Native American Youth Cardiovascular Disease Prevention: Implementation of Culturally-Tailored Evidence-Based After School and Home Visitation Programs for Healthy Eating and Physical Activity
美国原住民青少年心血管疾病预防:实施基于文化的循证课后和家访计划,以促进健康饮食和体育活动
基本信息
- 批准号:10494238
- 负责人:
- 金额:$ 69.11万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2021
- 资助国家:美国
- 起止时间:2021-09-24 至 2026-06-30
- 项目状态:未结题
- 来源:
- 关键词:AddressAdoptionAmerican IndiansBehaviorBehavioralCardiovascular DiseasesChronic DiseaseCitiesCommunitiesConsciousConsensusDiabetes MellitusDietDoseEducationEducational CurriculumEffectivenessEnvironmentEvaluationEvidence based interventionEvidence based programFamilyFoodFutureGoalsHealth PersonnelHealth PrioritiesHealthy EatingHome visitationHypertensionIndividualInterventionLeadershipLevel of EvidenceLow incomeMaintenanceMeasurementMentorsMinnesotaModelingNative AmericansObesityOutcomePhysical activityPrimary Health CareProcessProgram SustainabilityPublic HealthRaceRandomizedReach Effectiveness Adoption Implementation and MaintenanceResearchResearch DesignResearch PersonnelResource-limited settingResourcesRisk FactorsSchoolsScientistSelf DeterminationSiteSocial WorkStructural RacismStructureSystemTrainingTraining SupportTwin Multiple BirthUniversitiesWorkYouthafter-school programbasecardiometabolic riskcardiometabolismcardiovascular disorder preventioncardiovascular disorder riskcare systemscommunity based participatory researchcommunity burdencommunity cliniceffectiveness evaluationevidence baseexperienceimplementation fidelityimplementation interventionimplementation outcomesimplementation processimplementation scienceimplementation strategyimplementation trialinnovationminority childrenpersonalized approachpreventprocess evaluationprogramsracial and ethnicracismschool districtservice providerssocialsocial exclusionsocial health determinantssocioeconomicstooluptakeurban Native Americanyouth sports
项目摘要
PROJECT SUMMARY – Project 3
Urban Native American communities experience significant and persistent disparities in cardiovascular
diseases, obesity and diabetes, and their preventable behavioral precursors, diet and physical activity. This
study implements two multi-level evidence-based interventions (EBIs) Minnesota NET-Works and Stanford
GOALS in partnership with six American Indian after school programs and community-serving organizations in
the Minneapolis, St Paul and Duluth Minnesota. Adoption and maintenance of these programs can be
enhanced and effectiveness strengthened through a structured, evidence-based participatory approach that
tailors the interventions to meet the cultural, organizational contextual, and broader socioeconomic context and
incorporates local innovations. This proposal is poised to achieve these goals through a community-based
participatory research (CBPR).Coalition including the healthcare provider Minneapolis Native American
Community Clinic (NACC, primary care system), Minneapolis and St Paul and Duluth Minnesota School
Districts' Indian Education after school programs (school system), the social service provider Division of Indian
Work's Family Spirit Home Visitation program (social service provider system), departments of public health
and University of Minnesota researchers. The Coalition will use the evidence-based 10-step Getting to
Outcomes (GTO) tailoring and implementation approach to enhance implementation fidelity, reach and
acceptance, and sustainability among the after school programs and community-serving organizations. Native
American organization leadership and program delivery staff will receive mentoring and training in the tailored
EBI curricula and in effective implementation strategies. Implementation strategy effectiveness will be
assessed using a stepped wedge study design. The study uses the Social Ecological Model as its multilevel
intervention framework, and RE-AIM as its implementation process evaluation measurement framework.
