American Indian Diabetes Prevention Center: Impacting Health Disparity in Youth

项目总结(见说明)； 该项目合作为美洲印第安人打造了一个与糖尿病相关的替代未来。 来自临床健康、社会、行为和文化科学的几个学科以及本地顾问组成了这个拟议中心的智力引擎。将通过迭代的心理教育研讨会将这些不同的专业文化编织成一支有效的跨学科力量。其具体目标是通过以下方式减少美洲印第安人之间的健康差距：1)进行医学和社会文化研究，加强糖尿病的预防和管理 3)制定课程，培养健康差距研究方面的新技能和新技能；4)与铝社区合作，利用易于获取的新媒体，以符合文化的方式进行糖尿病教育；5)用尊重所有人和事的铝的观点，管理铝中心的运作。 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。此核心将管理所有中心功能。研究核心有三个研究子项目：1)发现1型和2型糖尿病儿童因糖尿病而引起的父母痛苦的文化类别，用于行为医学咨询；2)测试经济激励措施对肥胖青年增加体力活动和心脏代谢状态改变的有效性；3)比较高加索人、美国印第安人和西班牙裔妇女患先兆子痫的不同风险，以进行探索 假想的西半球土著人民的保护作用。研究培训/教育核心将1)开发一个新的护理证书课程，涉及缩小健康差距的研究、实践和伦理，2)发展能力，制作一系列12分钟的视频故事(在Al‘s中非常有价值的教学方法)，用于传播和评估，以及3)对Al成年人进行糖尿病教育，并综合鼓励其作为健康差距研究对象。这个 社区参与/外联核心将1)利用社区、家庭和个人因素实施青年资产建设计划，帮助青年避免危险的健康行为；2)在AI入学率较高的公立学校评估CDC Eagle图书；3)增加一个由农村小型食品店老板组成的新社区合作伙伴，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城地区部落间健康委员会伙伴关系。德克萨斯州和堪萨斯州。

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.