Document text
Principal Investigator: Elizabeth Gross Cohn
Organization: COLUMBIA UNIVERSITY HEALTH SCIENCES
Fiscal Year: 2024
Award: $1,025,313
Funding agency: National Institute on Minority Health and Health Disparities
ABSTRACT:
Despite medical advances in treating chronic diseases and epidemiological findings identifying risk factors for
chronic diseases, there remain major persistent health disparities driven by the Social Determinants of Health
(SDoH). We have come together to address these disparities through the Center to Improve Chronic disease
Outcomes through Multi-level and Multi-generational approaches Unifying Novel Interventions and
Training for health EquitY (COMMUNITY Center). Our vision is rooted in public health which recognizes that
medical advances alone can only partially reduce the burden of disease and that reducing health disparities in
chronic diseases requires improving the health and wellness of individuals, families, communities and societies
throughout life. We seek to realize this vision within the communities we serve that are among the most highly
diverse in the U.S. with approximately 2/3 non-white, 1/3 foreign-born, and 1/5 living below the Federal poverty
line. The mission of the COMMUNITY Center is to reduce health disparities in chronic diseases in the New York
City Region through rigorous testing, disseminating and sustaining of interventions that incorporate the multiple
levels of influence from individual, interpersonal, community and societal approaches. We have designed three
synergistic projects that address chronic conditions identified by and responsive to the voice and concerns of
the communities we serve and each involve novel interventions employing the community health worker (CHW)
model for enrollment and/or retention into the studies while also connecting participants to services based on
five domains of SDoH (housing instability, food insecurity, transportation problems, utility help needs and
insurance enrollment). The three projects are 1) Community Health workers United to Reduce Colorectal cancer
and CVD among people at Higher risk (CHURCH); 2) Addressing Sleep Duration, Regularity, and Efficiency: A
Multidimensional Sleep Health Intervention for Reducing Disparities in Cardiometabolic Disease (DREAM); and
3) Intervention to iMProve AdherenCe equiTably (IMPACT TRIAL). In addition to the three research projects,
the Center supports Health Equity Scholars and pilots funded through the Investigator Development Core (IDC)
and community projects funded through the Community Core (known as the CONNECTOME). The
Administrative Core (ADMIN) which includes faculty with expertise in biostatistics, implementation science, and
data harmonization and biomedical informatics. The COMMUNITY Center involves strong collaborations
between researchers, community organizations, clinicians and healthcare systems, public health agencies and
other stakeholders and partners Columbia University Irving Medical Center (CUIMC) and Weill Cornell Medical
Center (WCM) joined through the greater New York Presbyterian (NYP) Hospital System with City University of
New York (CUNY) and the Physician Affiliate Group of New York (PAGNY). The unique collaborative is poised
to create sustainable public health solutions that will result in system-level changes that promote health equity.
Terms: <Address><Adherence><BIPOC><Biomedical Research><Biometrics><Biometry><Biostatistics><Black, Indigenous, People of Color><COVID-19><CV-19><Cancers><Cardiometabolic Disease><Cardiometabolic Disorder><Cardiovascular Diseases><Causality><Cause of Death><Cessation of life><Chronic><Chronic Disease><Chronic Illness><Cities><Collaborations><Colorectal Cancer><Communicable Diseases><Communities><Community Health Aides><Coronavirus Infectious Disease 2019><County><Data Science><Death><Decrease disparity><Decrease health disparities><Development><Dimensions><Disease Outcome><Disparities><Disparity><Early Diagnosis><Economics><Enrollment><Environmental Science><Epidemiological data><Epidemiology><Epidemiology data><Equity><Ethnic Origin><Ethnicity><Etiology><Faculty><Family><Funding><Geographic Distribution><Goals><Grant><Group Affiliation><Health><Health Care Providers><Health Care Systems><Health Personnel><Health Services><Health disparity mitigation><Health disparity reduction><Healthcare Providers><Healthcare Systems><Healthcare worker><Hospitals><Impoverished><Individual><Infectious Disease Pathway><Infectious Diseases><Infectious Disorder><Infrastructure><Institution><Insurance><Interdisciplinary Research><Interdisciplinary Study><Intervention><Intervention Strategies><Investigators><Learning><Life><Life Expectancy><Lower disparity><Lower health disparities><Malignant Neoplasms><Malignant Tumor><Maps><Medical><Medical center><Methods><Mission><Mitigate health disparities><Modeling><Multidisciplinary Collaboration><Multidisciplinary Research><NCMHD><NIMHD><National Center on Minority Health and Health Disparities><National Institute of Minority Health and Health Disparities><National Institute on Minority Health and Health Disparities><Neighborhoods><New York><New York City><Outcome><Participant><Pathway interactions><Personal Satisfaction><Persons><Physicians><Policies><Poverty><Premature Mortality><Presbyterian Church><Presbyterians><Prevention><Public Health><Public Policy><R-Series Research Projects><R01 Mechanism><R01 Program><Race><Races><Reduce health disparities><Reporting><Research><Research Grants><Research Personnel><Research Project Grants><Research Projects><Researchers><Risk Factors><Risk Management><Science><Services><Sight><Sleep><Social Environment><Societies><Structural Racism><System><Testing><Time><Training><Translational Research><Translational Science><Transportation><Universities><Vision><Voice><behavioral and social science><biomed informatics><biomedical informatics><burden of chronic disease><burden of chronic illness><burden of disease><burden of illness><cardiovascular disorder><care delivery><causation><chronic disorder><clinical translation><clinically translatable><collaboration with communities><community based organizations><community center><community centers><community collaboration><community engagement><community health worker><community organizations><community partners><community-based collaboration><community-based partners><coronavirus disease 2019><coronavirus disease-19><coronavirus infectious disease-19><data harmonization><design><designing><developmental><disease burden><disease causation><disparity in ethnic><disparity in health><disparity reduction><early detection><economic><engagement with communities><enroll><epidemiologic><epidemiologic data><epidemiological><ethnic based disparity><ethnic disadvantage><ethnic disparity><ethnic inequality><ethnic inequity><ethnicity disparity><experience><food insecurity><harmonized data><health care personnel><health care worker><health determinants><health disparity><health equity><health equity promotion><health provider><health training><health workforce><healthcare personnel><high risk><housing instability><implementation science><improved><instably housed><interventional strategy><malignancy><medical personnel><mitigate disparity><mortality><multimorbidity><multiple chronic conditions><neoplasm/cancer><next generation><novel><pathway><promote health equity><racial><racial background><racial origin><reduce disparity><reduction in disparity><segregation><sleep health><sleep hygiene><social climate><social context><social health determinants><socioenvironment><socioenvironmental><training opportunity><translation research><translational investigation><treatment provider><unstable housing><unstably housed><visual function><well-being><wellbeing>