R01NR021983

THE IMPACT OF HOUSING CHOICE VOUCHERS ON HEALTH AND HOUSING OUTCOMES - INCREASING POPULATION LEVELS OF DAILY PHYSICAL ACTIVITY HAS ASSUMED CONSIDERABLE PUBLIC HEALTH SIGNIFICANCE IN THE PAST THREE DECADES, AND RECENT EFFORTS HAVE EXPANDED FROM TARGETING INDIVIDUAL BEHAVIOR CHANGE TOWARD ADDRESSING ENVIRONMENTAL RISK CONDITIONS THAT AFFECT EVERYONE WITHIN A COMMUNITY. INDEED, THE BUILT ENVIRONMENT AND URBAN DESIGN ARE NOW RECOGNIZED AS PRIMARY DRIVERS OF ACHIEVING AN ACTIVE AND HEALTHY LIFESTYLE. UNFORTUNATELY, THE DISTRIBUTION OF THESE HEALTH-PROMOTING ENVIRONMENTAL RESOURCES IS NOT UNIFORM, AND PEOPLE LIVING IN LOW-RESOURCE AREAS (URBAN AND RURAL) BEAR A DISPROPORTIONATELY HIGHER BURDEN OF RISK CONDITIONS AND LIFESTYLE-RELATED CHRONIC DISEASES, COMPARED WITH THEIR MORE AFFLUENT COUNTERPARTS. THIS MAY BE ESPECIALLY SO FOR OLDER PEOPLE WHO HAVE LIVED WITH ADVERSE ENVIRONMENTAL RISK CONDITIONS SINCE CHILDHOOD. POLICY, SYSTEMS, AND ENVIRONMENTAL (PSE) STRATEGIES FOR PROMOTING PHYSICAL ACTIVITY AND OTHER HEALTHY BEHAVIORS ARE GAINING MOMENTUM WITHIN THE PUBLIC HEALTH ARENA. THE PSE FRAMEWORK COMPRISES STRATEGIES FOR CHANGE THAT ARE BOTH MULTI-SECTORAL AND MULTI-LEVEL. MOREOVER, SINCE THEY ARE DIRECTED TOWARD THE ENTIRE COMMUNITY, THEY ARE MORE MAINTAINABLE AND CAN ADDRESS DIFFERENCES IN OPPORTUNITIES AND OUTCOMES BETTER THAN INTERVENTIONS TARGETED TO THE INDIVIDUAL. ONE THE OTHER HAND, PSE INTERVENTION STRATEGIES CAN BE VERY EXPENSIVE AND REQUIRE CONSIDERABLY MORE TIME TO ENACT WITHIN COMMUNITIES. THUS, IT BECOMES ADVANTAGEOUS TO IDENTIFY NATURALLY-OCCURRING “INTERVENTIONS” (I.E., NATURAL EXPERIMENTS) FOR WHICH THEIR IMPACT ON POPULATION BEHAVIOR AND HEALTH CAN BE DETERMINED OVER TIME. THE 11TH STREET BRIDGE PARK PROJECT (PLANNED TO BREAK GROUND IN LATE 2025 AND OPEN IN 2027) OFFERS AN ELEGANT STRATEGY FOR ACCOMPLISHING THIS, AS IT WILL CONNECT ONE OF THE MORE AFFLUENT WARDS IN DC (WARD 6) WITH THE LEAST AFFLUENT WARD (WARD 8). WE WILL EXAMINE THE IMPACT OF THIS BRIDGE PARK ON LONGITUDINAL CHANGES IN THE BUILT ENVIRONMENT ITSELF, AS WELL AS IN PHYSICAL ACTIVITY PATTERNS AND DIETARY CHOICES WITHIN THE AREAS DIRECTLY AFFECTED BY IT. SPECIFIC AIMS: 1) TO DETERMINE THE IMPACT OF THE 11TH STREET BRIDGE PARK PROJECT ON THE BUILT ENVIRONMENTS OF WARDS 6 AND 8 THAT ARE WITHIN THE SAMPLING AREA (1-MILE RADIUS) SURROUNDING THE NEW PARK; 2) TO DETERMINE THE INFLUENCE OF THIS PROJECT ON SPACIO-BEHAVIORAL CHARACTERISTICS OF THE PARK ITSELF, AS WELL AS OF THE SAMPLING AREAS OF WARDS 6 AND 8 SURROUNDING THE PARK; AND 3) TO DETERMINE THE IMPACT OF THE 11TH STREET BRIDGE PARK PROJECT ON INDIVIDUAL- AND FAMILY-LEVEL LIFESTYLE BEHAVIOR CHANGES, AS WELL AS ON PERCEPTIONS OF NEIGHBORHOOD SAFETY, SOCIAL CONNECTEDNESS, AND FOOD SECURITY USING AN INTERGENERATIONAL APPROACH.

