Northern California Healthy Indian Communities/University of California, Davis Me

描述（由申请人提供）：肥胖和糖尿病，以及其他相关疾病，影响美国印第安人不成比例。通常是美洲印第安人居住地区的建筑环境造成了这个问题。虽然这些问题是重要的研究课题，但美国印第安人社区往往认为，外部研究人员进来评估情况，但不留下来改善它。此外，他们认为他们对这一过程几乎没有控制权，这反过来，限制了他们参与研究甚至了解研究的兴趣。我们的目标是提高北方几个美洲印第安人社区的能力，加州指导可能在他们中间进行的改善他们健康的研究类型。具体目标包括：1.培训社区研究助理（CRA），社区领导人作为其社区和学术研究人员之间的联络人，他们将回应社区在健康相关性方面的愿望，并将加强社区对所选项目的支持。 2.培训CRA和社区成员使用基于社区的前瞻性研究（CBPR），使社区能够根据改善健康结果的预期来确定和排列其研究优先事项。 3.培训CRA和社区成员开发调查和其他数据收集技术，以便将来研究建筑环境对社区健康的影响，以改善社区健康。加强和扩展现有的电信网络之间建立的UCDMC和社区超过七年前，使教育和UCDavis之间的合作和社区为基础和临床为基础的努力，为社区的利益。 5.建立北加州部落机构审查委员会，审查和确定研究项目的相关性，这些项目是由北方加州印第安社区确定的，包括这些社区。这一过程将是双向的，社区在为改善其健康而开展的未来研究的过程和方向中拥有强有力的发言权。随着这些社区中训练有素的人员骨干，未来研究的可持续性将是可能的，因为社会科学家和健康研究人员将发现不仅有一个丰富的环境来研究建筑环境，而且还有一个受欢迎的环境，成员们了解这种研究对他们自己的健康有多么重要。这些未来的研究将提供重要的健康信息来源。我们预计，这种相互作用的结果是深远的，并影响到其他美洲印第安人社区和受肥胖和合并症影响的一般人群。 公共卫生相关性：肥胖流行病和由此产生的疾病对美国印第安人社区的影响不成比例;改善鼓励不健康饮食习惯和活动水平的建筑环境的行之有效的公共卫生措施可以产生巨大而深远的影响。我们的项目旨在通过向社区传授基于社区的研究的基本原理和方法，使社区有能力决定在他们中间进行的健康研究的进程，并建立一个由社区成员组成的机构审查委员会，由他们确定今后可能在其社区进行的健康研究的安全性和适当性。这将通过加强我们在五年多的时间里开发的长期学术/社区合作伙伴关系，并通过扩大我们的远程医疗网络来实现，我们已经与我们的社区合作伙伴一起开发了改善他们健康的计划。

DESCRIPTION (provided by applicant): Obesity and diabetes, among other related illnesses, affect American Indians disproportionately. Often it's the built environment of the areas in which American Indians live that contributes to this problem. While these issues are important topics of research, too often American Indian communities feel that outside researchers come in to evaluate the situation but do not stay to improve it. Further, they feel that they have little control over this process, which in turn, limits their interest in participating in research or even learning about it. Our objectives are to enhance the ability of several American Indian communities in Northern California to direct the type of research that might be carried out among them to improve their health. Specific aims include: 1. Training community research associates (CRAs), community leaders serving as the liaison between their communities and the academic researchers who will respond to the wishes of the community in terms of relevance for health and who will enhance community support of the projects chosen. 2. Train CRAs and community members in the use of Community Based Participatory Research (CBPR) to allow the communities to determine and rank their research priorities according to anticipation of improved health results. 3. Train CRAs and community members in the development of surveys and other data collection techniques to allow future research into the effects of the built environment on community health in order to improve it. 4. Enhance and extend the existing telecommunications network established between UCDMC and the communities over seven years ago to enable education and collaboration between UCDavis and community based and clinically based endeavors for the benefit of the community. 5. Develop the Nor-Cal Tribal Institutional Review Board, to review and determine the relevance of research projects which are identified by and include northern California Indian communities. This process will be bi-directional with communities having a strong voice in the process and direction of future studies developed to improve their health. With a cadre of trained personnel in these communities, sustainability of future research will be likely, as social scientists and health researchers will find not only a rich environment for studies on the built environment but a welcoming environment in which members understand how important such research is for their own health. Such future studies will provide important sources of health information. We expect that the results of such an interaction be far-reaching and affect other American Indian communities and the general population impacted by obesity and comorbidities. PUBLIC HEALTH RELEVANCE: The obesity epidemic and resulting illnesses affect American Indian communities disproportionately; proven public health measure to improve the built environment that encourages unhealthy dietary habits and activity levels can have great and far ranging impact. Our project aims to empower the community to determine the course of health research carried out among them by teaching them the rationale and methods of community- based research and to develop an institutional review board composed of community members who will establish the level of safety and appropriateness of future health research that may occur in their communities. This will be accomplished by enhancing the long term academic/community partnership that we developed over more than five years and by expanding our telehealth network which we have used to great advantage with our community partners to develop programs that improve their health.