Feasibility of adolescents to conduct community-based participatory research on obesity and diabetes in rural Appalachia.
Feasibility of adolescents to conduct community-based participatory research on obesity and diabetes in rural Appalachia.
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DOI：
10.1111/j.1752-8062.2009.00155.x
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发表时间：
2009-10
期刊：
影响因子：
--
通讯作者：
Branch RA
中科院分区：
文献类型：
--
作者：
Bardwell G;Morton C;Chester A;Pancoska P;Buch S;Cecchetti A;Vecchio M;Paulsen S;Groark S;Branch RA
以社区为基础的前瞻性研究（CBPR）一直倡导将医疗保健科学的进步转化为社区。我们描述了一种新的方法应用于肥胖管理和糖尿病预防。这利用了健康科学和技术学院为阿巴拉契亚农村贫困高中生的课外活动组织的科学俱乐部网络。医生科学家和教育工作者提供了一个关于CBPR，道德和肥胖管理和糖尿病预防研究设计的密集夏季课程。210名学生和18名导师获得了CBPR调查的道德认证，以研究他们社区内肥胖和II型糖尿病的患病率。在6个月的时间里，989人收集了完整的可分析数据，其中103人患有糖尿病。肥胖（BMI ≥ 30）者占50%以上。糖尿病的发生频率与BMI的增加有关。当BMI ≥ 40时，发生率接近50%，并呈现明显的家族分布。我们的结论是，受过训练的青少年可以有效地进行CBPR，肥胖和糖尿病比以前报道的在这个社区更普遍。这一经验鼓励我们进行未来的研究，以影响这一医学弱势群体中高危人群的体重管理。
Community-Based Participatory Research (CBPR) has been advocated to translate advances in health care sciences to the community. We describe a novel approach applied to obesity management and diabetes prevention. This takes advantage of a network of science clubs organized by the Health Sciences and Technology Academy (HSTA) for extracurricular activity of disadvantaged high school students in rural Appalachia. Physician scientists and educators provided an intensive summer course on CBPR, ethics, and study design on obesity management and diabetes prevention. Ethical certification for CBPR investigation was obtained for 210 students and 18 mentors for a study on the prevalence of obesity and Type II diabetes within their community. Over a 6-month period, 989 had a collection of complete analyzable data, of which 103 had diabetes. The proportion with obesity (BMI ≥ 30) was over 50%. The frequency of diabetes was related to increasing BMI. When BMI ≥ 40, the frequency approached 50%, and exhibited a clear familial distribution. We conclude that trained adolescents can effectively conduct CBPR, and obesity and diabetes are more prevalent than previously reported in this community. This experience provides encouragement to conduct future studies to influence weight management from high-risk populations in this medically disadvantaged community.