New York University

NURSES UNDERSTAND THAT IMPROVING HEALTH AND WELL-BEING MEANS ADDRESSING PEOPLE'S NEEDS IN MULTIPLE SETTINGS, CONTEXTS, AND OVER THE WHOLE LIFE COURSE. SCIENCE SUPPORTED BY THE NATIONAL INSTITUTE OF NURSING RESEARCH (NINR) USES THIS HOLISTIC PERSPECTIVE TO IMPROVE INDIVIDUAL AND POPULATION HEALTH AND ADVANCE HEALTH EQUITY. NINR-SUPPORTED RESEARCH PROMOTES HEALTH AND WELL-BEING BY ADDRESSING NEEDS AT MULTIPLE LEVELS INDIVIDUAL, FAMILY, COMMUNITY, AND SOCIETAL LEVELS AND DEVELOPING TREATMENT AND PREVENTION STRATEGIES THAT ARE RESPONSIVE TO THE REALITY OF PEOPLE'S LIVES. NURSES KNOW PEOPLE, AND PEOPLE TRUST NURSES. PATIENT AND FAMILIES INTERACT WITH NURSES MORE THAN ANY OTHER CLINICIANS. NURSING SCIENCE USES THIS SPECIAL RELATIONSHIP TO BETTER UNDERSTAND PATIENTS, FAMILIES, AND COMMUNITIES AND THE MANY FACTORS THAT INFLUENCE THEIR HEALTH. NURSING SCIENCE SUPPORTED BY NINR USES THIS KNOWLEDGE TO DEVELOP STRATEGIES FOR IMPROVING HEALTH AND WELLNESS ACROSS POPULATIONS, HEALTH CARE SETTINGS, AND THE LIFESPAN, WITH AN EMPHASIS ON ACHIEVING HEALTH EQUITY. NINR-SUPPORTED SCIENTISTS HAVE DEVELOPED INTERVENTIONS FOR: SUPPORTING PARENTS OF PREMATURE INFANTS, PROMOTING HIV PREVENTION IN UNDERSERVED POPULATIONS, IMPROVING TRANSITIONAL CARE LEADING TO BETTER OUTCOMES AND COST-SAVINGS, AND HELPING INNER-CITY CHILDREN MANAGE ASTHMA. NURSING SCIENCE TRANSCENDS THE BOUNDARIES OF DISEASE AND RESEARCH DISCIPLINES TO BETTER UNDERSTAND THE EXPERIENCES OF INDIVIDUALS AND FAMILIES LIVING WITH ILLNESS AND TO DEVELOP PERSONALIZED APPROACHES THAT MAXIMIZE HEALTH AND WELL-BEING FOR INDIVIDUALS AT ALL STAGES OF LIFE, ACROSS DIVERSE POPULATIONS AND SETTINGS. NINR-SUPPORTED SCIENCE USES NURSING SCIENCE'S UNIQUE, PATIENT AND COMMUNITY-FOCUSED PERSPECTIVE AND WIDE REACH ACROSS CLINICAL AND COMMUNITY SETTINGS TO ADVANCE OUR UNDERSTANDING OF THE SOCIAL DETERMINANTS OF HEALTH: THOSE FACTORS THAT ARE AT THE ROOT OF THE INEQUITIES THAT WE SEE, SUCH AS FOOD INSECURITY AND ACCESS TO HEALTHCARE. NINR RESEARCH EFFORTS IN WELLNESS INVESTIGATE THE KEY BIOLOGICAL, BEHAVIORAL, AND SOCIAL FACTORS THAT PROMOTE LONG-TERM HEALTH AND HEALTHY BEHAVIORS AND PREVENT THE DEVELOPMENT OF ILLNESS ACROSS HEALTH CONDITIONS, SETTINGS, AND THE LIFESPAN. RESEARCH IN WELLNESS IS ALSO FOCUSED ON DEVELOPING AND TESTING CULTURALLY APPROPRIATE INTERVENTIONS TO PROMOTE HEALTH AND PREVENT ILLNESS IN MINORITY AND UNDERSERVED GROUPS. NINR ALSO SUPPORTS SCIENCE TO ASSIST INDIVIDUALS, FAMILIES, AND HEALTH CARE PROFESSIONALS IN MANAGING ADVANCED, SERIOUS ILLNESS, AND PLANNING FOR END-OF-LIFE DECISIONS. IN ADDITION, NINR PROMOTES TECHNOLOGICAL ADVANCEMENTS THAT ADDRESS A RANGE OF HEALTH CARE CHALLENGES AND FACILITATE THE DELIVERY OF REAL-TIME PERSONALIZED INFORMATION TO INDIVIDUALS AND FAMILIES, HEALTH CARE PROVIDERS, AND COMMUNITIES. FINALLY, NINR HAS A LONGSTANDING AND CONTINUING COMMITMENT TO DEVELOPING THE NEXT GENERATION OF NURSE SCIENTISTS: THOSE INDIVIDUALS AND TEAM MEMBERS WHO WILL CARRY THE FIELD OF NURSING SCIENCE INTO THE FUTURE. IN ORDER TO PREPARE AN INNOVATIVE, DIVERSE, AND TALENTED NEXT GENERATION OF NURSE SCIENTISTS, NINR SUPPORTS A VARIETY OF TRAINING OPPORTUNITIES FOR SCIENTISTS AND TRAINEES AT ALL CAREER LEVELS, PARTICULARLY THOSE AT AN EARLY CAREER STAGE WHO ARE SO CRITICAL TO SUSTAINING THE FUTURE OF INNOVATIVE RESEARCH AND HIGH QUALITY HEALTH CARE.

93.361 - Nursing Research

National Institute of Nursing Research (NINR) [HHS - NIH]

New York United States

State-Wide

Advancing Health Equity through Interventions to Prevent and Address Housing Instability (R01 Clinical Trial Optional) (RFA-NR-25-001)