate toll on rural african american communities in the southeast. Implementing and scaling a proven-effective, evidence-based program (EBP) is essential to mitigate growing disparities in CVD risk among rural communities. We previously adapted premier, an EBP, into heart matters and conducted a randomized controlled feasibility trial at seven host sites in two rural counties in eastern north carolina (NC), largely populated with african americans with high CVD burden. As with premier, systolic blood pressure and self-reported physical activity and dietary behaviors significantly improved in the intervention arm compared to controls after 6 months. Heart matters' success, however, was dampened by critical implementation barriers at the organizational level, including limited readiness, partial collaboration between stakeholders, and low organizational efficacy to implement an EBP, which reduced fidelity and penetration of heart matters. To address implementation barriers, our research team will investigate the implementation and effectiveness of the heart matters EBP by scaling to five rural counties in eastern NC. Guided by the consolidated framework for implementation research, our overall objective is to partner with organizations to scale and test heart matters implementation to other rural african american communities, and support translation of evidence to practice in eastern NC. In year 1, we will collaborate with our longstanding community-academic coalition to identify and recruit eligible organizations from our study setting (edgecombe, franklin, nash, vance, and warren counties). We will engage organizations (n=60) in formative research using concept mapping to identify and map contextual implementation factors affecting EBP implementation in rural african american communities. We will use these findings to refine existing training protocols and develop an organizational collaborative called "collaborate and leverage evidence in an african american rural network" or CO-learn. In year 2, we will identify CO-learn sites (n=18) and employ participatory systems science methods to develop an implementation blueprint through: 1) shared learning aimed at training and capacity building and 2) shared action planning aimed at continuous quality improvement of implementation strategy at the site-level. The objective of CO-learn is to increase organizational readiness, strengthen network collaborations, and enhance organizational efficacy to implement a CVD EBP. In years 3-4, we will employ a hybrid type II implementation effectiveness design to conduct a cluster randomized controlled trial (n=486). We will evaluate outcomes of implementation (e.g., acceptability, adoption, penetration), CVD biomarkers (e.g., blood pressure, cholesterol, physical activity) and cost effectiveness of heart matters. Our long-term goal is to increase acceptability, adoption, and penetration of CVD ebps in rural united states by building organizational readiness and capacities to implement sustainable and cost-effective ebps to mitigate CVD disparities.
Transactions
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| Original award | $691,426 | $691,426 |
Show all 29
Subawards
| Subrecipient | Amount | Awarded |
|---|---|---|
| The Washington University | $40,893 | |
| Opportunities Industrialization Center Inc. | $31,337 | |
| James Mcfarlin Community Development, Inc. | $46,507 | |
| Project Momentum, Inc. | $563,975 | |
| James Mcfarlin Community Development, Inc. | $42,433 | |
| Opportunities Industrialization Center Inc. | $43,772 | |
| The Washington University | $61,714 | |
| Project Momentum, Inc. | $263,433 |
Quick answers
Who received award R01HL157255?
R01HL157255 was awarded to University Of North Carolina At Chapel Hill by National Heart Lung and Blood Institute (National Institutes of Health) on August 15, 2021.
How much is award R01HL157255 worth?
$6,233,571 has been obligated on R01HL157255: $5,542,145 in federal funding and $691,426 in non-federal funding.
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