Partnerships to Prevent Childhood Obesity on the Flathead Indian Reservation

合作预防平头印第安人保留地的儿童肥胖

• 批准号: 8910774
• 负责人: BLAKELY D BROWN
• 金额: $ 2.99万
• 依托单位: UNIVERSITY OF MONTANA
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-08-15 至 2017-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8910774
• 关键词: 19 year old; Adolescent; Adoption; Age; American; American Indians; Awareness; Calories; Child; Childhood; Communities; Community Health Education; Community Outreach; Data; Data Analyses; Education; Educational workshop; Employment; Epidemic; Focus Groups; Goals; Government; Group Meetings; Guidelines; Health; Health Promotion; Health Services; Health education; Healthcare; High Prevalence; Income; Indian reservation; Individual; Inequality; Institutional Review Boards; Intervention; Leadership; Life; Maintenance; Mediation; Mental Health; Minority; Montana; Native Americans; Newsletter; Obesity; Outcome; Overweight; Population; Poverty; Prevalence; Prevention trial; Procedures; Process; Protocols documentation; Radio; Research; Research Priority; Research Project Grants; Reservations; Resources; Risk; Risk Factors; Rural; Salish Kootenai College; Schools; Series; Services; Social Environment; Social Network; Stress; Surveys; System; Testing; TimeLine; Translating; Universities; Vision; Youth; base; behavior change; behavioral economics; college; community organizations; digital; evidence base; experience; food security; health disparity; high risk; improved; meetings; novel strategies; obesity in children; obesity prevention; prevent; programs; social; surveillance study; symposium; tool; tribal health

DESCRIPTION (provided by applicant): Obesity/overweight has been declared an epidemic and is among the most significant challenges facing the world today. Overweight/obesity in childhood is a major risk factor for severe negative health, psychological, and social outcomes. Native American populations have the highest prevalence of obesity among North American youth. Obesity in children is the result of physical inactivity and (or) consuming excess calories, which are influenced synergistically by individual, community and societal level factors such as income, employment, education, food security, stress, and social environments. These factors can be modified to reduce inequalities in health, and specifically, the risk of childhood obesity. Montana ranks low in the nation (46th) for overall prevalence of childhood overweight/obesity. Our recent surveillance study, however, of five rural Indian reservations in the state found approximately 57% of American Indian children and adolescents, ages 5-19 years old were overweight or obese. Very few obesity prevention trials have targeted, and none have been successful at, preventing childhood obesity in this high-risk population. The setting for this proposal is the Flathead Indian Reservation in northwest Montana where the minority of the population is American Indian and the majority of the population is mostly white. On the reservation, two parallel government and healthcare service systems are in place for tribal and non-tribal residents. However, this does not necessarily translate to improved available resources to residents or integration of services. Reducing the prevalence of childhood obesity in this rural setting which has a mix of Native and non-Native children and dual service systems requires novel approaches based on an in-depth understanding of the community, social, familial, political, behavioral and economic influences upon childhood obesity. This project will capitalize on the dual government and health care services systems that exist on the Flathead Indian Reservation and build capacity to develop partnerships that promote sustainable childhood obesity reduction via shared vision, community outreach and education with the goal of developing and testing culturally- appropriate intervention strategies. The project aims to use a community-based participatory approach to develop partnerships that establish memoranda of understandings between Flathead Tribal Health, Salish Kootenai College, The University of Montana and at least two community organizations for the purpose of developing research projects, negotiating IRB protocols, developing culture review protocols and submitting research applications. Additional aims will determine a collaborative agenda that identifies community needs and priorities in preventing childhood obesity through an iterative process; educate the public about national guidelines and behavior change strategies for preventing childhood obesity through evidence-based health education and health promotion activities; and evaluate the reach, adoption, implementation and maintenance of the project by collecting social network analyses data. In addition, survey data, attendance, and review of timeline and procedures by an Advisory Board will be used to evaluate the project.

描述(申请人提供)：肥胖/超重已被宣布为流行病，是当今世界面临的最重大挑战之一。儿童期超重/肥胖是造成严重负面健康、心理和社会后果的主要风险因素。美洲原住民在北美年轻人中肥胖率最高。儿童肥胖是缺乏运动和(或)消耗过多卡路里的结果， 它们受到个人、社区和社会层面因素的协同影响，如收入、就业、教育、粮食安全、压力和社会环境。这些因素可以被修改，以减少健康方面的不平等，特别是减少儿童肥胖的风险。 蒙大拿州儿童超重/肥胖的总体患病率在全国排名较低(第46位)。然而，我们最近对该州五个印第安人农村保留地的监测研究发现，大约57%的5-19岁的美洲印第安人儿童和青少年超重或肥胖。很少有肥胖预防试验针对这一高危人群的儿童肥胖症进行预防，而且没有一项试验取得成功。这项提案的背景是蒙大拿州西北部的Flathead印第安人保留地，那里的人口少数是美国印第安人，大多数人口是白人。在保留地，为部落和非部落居民建立了两个平行的政府和医疗保健服务系统。然而，这并不一定意味着居民可用资源的增加或服务的整合。在这种既有土著儿童又有非土著儿童和双重服务系统的农村环境中，要减少儿童肥胖症的流行，需要在深入了解社区、社会、家庭、政治、行为和经济对儿童肥胖症的影响的基础上采取新的方法。该项目将利用Flathead印第安人保留地现有的双重政府和医疗保健服务系统，并建立能力，通过共同的愿景、社区宣传和教育来发展伙伴关系，促进可持续的儿童肥胖减少，目标是制定和测试适合文化的干预策略。该项目旨在利用以社区为基础的参与性方法，建立伙伴关系，在Flathead Tribal Health、Salish Kotenai College、蒙大拿大学和至少两个社区组织之间建立谅解备忘录，目的是开发研究项目、谈判IRB协议、制定文化审查协议和提交研究申请。其他目标将确定一个合作议程，通过迭代过程确定社区在预防儿童肥胖症方面的需求和优先事项；通过循证健康教育和健康促进活动，教育公众关于预防儿童肥胖症的国家指导方针和行为改变战略；并通过收集社会网络分析数据，评估该项目的覆盖范围、采用、实施和维持。此外，还将利用调查数据、出席情况以及咨询委员会对时间表和程序的审查来评估该项目。