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

北加州健康印第安社区/加州大学戴维斯分校

• 批准号: 8006457
• 负责人: DENNIS Michael STYNE
• 金额: $ 100万
• 依托单位: UNIVERSITY OF CALIFORNIA AT DAVIS
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-07-15 至 2013-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8006457
• 关键词: Address; Affect; American Indians; Area; Build-it; California; Clinic; Collaborations; Communities; Community Health; Community Health Education; Comorbidity; Data Collection; Development; Diabetes Mellitus; Diet Habits; Distant; Education; Educational process of instructing; Ensure; Environment; Epidemic; Expenditure; Fostering; Future; General Population; Geographic Locations; Health; Human Development; Human Resources; Intervention; Learning; Life; Link; Measures; Medical center; Methodology; Methods; Obesity; Play; Postdoctoral Fellow; Process; Public Health; Recovery; Research; Research Ethics Committees; Research Infrastructure; Research Personnel; Research Priority; Research Project Grants; Role; Safety; Scientist; Site; Source; Surveys; Techniques; Telecommunication Network; Telecommunications; Training; Travel; Tribal group; Universities; Voice; base; community based participatory research; empowered; health science research; human subject; improved; interest; medical schools; member; programs; public health relevance; social; telehealth; tribal community; volunteer

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.

描述(由申请人提供)：肥胖和糖尿病，以及其他相关疾病，对美国印第安人的影响不成比例。通常是美洲印第安人所在地区的建筑环境导致了这个问题。虽然这些问题是重要的研究主题，但美国印第安人社区往往觉得外部研究人员进来是为了评估情况，而不是留下来改善情况。此外，他们觉得自己几乎无法控制这一过程，这反过来又限制了他们参与研究甚至学习的兴趣。我们的目标是提高北加州几个美洲印第安人社区的能力，指导他们可能进行的研究类型，以改善他们的健康。具体目标包括：1.培训社区研究助理(CRA)，作为社区之间的联络人的社区领导人和学术研究人员，他们将在与健康相关的方面回应社区的意愿，并将加强社区对所选项目的支持。2.培训社区研究机构和社区成员使用基于社区的参与性研究(CBPR)，使社区能够根据对改善健康结果的预期来确定其研究优先事项并对其进行排序。3.培训社区研究机构和社区成员开发调查和其他数据收集技术，以便今后能够研究建成环境对社区健康的影响，以改善社区健康。4.加强和扩大七年多前在UCDMC和社区之间建立的现有电信网络，以促进UCDavis与社区和临床工作之间的教育和合作，以造福社区。5.建立Nor-Cal部落机构审查委员会，审查和确定由加州北部印第安人社区确定并包括在内的研究项目的相关性。这一进程将是双向的，社区在未来为改善其健康而开展的研究的进程和方向上拥有强大的发言权。有了这些社区训练有素的人员队伍，未来研究的可持续性将是可能的，因为社会科学家和卫生研究人员不仅会发现对建筑环境进行研究的丰富环境，而且还会发现一个友好的环境，成员在这种环境中了解这种研究对他们自己的健康是多么重要。这种未来的研究将提供重要的健康信息来源。我们预计，这种互动的结果是深远的，并影响到其他美国印第安人社区和受肥胖和共病影响的普通人口。 公共卫生相关性：肥胖症流行和由此引发的疾病对美国印第安人社区的影响不成比例；事实证明，改善鼓励不健康饮食习惯和活动水平的建筑环境的公共卫生措施可能会产生巨大而深远的影响。我们的项目旨在赋予社区权力，通过向他们传授以社区为基础的研究的原理和方法来确定在他们中进行的健康研究的过程，并建立一个由社区成员组成的机构审查委员会，他们将确定未来可能在其社区进行的健康研究的安全和适当性水平。这将通过加强我们在五年多的时间里发展起来的长期学术/社区伙伴关系和扩大我们的远程医疗网络来实现，我们利用远程医疗网络与我们的社区合作伙伴一起开发改善他们健康的计划。