COBRE: UAF: CANHR CULTURAL BEHAVIORAL CORE: OBESITY, DIABETES, CVD

这个子项目是利用由NIH/NCRR资助的中心拨款提供的资源的许多研究子项目之一。子项目和调查员(PI)可能从另一个NIH来源获得了主要资金，因此可能会出现在其他CRISE条目中。列出的机构是针对中心的，而不一定是针对调查员的机构。土著团体制定了一项研究标准，要求在发表之前将结果归还给社区，以应对参与者和利益攸关方很少得到结果的历史。CANHR致力于向社区传播成果，并将其转化为预防性干预措施。部落还希望参与制定研究重点和设计。文化和行为核心(C-BC)协助设计研究，并为Cobre II和独立调查者应用程序的未来研究确定研究优先事项。成就第5年：A.著名的美国印第安人学者和跨文化行为健康研究人员Joseph Trimble博士继续担任外部顾问，并在翻译研究的研究设计问题上协助中心研究人员。他正在帮助拉登博士完成她的R21申请，开发一种促进健康的预防性干预措施。这个应用程序是与村子合作设计的。B.两名研究人员/文化专家牵头开发了一个模板，用于向社区和部落理事会介绍研究成果。四名Yupéik文化顾问也帮助开发了这一模板。C.Yupéik社区的一组研究人员和文化专家完成了向所有参与社区介绍初步结果的工作。向部落会议和社区作了介绍。该小组包括国际和平中心或国际和平项目、实地研究协调员、当地村庄协调员和不列颠哥伦比亚省语言专家奥尔女士。2005年4月，莱加斯皮博士在应用人类学学会年会上介绍了创建和传播这些材料的过程，题为“研究成果的传播：阿拉斯加土著村庄和学术界之间的合作”。他提交了一篇文章，用这次演讲的摘要发表。D.我们采用了在村庄介绍中使用的相同模板，以便在该区域人民和领导人的年度部落会议期间向他们介绍成果，以确定未来保健服务和研究的优先事项。这次会议确定了转化研究的优先事项，利用研究结果建立以证据为基础的慢性病预防模式。当务之急是降低心血管疾病的风险，遏制糖尿病风险因素日益普遍的趋势。该区域为干预和预防研究设定了主要优先事项。会议发现，科布雷调查的结果支持了一项通过加强传统的土著保护因素来预防疾病的战略，例如传统的自给自足饮食，富含维生素E、A和欧米茄3脂肪酸。

This subproject is one of many research subprojects utilizing the resources provided by a Center grant funded by NIH/NCRR. The subproject and investigator (PI) may have received primary funding from another NIH source, and thus could be represented in other CRISP entries. The institution listed is for the Center, which is not necessarily the institution for the investigator. Indigenous groups have set a standard for research that requires results to be returned to the communities prior to publication, in response to a history of results seldom reaching the participants and stakeholders. CANHR has committed itself to dissemination of results to communities and the translation to preventative interventions. Tribes also want to be involved in shaping research priorities and designs. The Cultural and Behavioral core (C-BC) assists in designing studies and eliciting research priorities for future studies for COBRE II and independent investigator applications. Accomplishments year 5: A. Dr. Joseph Trimble, a distinguished American Indian scholar and cross-cultural behavioral health researcher has continued to serve both as an external advisor and to assist center researchers on study design issues for translational research. He is helping Dr. Lardon completed her R21 application for developing a preventative intervention on health promotion. This application was designed collaboratively with the village. B. Two researcher/cultural experts led the development of a template to be used for presenting research results to communities and Tribal councils. Four Yup¿ik cultural consultants also helped develop this template. C. A team of researchers and cultural experts from the Yup¿ik community completed presentations of the preliminary results to all participating communities. Presentations were made to both the Tribal Council and to the community. The team included either the Center PI or a Project PI, the field research coordinator, the local village coordinator, and the C-BC linguistic expert, Ms. Orr. The process of creating and disseminating these materials was presented at the Society for Applied Anthropology annual meeting in April of 2005 by Dr. Legaspi, "Dissemination of research findings: A collaboration between Alaska Native villages and the academe." He has submitted an article for publication using the abstract rom this presentation. D. We have adapted the same template used in village presentations for a presentation of results to the people and leaders of the region during their annual tribal gathering to set priorities for future health services and research. The gathering set a priority for translational research to utilize the results of research to build evidence-based models for prevention of chronic diseases. A high priority was to reduce risks for cardiovascular disease and stem the increasing prevalence of risk factors for diabetes. The region set a major priority for intervention and prevention research. The gathering found that the results of the COBRE investigations provided support for a strategy to prevent disease by enhancing traditional indigenous protective factors, such as traditional subsistence diets high in vitamin E and A and Omega 3 fatty acids.