Implementation outcomes include organizational leadership support, staff implementation capacity, and
intervention fidelity (program reach, intervention content, delivery, receipt and dose). An important innovative
aspect of the proposed research is its use of evidence-based implementation strategies to strengthen the
capacity of the programs and staff to implement the interventions with broad reach, high participation, and
strong fidelity by aligning with local culture and context. The proposed project will use proven effective
implementation strategies to build program organizational leadership and program delivery staff
implementation capacity to successfully engage urban Native American families in strengths-based, culturally-
grounded programs to promote youth physical activity and healthy eating. Sustained program engagement
among urban Native American families will promote healthy eating and physical activity behaviors that will
reduce future cardiovascular disease risk in this highly burdened community.
项目总结-项目3
项目成果
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{{ truncateString('SIMONE A. FRENCH', 18)}}的其他基金
Native American Youth Cardiovascular Disease Prevention: Implementation of Culturally-Tailored Evidence-Based After School and Home Visitation Programs for Healthy Eating and Physical Activity
美国原住民青少年心血管疾病预防:实施基于文化的循证课后和家访计划,以促进健康饮食和体育活动
- 批准号:
10437213 - 财政年份:2021
- 资助金额:
$ 69.11万 - 项目类别:
Neighborhood Park Youth Sports Program Fee Waiver and Intensive Family Outreach to Promote Physical Activity in Low-Income Children Ages 6-12 Years
邻里公园青少年体育项目减免费用和强化家庭外展活动,以促进 6-12 岁低收入儿童的体育活动
- 批准号:
10208312 - 财政年份:2021
- 资助金额:
$ 69.11万 - 项目类别:
Native American Youth Cardiovascular Disease Prevention: Implementation of Culturally-Tailored Evidence-Based After School and Home Visitation Programs for Healthy Eating and Physical Activity
美国原住民青少年心血管疾病预防:实施基于文化的循证课后和家访计划,以促进健康饮食和体育活动
- 批准号:
10676242 - 财政年份:2021
- 资助金额:
$ 69.11万 - 项目类别:
Neighborhood Park Youth Sports Program Fee Waiver and Intensive Family Outreach to Promote Physical Activity in Low-Income Children Ages 6-12 Years
邻里公园青少年体育项目减免费用和强化家庭外展活动,以促进 6-12 岁低收入儿童的体育活动
- 批准号:
10441476 - 财政年份:2021
- 资助金额:
$ 69.11万 - 项目类别:
Neighborhood Park Youth Sports Program Fee Waiver and Intensive Family Outreach to Promote Physical Activity in Low-Income Children Ages 6-12 Years
邻里公园青少年体育项目减免费用和强化家庭外展活动,以促进 6-12 岁低收入儿童的体育活动
- 批准号:
10656241 - 财政年份:2021
- 资助金额:
$ 69.11万 - 项目类别:
Neighborhood and Parent Variables Affect Low-Income Preschool Age Child Physical Activity
社区和家长变量影响低收入学龄前儿童的身体活动
- 批准号:
9888417 - 财政年份:2019
- 资助金额:
$ 69.11万 - 项目类别:
Portion Size Effects on Body Weight: Free Living Setting
份量对体重的影响:自由的生活环境
- 批准号:
7779625 - 财政年份:2010
- 资助金额:
$ 69.11万 - 项目类别:
Linking Primary Care, Communities and Families to Prevent Obesity Among Preschool
将初级保健、社区和家庭联系起来,预防学龄前儿童肥胖
- 批准号:
9108989 - 财政年份:2010
- 资助金额:
$ 69.11万 - 项目类别:
Portion Size Effects on Body Weight: Free Living Setting
份量对体重的影响:自由的生活环境
- 批准号:
8443862 - 财政年份:2010
- 资助金额:
$ 69.11万 - 项目类别:
Linking Primary Care, Communities and Families to Prevent Obesity Among Preschool
将初级保健、社区和家庭联系起来,预防学龄前儿童肥胖
- 批准号:
8922211 - 财政年份:2010
- 资助金额:
$ 69.11万 - 项目类别:
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