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Adaptation and implementation of a Cherokee-based participatory research project to reduce CVD risk

改编和实施基于切罗基的参与性研究项目以降低心血管疾病风险

基本信息

批准号：
10586127
负责人：
MELISSA LEWIS
金额：
$ 13.29万
依托单位：
UNIVERSITY OF MISSOURI-COLUMBIA
依托单位国家：
美国
项目类别：
财政年份：
2020
资助国家：
美国
起止时间：
2020-02-15 至 2025-01-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10586127
关键词：
Address Adopted Adult Affect Age American Heart Association American Indians Behavior Blood Pressure Body mass index Cardiovascular Diseases Cause of Death Cessation of life Cherokee Indian Cherokee Nation, Oklahoma Collaborations Communities Community Participation Data Collection Development Development Plans Diet Disparity Education Educational process of instructing Enrollment Ensure Evaluation Studies Excision Exercise Focus Groups Foundations Funding Future General Population Generations Goals Health Hypertension Indigenous Intervention Interview Knowledge Language Learning Life Style Mental Depression Mental Health Mentors Methods Minority Groups Morbidity - disease rate Non-Insulin-Dependent Diabetes Mellitus Obesity Oklahoma Outcome Participant Pathology Personal Satisfaction Persons Pharmaceutical Preparations Physical activity Pilot Projects Population Positioning Attribute Prediabetes syndrome Prevalence Prevention Prevention program Primary Prevention Principal Investigator Protocols documentation Public Health Randomized, Controlled Trials Recording of previous events Reporting Research Research Activity Research Methodology Research Personnel Research Project Grants Risk Factors Science Smoking Social support Stress Surveys Time Training Tribes Unhealthy Diet Work Writing acceptability and feasibility aged cardiovascular disorder prevention cardiovascular disorder risk cardiovascular health career career development commune community based participatory research community based research cultural values diet and exercise disease disparity effectiveness trial evidence base exercise regimen experience federal policy flexibility health equity healthy lifestyle high risk population improved informant innovation lifestyle intervention member mortality novel strategies pilot test premature prevent programs research and development sedentary lifestyle skills social social culture success successful intervention trend tribal Nation young adult

项目摘要

ABSTRACT American Indians (AI) have the largest prevalence of cardiovascular disease (CVD) in the nation with double the prevalence compared to non-AIs. Programs developed and implemented in the general population to prevent CVD may not be appropriate or effective for AI populations due to unique environmental barriers and cultural differences. The PI, a member of the Cherokee nation, proposes a career development plan and research to facilitate her development into a leader in interventions to prevent CVD and other negative health outcomes among American Indians. The first specific aim is to adapt an existing Cherokee program to maximize reach to more Cherokee Nation citizens and address primary prevention of CVD in Cherokee Nation (CN) adults. The second aim is to conduct a pilot study to demonstrate acceptability and feasibility of the adapted intervention. The third aim is to complete a rigorous career development plan including mentoring plans, training plans, and pertinent coursework. The community-based participatory research project is centered in Tahlequah, Oklahoma with the Cherokee Nation and built on a three-year research relationship between the tribe and the PI. Over this time, the PI has worked with this community to evaluate a current Cherokee-created program, Remember the Removal, that aims to improve the health and well-being of select young adult citizens through programs that teach Cherokee culture, language and history along with improving diet and exercise. The new program, Journey of Cherokees, to be developed with community participation, will build on the prior program’s foundation but include expanded enrollment capacity, a larger age range, and flexible physical activity programs. The goal of the proposed project is to advance the science of community-partnered generation of culturally specific health interventions by promoting the power of cultural learning and cultural revitalization. The proposed research and career development plan will position the PI to obtain R01 funding within the 5-year study period, and to become a nationally recognized leader in innovative lifestyle interventions for preventing CVD and other negative health outcomes among AIs.

摘要