Impacting Obesity in Rural Kansas Primary Care Settings

影响堪萨斯州农村初级保健机构的肥胖

• 批准号: 7387316
• 负责人: Andrea C. Ely
• 金额: $ 13.61万
• 依托单位: UNIVERSITY OF KANSAS MEDICAL CENTER
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-04-01 至 2012-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7387316
• 关键词: Address; Adult; Area; Award; Behavior; Blood Pressure; Body Weight Changes; Body Weight decreased; Calories; Caring; Cause of Death; Cessation of life; Chronic Disease; Clinical; Clinical Investigator; Communities; Community Practice; Coronary heart disease; Daily; Data; Development; Diagnosis; Dietary Fiber; Disease; Effectiveness; Exercise Physiology; Faculty; Focus Groups; Funding; Future; Goals; High Density Lipoproteins; Hyperglycemia; Hyperlipidemia; Hypertension; Hypertriglyceridemia; Intake; Internal Medicine; Internist; Intervention; Intervention Studies; Kansas; Knowledge; Link; Lipids; Medical center; Mentors; Mentorship; Metabolic syndrome; Methodology; Obesity; Outcome; Patients; Physical activity; Population; Primary Health Care; Provider; Qualitative Research; Randomized; Readiness; Research; Research Design; Research Personnel; Resources; Risk; Risk Behaviors; Role; Rural; Rural Community; Rural Health; Self Management; Series; Study Section; Testing; Tobacco use; Training; Training Programs; Universities; Weight; Weight maintenance regimen; Work; blood glucose regulation; cardiovascular disorder prevention; career; chronic care model; design; disorder prevention; experience; fruits and vegetables; improved; interest; member; motivational enhancement therapy; nutrition; pilot trial; preference; programs; research and development; saturated fat; skills; weight maintenance

DESCRIPTION (provided by applicant): The candidate, Dr. Charbonneau, is a general internist who joined the Department of Internal Medicine faculty at the University of Kansas Medical Center in 2003. This award will provide her with the scholarly training, mentorship, support, and pilot information essential to her development into an independent clinical researcher in adult obesity and cardiovascular disease prevention. Specific objectives are to 1) acquire new knowledge of nutrition, exercise physiology, rural health, and cardiovascular disease prevention, especially related to care of the adult primary care patient, 2) build skills in qualitative research methodology and clinical interventions, 3) use the knowledge gained to develop and pilot a clinical intervention to treat obesity among rural primary care patients, and 4) to become an independently-funded clinical investigator in the area of adult obesity and cardiovascular disease prevention. To achieve these objectives, the candidate proposes a five-year training program with strong faculty members from relevant departments throughout her university, and a scientific advisory board of nationally-renowned scholars in adult obesity and cardiovascular disease prevention. Her primary sponsor is a senior clinical investigator in the field of chronic disease prevention. His research has been focused on decreasing at-risk behaviors for chronic disease among rural and urban primary care patients. Co-mentors and consultants represent subspecialties that are directly relevant to the proposed career development and research plans. The career development proposal describes increasing the candidate's knowledge of obesity, cardiovascular disease prevention, and general research issues through coursework, independent study, and a research plan. The research plan involves two projects. Study 1 will use focus groups to assess factors related to weight control among obese rural primary care patients. From these data, an established intervention with which the candidate is experienced will be strengthened. Study 2 will pilot the improved intervention, a chronic care model program for obesity, among rural Kansas primary care patients and compare it with usual care. The proposed career development and research plan will allow the candidate to launch a successful career in adult obesity and cardiovascular disease prevention while advancing our understanding of adult obesity and obesity care of the rural primary care patient.

描述（由申请人提供）：候选人Charbonneau博士是一名普通内科医生，于2003年加入堪萨斯大学医学中心内科系。该奖项将为她提供必要的学术培训，指导，支持和试点信息，使她成为成人肥胖和心血管疾病预防的独立临床研究人员。具体目标是：1）获得营养，运动生理学，农村健康和心血管疾病预防的新知识，特别是与成人初级保健患者的护理有关的知识，2）建立定性研究方法和临床干预的技能，3）使用所获得的知识开发和试点临床干预措施，以治疗农村初级保健患者的肥胖症，和4）成为成人肥胖和心血管疾病预防领域的独立资助的临床研究者。为了实现这些目标，候选人提出了一个为期五年的培训计划，来自整个大学相关部门的强大教师，以及由全国知名学者组成的成人肥胖和心血管疾病预防科学顾问委员会。她的主要赞助商是慢性病预防领域的高级临床研究者。他的研究重点是减少农村和城市初级保健患者中慢性病的风险行为。共同导师和顾问代表与拟议的职业发展和研究计划直接相关的子专业。职业发展建议描述了通过课程，独立学习和研究计划增加候选人对肥胖，心血管疾病预防和一般研究问题的知识。研究计划包括两个项目。研究1将使用焦点小组来评估与肥胖农村初级保健患者体重控制相关的因素。根据这些数据，候选人有经验的既定干预措施将得到加强。研究2将在堪萨斯农村初级保健患者中试点改进的干预措施，一种针对肥胖症的慢性护理模式计划，并将其与常规护理进行比较。拟议的职业发展和研究计划将允许候选人在成人肥胖和心血管疾病预防方面开展成功的职业生涯，同时推进我们对农村初级保健患者的成人肥胖和肥胖护理的理解。