Healthy Places--Healthy People: A Toolkit for Promoting Active Living in Navajo Communities

项目摘要/摘要。这项提案的首要目标是增加卫生公平， 通过增加体力活动，减少慢性病，提高与健康相关的生活质量。强壮 伙伴关系，社区参与的参与方法，以及适应文化的方法 将使用实施研究。研究核心将扩大传播和实施 在农村和边境社区增加循证体力活动建议的模式。这个 该项目将传播、调整、实施和研究社区体育活动的若干战略 预防服务工作队社区指南：1)社区范围的运动，2)创建或加强 访问地点并为其提供信息外展，3)个人适应的计划，4)设计 和土地利用政策和做法，以及5)体育活动的社会支持。要解决的目标包括： 目标1：通过有效的领导和管理维护强大的基础设施，作为一种资源 在农村、美国印第安人和西班牙裔社区中预防慢性病，为 中国国家网络，并通过实施强有力的研究议程支持中心发展。 目标2：与社区、学术界、 卫生部门合作伙伴将循证慢性病预防研究转化为实践。 目标3：利用以知识到行动为基础的沟通和传播战略 框架，以提高UNM PRC的形象，并确保研究成果和建议 接触到社区、实践和学术受众。 目标4：在社区参与方面提供高质量的培训、指导和教育经验 预防研究和将循证研究转化为对各种受众的实践。 目标5：为证明预防研究有效性的国家证据基础作出贡献 通过评估UNM PRC实现其目标和目的的程度，中心。 目标6：确定和衡量现有Beta网站(新墨西哥州古巴)的可持续性因素。更进一步，Beta 该网站将作为示范/培训网站，将Viva Connects扩大到部落社区。 目标7：确定促进者和障碍，并衡量Viva如何连接行动社区以维持 Viva的改编--步入CUBA模式，采用Viva连接网络战略。 目标8：确定核心要素，确定促进者和障碍，并记录以下过程 调整和实施适合文化的、以地点为基础和以证据为基础的战略，以 增加农村、部落(纳瓦霍)社区的体力活动。 目标9：创建一个健康的地方-健康的人工具包，以扩大到更广泛的纳瓦霍民族和 其他部落社区。

PROJECT SUMMARY/ABSTRACT. The overarching goal of this proposal is to increase health equity, reduce chronic disease and improve health-related quality of life by increasing physical activity. Strong partnerships, a community-engaged participatory approach, and culturally adapted approaches to implementation research will be used. The research core will scale up a dissemination and implementation model for increasing evidence-based physical activity recommendations in rural and frontier communities. The project will disseminate, adapt, implement and study several strategies for physical activity of the Community Preventive Services Task Force Community Guide: 1) community-wide campaigns, 2) creating or enhancing access to places and providing informational outreach for them, 3) individually-adapted programs, 4) design and land use policies and practices, and 5) social support for physical activity. Aims to be address include: Aim 1: To maintain a strong infrastructure with effective leadership and management that serves as a resource for chronic disease prevention among rural, American Indian and Hispanic communities, contributes to the national PRC Network, and supports Center growth through implementation of a robust research agenda. Aim 2: To develop mutually beneficial community engagement and collaboration with community, academic, and health department partners to translate evidence-based chronic disease prevention research to practice. Aim 3: To utilize communication and dissemination strategies, grounded in the Knowledge to Action Framework, to raise the profile of the UNM PRC and ensure that research results and recommendations reach community, practice and academic audiences. Aim 4: To provide high quality training, mentoring, and educational experiences in community-engaged prevention research and the translation of evidence-based research into practice to a variety of audiences. Aim 5: To contribute to the national evidence-base demonstrating the effectiveness of Prevention Research Centers by evaluating the extent to which the UNM PRC achieves its goals and objectives. Aim 6: To identify and measure factors of sustainability of the existing Beta Site (Cuba, NM). Further, the Beta Site will serve as a demonstration/training site for the scaling up of VIVA Connects into tribal communities. Aim 7: To identify facilitators and barriers, and measure how VIVA Connects Action Communities sustain the adaptation of the VIVA-Step Into Cuba model and employ VIVA Connects network strategies. Aim 8: To identify the core elements, ascertain facilitators and barriers, and document the processes of adapting and implementation of culturally appropriate, place-based, and evidence-based strategies to increase physical activity in rural, tribal (Navajo) communities of practice. Aim 9: To create a Healthy Places—Healthy People toolkit for scaling up to the broader Navajo Nation and other tribal communities.