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

项目总结/摘要。该提案的总体目标是提高健康公平性， 通过增加体育活动，减少慢性病并改善与健康相关的生活质量。强 伙伴关系、社区参与的参与性办法和适应文化的办法， 将进行实施研究。研究核心将扩大传播和实施 在农村和边境社区增加基于证据的身体活动建议的模式。的 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）社区运动，2）创建或加强 进入场所并为他们提供信息外展，3）个性化的方案，4）设计 土地利用政策和实践; 5）社会对体育活动的支持。要解决的目标包括： 目标1：保持强大的基础设施，并提供有效的领导和管理，作为一种资源 在农村，美洲印第安人和西班牙裔社区中预防慢性病，有助于 国家PRC网络，并通过实施强有力的研究议程支持中心的发展。 目标2：与社区，学术界， 与卫生部合作，将循证慢性病预防研究转化为实践。 目标3：利用以“知识转化为行动”为基础的交流和传播战略 框架，以提高UNM PRC的形象，并确保研究结果和建议 接触社区、实践和学术受众。 目标4：为社区参与提供高质量的培训、指导和教育经验 预防研究和将循证研究转化为实践，面向各种受众。 目标5：促进国家证据库，证明预防研究的有效性 通过评估UNM PRC实现其目标和目的的程度来确定中心。 目标6：确定和衡量现有测试网站（古巴，新墨西哥州）的可持续性因素。此外，Beta 该场地将作为示范/培训场地，用于将VIVA Connects扩大到部落社区。 目标7：确定促进者和障碍，并衡量VIVA连接行动社区如何维持 适应VIVA-Step Into Cuba模式，并采用VIVA Connects网络战略。 目标8：确定核心要素，查明促进因素和障碍，并记录 调整和实施文化上适当的、基于地点和基于证据的战略， 增加农村、部落（纳瓦霍）社区的体育活动。 目标9：创建一个“健康的地方-健康的人”工具包，扩大到更广泛的纳瓦霍民族， 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.