Achieving American Indian Youth Energy and Mental Health Balance

实现美洲印第安人青少年能量和心理健康的平衡

• 批准号: 10324594
• 负责人: FRANCINE C GACHUPIN
• 金额: $ 55.98万
• 依托单位: UNIVERSITY OF ARIZONA
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-04-13 至 2024-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10324594
• 关键词: Address; Adolescent; Adopted; Adoption; American Indians; Apache; Attention; Behavior; Body mass index; Cardiovascular Diseases; Caregivers; Child; Child Rearing; Chronic Disease; Communities; Community Actions; Consumption; Coping Skills; Diabetes Mellitus; Ensure; Equilibrium; Ethnic group; Faculty; Family; Family Relationship; Foundations; Glycosylated hemoglobin A; Goals; Health; Health behavior; Healthy Eating; High Prevalence; Home; Home environment; Hypertension; Individual; Intake; Intervention; Intervention Studies; Knowledge; Lead; Life; Life Cycle Stages; Lipids; Malignant Neoplasms; Measures; Mental Health; Metabolic Diseases; Mind-Body Intervention; Modeling; Morbid Obesity; Morbidity - disease rate; Obesity; Outcome; Parents; Participant; Persons; Physical activity; Poverty; Pueblo Race; Research; Risk; Risk Factors; Rivers; Schools; Sodium Chloride; Specificity; Strenuous Exercise; Stress; Stroke; Testing; Time; Trauma; Tribes; Trust; United States; Weight; Well in self; Work; Yavapai; Youth; adolescent health; adult obesity; adverse childhood events; aged; base; behavior change; cardiometabolic risk; cardiometabolism; cost; design; disorder prevention; fasting glucose; fruits and vegetables; health disparity; healthy lifestyle; improved; intervention delivery; novel; obesity prevention; obesity risk; post intervention; preventive intervention; primary outcome; programs; racial and ethnic disparities; secondary outcome; skills; skills training; social determinants; socioeconomic disparity; success; tribal Nation; tribal community

PROJECT SUMMARY American Indian (AI) youth have the highest prevalence of obesity of all ethnic groups in the United States, placing them at disproportionate risk for adult obesity and obesity-driven metabolic disease including diabetes, cardiovascular disease, high blood pressure, stroke, and cancer. In fact, greater than 41.7% of the children and adolescents from the Hopi Tribe, Pascua Yaqui Tribe, Salt River Pima-Maricopa Indian Community, and the Yavapai Apache Nation—tribal communities collaborating in the proposed study—are obese. Health behaviors can modify obesity risk and associated morbidities such as diabetes and cardiovascular disease. To enhance the impact of our efforts, we recognize the intervention must include parental support and attention to emotional well-being and coping skills through the integration of mind-body medicine (MBM). The goal of the Achieving American Indian Youth Energy and Mental Health Balance (AYEM-B) Study is to develop and test a culturally-relevant, community-led intervention that incorporates the principles of MBM skills training and parental /caregiver engagement to support AI youth in achieving healthy lifestyle choices and in reducing risk for adult obesity and related metabolic diseases. Our hypothesis is that participation in a community-led intervention that includes MBM and the family will reduce obesity-related chronic disease risk factors in AI adolescents (n=224), as assessed by changes in body mass index z-score (primary outcome) and the objective measures of moderate/vigorous physical activity and fruit and vegetable intake (secondary outcomes) at 6 months. We will test our hypothesis by addressing the following specific aims: Specific Aim 1: Integrate an existing week-long residential wellness camp program for AI adolescents with novel MBM and parental engagement components to establish a 6-month community-led obesity prevention intervention for AI adolescents (aged 10–15 years) and their parents/caregivers. Specific Aim 2: Assess the preliminary efficacy of the newly established program on body mass index z-score, physical activity and fruit and vegetable intake in American Indian adolescents at baseline, 3 and 6 months using a within-subjects design. Also, evaluate changes in individual risk factors (lipids, hemoglobin A1C, fasting glucose) pre- and post-intervention. Specific Aim 3: Evaluate indicators of successful program implementation and the potential for sustainability across participating tribal communities, including acceptability and relevance to participants, parents, and the community, and program adoption, feasibility, fidelity, and costs.

项目总结