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Health Resilience Among American Indians in Arizona

亚利桑那州美洲印第安人的健康复原力

基本信息

批准号：
8353778
负责人：
Lisa Jane Hardy
金额：
$ 20.81万
依托单位：
NORTHERN ARIZONA UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2012
资助国家：
美国
起止时间：
2012-08-28 至 2017-02-28
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8353778
关键词：
Address Adopted Adult American Indians Appointment Arizona Attitude Behavior Belief Blood Pressure Body Weight decreased Body mass index Caregivers Child Client Clinic Clinical Code Communication Communities Community Health Centers Computer software Data Data Analyses Data Collection Diagnosis Employment Evaluation Evaluation Methodology Evaluation Research Focus Groups Genetic Transcription Glycosylated hemoglobin A Health Health Care Seeking Behavior Health Personnel Healthcare Hemoglobin Home environment Hospitals Individual Instruction Intercept Interview Knowledge Life Life Style Maps Measurable Methods Modeling Needles Obesity Overweight Participant Patients Perception Physicians Policies Policy Making Population Primary Prevention Provider Recommendation Recruitment Activity Reporting Research Research Methodology Research Project Grants Reservations Risk Secondary Prevention Surveys Training United States Universities Work Writing base design evidence base experience fitness health care service organization meetings prevent resilience response social tertiary prevention

项目摘要

PROJECT SUMMARY (See Instructions): Obesity and Adaptive Strategies among American Indians Living off Reservation uses the CDCs Social Ecological Model (SEM) as well as resilience and Rapid Assessment, Response and Evaluation (RARE) approaches to investigate lifestyle changes and obesity related to physician-patient communication among American Indians living off reservation. Strategies will be designed at the community and policy levels and will inform the activities of CAIR, a local wellness policy coalition and community stakeholders. Partnerships include three agencies that serve American Indians: a CHC, an urban Indian health care center, and a hospital affiliated obesity clinic for children. Aims include: 1) Identify current knowledge, attitudes, beliefs, and behaviors among American Indians related to increased fitness and demonstrated resilience through lifestyle changes 2) Assess patient ~provider communication about overweight and obesity 3) Develop evidence-based, culturally appropriate strategies to promote healthy lifestyles and 4) Make policy and procedural recommendations. Rapid assessment will be used to conduct qualitative and quantitative research in homes and clinical settings regarding obesity diagnoses and health-seeking behaviors. Participants will include health care providers, and individuals and children (and caregivers) who have shown a marked improvement in blood pressure, A1C and/or BMI over the past two years. RARE will include the training and employment of Community Ethnographers on methods and analysis and data collection. Methods will include a combination of interviews, surveys, focus groups, and observations. At the conclusion of research and analysis Community Ethnographers will develop a set of evidence-based strategies in keeping with RARE methodology. At the conclusion of research and analysis Community Ethnographers will develop a set of evidence-based strategies in keeping with RARE methodology. Strategies will inform policy and procedural recommendations to the Center for American Indian Resilience (CAIR) Community Advisory Board, partner agencies, and American Indian people working to adopt healthy lifestyles.

项目概述（见项目说明）：