Health Promotion in a Yup'ik Community: Improving Health Through Collaboration

尤皮克社区的健康促进：通过合作改善健康

• 批准号: 7501472
• 负责人: Cecile Sabine Lardon
• 金额: $ 18.2万
• 依托单位: UNIVERSITY OF ALASKA FAIRBANKS
• 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 2010-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7501472
• 关键词: Address; Adult; Alaska; Alaska Native; Area; Behavior; Blood Pressure; Cardiovascular Diseases; Cardiovascular system; Collaborations; Communication; Communities; Community Developments; Community Participation; Community based prevention; Consumption; Data; Diabetes Mellitus; Diet; Distal; Effectiveness; Eskimo Population; Evaluation; Food; Foundations; Funding; Goals; Health; Health Promotion; Hypotension; Indigenous; Intermediate Variables; Intervention; Knowledge; Life; Life Style; Measurement; Measures; Modeling; National Center for Research Resources; Native-Born; Obesity; Outcome; Participant; Pattern; Physical activity; Population; Process; Rate; Readiness; Reliance; Research; Research Infrastructure; Research Personnel; Research Project Grants; Rural; Sampling; Score; Social support; Stress; Stress and Coping; Technology; Testing; Time; Training Support; Universities; Variant; Weight; Well in self; Woman; Work; Yup' ik; base; blood lipid; coping; design; experience; falls; health disparity; improved; knowledge base; men; nutrition; research study; therapy design; tribal health

DESCRIPTION (provided by applicant): The overall goal of this research is to develop and evaluate the effectiveness of a community-based health promotion project (Piciryaratggun Calritllerkaq, or Healthy Living through a Healthy Lifestyle) targeted at increasing behaviors related to cardiovascular health in a Yup'ik Eskimo village: physical activity, nutrition, and stress reduction. Piciryaratggun Calritllerkaq was based on a study of obesity, diabetes and cardiovascular disease conducted by the Center for Alaska Native Health Research (CANHR) at the University of Alaska Fairbanks (UAF) (NCRR 5P20RR016430) in 7 Yup'ik communities on the west coast of Alaska. The proposed project will build upon the research on health promotion in Alaska Native communities begun by one of the projects under the CANHR grant. Piciryaratggun Calritllerkaq has been developed in collaboration with the host community and the regional Tribal Health Corporation. The long-term goal is to develop this project into a model for conducting health promotion in the region. The specific aims for the project are to: (1) Assess the improvement on the intermediate (i.e., nutrition, physical activity, stress, coping, social support, wellness) and outcome variables (weight, blood pressure, blood lipid profile) at three 6-month intervals over the course of the intervention; (2) Examine the relationships between the intermediate variables, outcome variables, and covariates; and (3) Conduct a formative evaluation of Piciryaratggun Calritllerkaq to identify the strengths and weaknesses of the model. The targeted sample will be 60% of the adult population of the participating village, approximately 120 people. The study will utilize a longitudinal design that will include 6 measurements taken either in the spring or the fall. We hypothesize that this culturally-based community-development approach to health promotion will increase physical activity, increase consumption of subsistence foods and/or healthy substitutes, and decrease stress levels. Changes in these behaviors and participants' sense of wellbeing are expected to be related to an increase in protective blood lipid factors, healthy weight, and healthy blood pressure. The project will examine the specific ways in which this approach to cardiovascular health can develop a local infrastructure, knowledge base, and process to encourage and maintain lasting life style improvements. Although community-based prevention and health promotion projects have been successful in other communities (mostly urban), there has been no attempt to take this approach in Alaska's Yup'ik communities. This project provides an opportunity to integrate scientific knowledge with indigenous knowledge and traditions to improve the cardiovascular health of Alaska Native people.

描述（由申请人提供）：本研究的总体目标是开发和评估基于社区的健康促进项目（Piciryaratggun Calritllerkaq，或通过健康生活方式实现健康生活）的有效性，该项目旨在增加尤皮克爱斯基摩人村庄中与心血管健康相关的行为：体育活动、营养和减轻压力。 Piciryaratggun Calritllerkaq 的研究基于阿拉斯加费尔班克斯大学 (UAF) 阿拉斯加原住民健康研究中心 (CANHR) (NCRR 5P20RR016430) 在阿拉斯加西海岸的 7 个尤皮克社区进行的一项关于肥胖、糖尿病和心血管疾病的研究。拟议的项目将建立在阿拉斯加原住民社区健康促进研究的基础上，该研究是由 CANHR 拨款项目之一开始的。 Piciryaratggun Calritllerkaq 是与东道社区和地区部落健康公司合作开发的。长期目标是将该项目发展成为该地区开展健康促进的典范。该项目的具体目标是： (1) 在干预过程中，每隔 3 个 6 个月的时间间隔评估中间变量（即营养、体力活动、压力、应对、社会支持、健康）和结果变量（体重、血压、血脂状况）的改善情况； (2) 检查中间变量、结果变量和协变量之间的关系； (3) 对 Piciryaratggun Calritllerkaq 进行形成性评估，以确定模型的优点和缺点。目标样本将是参与村成年人口的 60%，大约 120 人。该研究将采用纵向设计，其中包括在春季或秋季进行的 6 次测量。我们假设这种以文化为基础的社区发展健康促进方法将增加身体活动，增加自给食品和/或健康替代品的消费，并降低压力水平。这些行为和参与者幸福感的变化预计与保护性血脂因子、健康体重和健康血压的增加有关。该项目将研究这种心血管健康方法可以开发当地基础设施、知识库和流程以鼓励和维持持久生活方式改善的具体方式。尽管基于社区的预防和健康促进项目在其他社区（主要是城市）取得了成功，但阿拉斯加的尤皮克社区尚未尝试采取这种方法。该项目提供了将科学知识与土著知识和传统相结合的机会，以改善阿拉斯加原住民的心血管健康。