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

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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.