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The Deep South Resource Center for Minority Aging Research RCMAR: New Opportunities for Collaboration and Career Develop

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The Deep South Resource Center for Minority Aging Research RCMAR: New Opportunities for Collaboration and Career Develop

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    1. The Deep South Resource Center for Minority Aging Research (RCMAR): New Opportunities for Collaboration and Career Development A collaborative program of the Morehouse School of Medicine, Tuskegee University, University of Alabama, and the University of Alabama at Birmingham (UAB) Funded by the National Institute on Aging and the National Center on Minority Health and Health Disparities

    2. OVERALL PURPOSE Reduce health disparities between African American and White older adults Serve as research-based and mentoring investment in the process of closing the health disparities gap Increase the number of researchers with the capacity to conduct independent, peer-reviewed research

    3. Deep South RCMAR Focus Health problems that are particularly prevalent among older African Americans and for which disparities have been established Issues related to rural elders; intervention research; preventive health strategies; and socio-economic, discrimination, trust, and bioethical issues

    4. UAB Study of Aging 1999-2001 Subjects were a stratified, random sample of Medicare beneficiaries living in 5 counties in central Alabama. The study over-sampled males, African Americans, and rural residents.

    5. UAB Study of Aging Participants

    6. Sociodemographic Factors AA W P-value Mean Age (SD) 75.9 (7.1) 74.8 (6.3) .012 Married 39.6% 63.0% <.001 Education < 6 35.2% 1.6% <.001 Perceived Low Income 63.0% 25.0% <.001 Income < $8000/yr 35.4% 9.4% <.001

    7. Medical Conditions AA W P-value Hypertension 75.8% 54.0% <.001 Gastrointestinal prob. 21.6% 35.6% <.001 Diabetes 27.4% 18.4% .001 Respiratory problems 14.4% 23.0% .001 Cancer (other than skin) 12.8% 18.0% .028 Heart attack or angina 11.2% 16.2% .027 Heart valve problems 6.8% 13.2% .001

    8. AA W P-value Stroke 10.0% 7.8% .267 T.I.A. 7.0% 6.6% .900 Heart failure 6.6% 6.8% 1.000 Renal disease 5.8% 5.4% .891 Medical Conditions

    9. Prevalence of Comorbid Conditions* Total AA White P-value 2.5 2.3 2.7 .001

    10. Neuropsychological Measures Mean Scores Total AA White P-value MMSE 25.0 22.9 27.1 <.001 GDS 2.4 2.5 2.2 .070

    11. Geriatric Syndromes AA W p-value Falls 28.4% 33.2% .101 Incontinence 33.0% 47.4% <.001 Poor Vision 16.0% 15.8% .931 Dizziness 35.4% 34.6% .842 Weight loss 31.0% 24.8% .034 Pain 74.6% 73.2% .615

    12. Health Behaviors Total AA White p-value Irregular Meals 37% 49% 24% <.001 Curr. Smoker 10% 11% 9% .530 Curr. Alcohol 19% 14% 23% .003 No Phys. Activity 22% 25% 19% .026

    13. Performance-Based Function Total AA White p-value Balance 3.2 3.0 3.4 <.001 Timed walk 2.1 1.7 2.5 <.001 Chair stands 1.5 1.3 1.8 <.001 Composite 6.8 5.9 7.7 <.001 Each task was ranked from 0 to 4 with 0 representing persons who were unable to do the task. 4 represents completion at the highest quartile of persons. Tasks were summed for the composite score (ranges 0-12)Each task was ranked from 0 to 4 with 0 representing persons who were unable to do the task. 4 represents completion at the highest quartile of persons. Tasks were summed for the composite score (ranges 0-12)

    14. SPECIFIC AIMS Establish a mechanism for mentoring research careers Enhance cultural diversity of the workforce conducting research Conduct research on and disseminate strategies for recruiting and retaining AA older adults in research

    15. SPECIFIC AIMS Facilitate innovative strategies to support enduring research careers Improve the research methods and tools necessary to conduct research on diverse populations Advance scientific knowledge leading to a decrease in health disparities Disseminate to scientific and non-scientific communities research results

    16. Deep South RCMAR Organizational Overview

    17. Deep South RCMAR Organizational Structure

    18. Deep South RCMAR Administrative Core Leadership Richard M. Allman, MD Mona Fouad, MD Harry Strothers, MD Timothy Turner, PhD Martha Crowther, PhD Angela Curtis, PhD Peter Bosworth, MBA Ann Smith, MPH Patricia Sawyer, PhD

    19. Deep South RCMAR Office Morehouse School of Medicine Harry S. Strothers, III, MD, MMM, FAAFP George Rust, MD, FAAFP, FACPM Elvan Daniels, MD

    20. Deep South RCMAR Office Tuskegee University Timothy Turner, PhD Marilyn DeNeal, MS, PMP

    21. Deep South RCMAR Office University of Alabama Martha Crowther, PhD Lucinda Roff, MSSW, PhD John C. Higginbotham, PhD, MPH

    22. Travel Scholarships Gina Marie McCaskill, MSW, MPH Tina L. Peterson, MSW

    23. Deep South RCMAR Pilot Grant Program Call for proposals (mentored project, inter-institutional collaboration, diverse group of principal investigators) 3-page letter of intent (May 2008) Letter review Applicants with top-scoring letters invited to submit full proposals (June 2008) Scientific review and scoring Three $25,000 grants per year (October 2008)

    24. Health Disparities Research Training Program (2008) Total of 33 applicants/19 scholars selected One-year training program Seminars every other week Online course on biostatistics and epidemiology Bioethics seminar at Tuskegee University Grant writing retreat Mentored research project Supported by NHLBI, NCI, NIA, NCMHD, Cooper Green Mercy Hospital, Mineral District Medical Society, Morehouse School of Medicine, Tuskegee University, the University of Southern Mississippi, the University of Alabama, and the University of Alabama at Birmingham

    25. Health Disparities Research Training Program (2008) Scholars eligible for $10,000 award after completion and submission of a grant proposal Alabama Collaboration for Cardiovascular Equality (ACCE) - 7 Deep South Network for Cancer Control (DSN) - 2 Deep South Resource Center for Minority Aging Research (RCMAR) - 4 MSM/ TU/ UAB Partnership – 6

    26. 2008 UA Scholars Jullet Davis, PhD Shadi Martin, PhD, MSW Jo Ann Oliver, PhD, MSN

    27. Deep South RCMAR Advisory Committee Meetings Held every six months Rotate among collaborative sites Advisory Committee meetings April 11, 2008 – UAB External Consultants – James Jackson, PhD (University of Michigan) and Toni Miles, MD, PhD (University of Louisville) October 10, 2008 - UA External Speakers – J. Taylor Harden, PhD (NIA)

    28. Other Opportunities Regional and National Networking Opportunities Annual National RCMAR Meeting Travel Scholarships to GSA New Diversity Supplements

    29. Deep South RCMAR Administrative Core Office (205) 934-9261 - phone Angela Curtis, PhD, Program Manager, acurtis@uab.edu Patricia Sawyer, PhD, Research Advisor, psawyer@uab.edu Peter Bosworth, MBA, Administrator, bosworth@uab.edu Denise Goska, Assistant, dgoska@uab.edu Richard M. Allman, MD, Director, rallman@uab.edu

    30. The Deep South Resource Center for Minority Aging Research (RCMAR): New Opportunities for Collaboration and Career Development A collaborative program of the Morehouse School of Medicine, Tuskegee University, University of Alabama, and the University of Alabama at Birmingham (UAB) Funded by the National Institute on Aging and the National Center on Minority Health and Health Disparities

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