CHECKERBOARD CARDIOVASCULAR CURRICULUM

这份提案描述了一个多学科研究项目。 旨在确定有效的方法来促进生活方式和 农村居民有助于心血管健康的健康行为 印度西南部的学童，他们的家人和他们 社区。它的基础是需要承认和尊重 它所服务的人民的传统和文化，使用 来自这一离散人群的流行病学数据，并利用 针对文化和地理特征的方法 人口中的一员。它是为了：L)产生积极的影响 目标人群健康行为的变化；2) 提供程序开发和实施的模型 适用于其他离散群体。 该项目有三个组成部分：第一个是 校本课程的开发、实施和 评估：实验设计包括比较 控制和两个实验条件，其中一个包括 同伴辅助教学。课程内容包括运动， 营养与肥胖、放射血管系统和烟草使用。 除了校本教育外，该项目还采用了外展服务。 活动，包括家庭参与、社区健康日、 以及同辈和代际建模，旨在加强 儿童的学习并鼓励将材料传播到 家庭和社区。结果衡量标准将包括变化 在知识和态度上，特别是在健康方面的变化 行为--营养习惯、烟草使用和锻炼。这个 第二个组成部分是人口统计和个人资料的收集- 可以作为预测变量的社会数据 心血管危险行为。第三，这个项目将收集 这一人群的标准数据关于已知的生理， 人体测量和心理社会心血管危险因素。两者都有 在这些组件中，后一个组件提供了以前无法获得的数据 心血管疾病发病率和死亡率可能高的人群 随着它们采用流行的社会特征而增加 行为。

This proposal describes a multidisciplinary research project designed to identify effective methods to promote lifestyles and health behaviors conductive to cardiovascular health among rural Southwestern Indian school children, their families and their communities. It is based on the need to recognize and respect the traditions and culture of the people whom it serves, using epidemiologic data from this discrete population and employing approaches specific for the culture and geographic characteristics of that population. It is designed to: l) produce positive changes in the health behaviors of the target population, and 2) provide a model of program development and implementation applicable to other discrete populations. There are three components to the project: First is the development of a school-based curriculum, its implementation and evaluations: the experimental design includes comparison of a control and two experimental conditions, one of which includes peer-assisted teaching. Curricular content includes exercise, nutrition and obesity, the radiovascular system and tobacco use. In addition to school-based education, the project employs outreach activities, including family involvement, community health days, and peer and intergenerational modeling designed to reinforce the children's learning and encourage diffusion of the material to families and communities. Outcome measures will include changes in knowledge and attitudes and especially changes in health behaviors--nutritional habits, tobacco use and exercise. The second component is the collection of demographic and personal- social data which can serve as predictor variables of cardiovascular risk behaviors. Thirdly, this project will collect normative data for this population on known physiologic, anthropometric and psychosocial cardiovascular risk factors. Both of these latter components offer previously unavailable data on a population whose cardiovascular morbidity and mortality are likely to increase as they adopt prevailing social characteristics and behaviors.