American Indian Diabetes Prevention Center: Impacting Health Disparity in Youth

美洲印第安人糖尿病预防中心：影响青少年健康差异

• 批准号: 8511816
• 负责人: Joseph Neil Henderson
• 金额: $ 113.82万
• 依托单位: UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-09-30 至 2017-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8511816
• 关键词: Adult; American Indians; Area; Behavior; Behavioral; Behavioral Medicine; Books; Caregivers; Categories; Caucasians; Caucasoid Race; Centers for Disease Control and Prevention (U.S.); Child Care; Choctaw Nation of Oklahoma; Chronic Disease; Cities; Clinical; Collaborations; Communication; Communities; Community Health Education; Counseling; Country; Decision Making; Development; Diabetes Mellitus; Diabetes prevention; Diagnosis; Diet; Discipline; Discipline of Nursing; Distress; Eagles; Education; Educational Curriculum; Educational process of instructing; Enrollment; Ensure; Epidemiology; Ethics; Evaluation; Family; Food; Fostering; Future; Goals; Health; Health Food; Health behavior; Hispanics; Human Resources; Indigenous; Individual; Instruction; Insulin-Dependent Diabetes Mellitus; Kansas; Leadership; Life Style; Medical; Minority; Non-Insulin-Dependent Diabetes Mellitus; Obesity; Oklahoma; Organizational Culture; Outcome; Parents; Physical activity; Pre-Eclampsia; Prevention; Production; Public Health; Published Comment; Relative (related person); Research; Research Project Grants; Research Subjects; Research Training; Risk; Rural; Schools; Science; Series; Services; Texas; Training and Education; Tribes; Woman; Work; Youth; clinical care; coping; diabetes education; diabetes management; digital; efficacy testing; financial incentive; forging; health disparity; improved; interdisciplinary collaboration; meetings; operation; outreach; prevent; programs; protective effect; psychoeducational; skills; social; success; web site

PROJECT SUMMARY (See instructions); This project collaboratively forges an alternative future for American Indian people relative to diabetes. Several disciplines are joined from within the clinical health, social, behavioral, and cultural sciences as well as native advisors to comprise the intellectual engine of this proposed center. Knitting these diverse professional cultures into an effective interdisciplinary force will be done by iterative psychoeducational seminars. The Specific Aims are to reduce health disparities among American Indian (Al) people by 1) conducting medical and sociocultural research strengthening diabetes prevention and management in the context of contemporary Al culture, 2) developing interdisciplinary values and skills pervading all operations, 3) developing curricula fostering new skills and manpower in health disparities research, 4) collaborating with Al communities to produce diabetes education in culturally appropriate ways using new, easily accessed media, and 5) administering Center operations by Al's with Al perspectives that honor all people and things. The Administrative Core is composed of the PI, Project Coordinator, Administrative Director, and two staff assistants. This Core will manage all Center functions. The Research Core has three Research Sub- Projects: 1) discovering cultural categories of parental distress due to diabetes care of children with Type 1and 2 diabetes for use in behavioral medicine counseling, 2) testing efficacy of financial incentives for increasing physical activity in obese youth and change in cardiometabolic status, and 3) comparing the differential risk for preeclampsia among Caucasian, American Indian, and Hispanic women to explore hypothesized protective effects in indigenous people of the Western hemisphere. The Research Training/Education Core will 1) develop a new certificate program in nursing on health disparity reduction research, practice, and ethics, 2) develop the capacity to produce a series of 12-minute video stories (a highly valued approach to teaching among Al's) for dissemination and evaluation, and 3) conduct education on diabetes to Al adults with integrated encouragement to serve as health disparities research subjects. The Community Engagement/Outreach Core will 1) conduct a Youth Asset building program using community, family, and individual factors that assist youth in avoiding risky health behaviors, 2) evaluate the CDC Eagle Books in public schools with high Al enrollment, and 3) add a new community partner comprised of owners of rural, small food stores to begin promoting healthy foods, and 4) continue the Oklahoma City Area Intertribal Health Board partnership of all tribes in Oklahoma. Texas, and Kansas.

项目总结（见说明）; 该项目共同为美国印第安人创造了一个与糖尿病有关的替代未来。 几个学科从临床健康，社会，行为和文化科学以及本地顾问中加入，组成这个拟议中心的智力引擎。将这些不同的专业文化编织成一种有效的跨学科力量将通过反复的心理教育研讨会来完成。具体目标是通过以下方式减少美洲印第安人（Al）之间的健康差距：1）开展医学和社会文化研究，加强糖尿病的预防和管理， 在当代人工智能文化的背景下，2）发展跨学科的价值观和技能，渗透到所有的业务，3）开发课程，培养新的技能和人力，在健康差距研究，4）与人工智能社区合作，以文化上适当的方式，使用新的，容易获得的媒体，生产糖尿病教育，和5）管理中心的业务与人工智能的观点，荣誉所有的人和事物。 行政核心由PI、项目协调员、行政主任和两名工作人员助理组成。该核心将管理中心的所有职能。研究核心有三个研究子项目：1）发现1型和2型糖尿病儿童的糖尿病护理导致的父母痛苦的文化类别，用于行为医学咨询，2）测试经济激励对增加肥胖青年体力活动和心脏代谢状态变化的功效，和3）比较高加索人、美洲印第安人、和西班牙裔女性去探索 对西半球土著居民的假设保护作用。研究培训/教育核心将1）开发一个新的关于减少健康差距研究，实践和道德的护理证书课程，2）开发制作一系列12分钟视频故事的能力（一个高度重视的方法来教学Al的）的传播和评估，3）对老年人进行糖尿病教育，并进行综合鼓励，作为健康差异研究对象。的 社区参与/外展核心将1）利用社区、家庭和个人因素开展青年资产建设计划，帮助青年避免危险的健康行为，2）在Al入学率高的公立学校评估CDC鹰书，3）增加一个新的社区合作伙伴，由农村小食品店的老板组成，开始推广健康食品，以及4）继续俄克拉荷马州所有部落的俄克拉荷马州城市地区部落间卫生委员会伙伴关系。德克萨斯和堪萨斯。