Native-Controlling Hypertension And Risk through Technology (Native-CHART)

通过技术本地控制高血压和风险 (Native-CHART)

• 批准号: 10272568
• 负责人: DEDRA S BUCHWALD
• 金额: $ 105.47万
• 依托单位: WASHINGTON STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-08-01 至 2024-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10272568
• 关键词: Address; Adult; Affect; Aggressive behavior; Alaska; Alaska Native; American Indians; Asians; Awareness; Blood Pressure; Cardiovascular Diseases; Categories; Censuses; Cessation of life; Cities; Collaborations; Communities; Coronary Arteriosclerosis; Data; Data Collection; Diabetes Mellitus; Diagnosis; Electronic Health Record; Ensure; Environment; Ethnic group; European; Family; Genetic; Goals; Health; Healthcare; Heart; Heart Diseases; Home Blood Pressure Monitoring; Hypertension; Individual; Infrastructure; Intervention; Intervention Studies; Kidney Failure; Knowledge; Language; Literature; Longitudinal Studies; Methods; Military Personnel; Minority Groups; Modeling; Monitor; Morbidity - disease rate; Motivation; Native Hawaiian; Native-Born; Neighborhood Health Center; Pacific Island Americans; Participant; Patients; Physical activity; Policies; Population; Population Heterogeneity; Population Study; Prevalence; Privatization; Process; Public Health; Race; Recording of previous events; Reporting; Research; Research Personnel; Research Priority; Research Project Grants; Risk; Risk Factors; Role; Science; Source; Stroke; Technology; Text Messaging; Translating; Universities; Work; World Health Organization; base; blood pressure regulation; cardiovascular disorder epidemiology; cardiovascular disorder risk; demographics; disorder risk; experience; frontier; health data; health disparity; health inequalities; improved; innovation; interest; medication compliance; minority health; mortality; multidisciplinary; neglect; programs; public health relevance; racial and ethnic; response; stroke risk; theories; urban area

Abstract Among the 6 racial and ethnic categories recognized by the US Census Bureau, 3 stand out for their similarity in history, demographics, visibility, and health: American Indians (AIs), Alaska Natives (ANs), and Native Hawaiians and Pacific Islanders (NHPIs). NHPIs and AI and ANs (the latter 2 are typically combined) are the smallest and second-smallest US racial groups, with populations of 1.2 and 5.2 million, respectively. These groups experience harsh disparities in health and mortality compared to US Whites. Concerning are their population prevalences of hypertension, cardiovascular disease (CVD), and stroke, which are as high as, and usually higher than, US Whites. Despite these serious public health inequities, both groups have been largely neglected by health research. A literature search for interventions targeting blood pressure (BP) control as a contributor to CVD and stroke in AIs, ANs, and NHPIs returned no results. No interventions – and thus no multilevel intervention studies – have ever focused on BP control in these groups. Accordingly, the overarching objective of Native-Controlling Hypertension And Risks through Technology (Native-CHART) is to improve control of BP and associated CVD and stroke risk factors among these populations. Our research agenda articulates a practical model of health and health disparities grounded in lived experience as well as in theory. Our community-based participatory approach increases the likelihood that findings will confer sustainable benefits within AI, AN, and NHPI communities, which range from large urban areas to frontier villages in Alaska. Our approach harnesses technologies available in the settings where participants live, work, and obtain healthcare – including electronic health records, text messaging, online grocery shopping apps, wearable physical activity monitors, and home BP monitors. Our 3 Research Projects feature interventions at the individual, family, community, and policy levels. Our Specific Aims are to: 1) expand and establish new collaborations with research partners across private, tribal, and public constituencies that address BP control within a multilevel intervention framework; 2) develop a multilevel, multisector infrastructure that ensures inclusion of local, regional, and national views on research priorities and approaches to controlling BP; 3) promote a scientifically rigorous, culturally informed program of inquiry that acquires new knowledge to implement innovative approaches to increase hypertension knowledge and awareness, activate patients, increase medication adherence, and improve BP control among AIs, ANs, and NHPIs. Our goal is to move research on BP control and CVD and stroke risk factors in these communities beyond its current, largely descriptive state, and translate that knowledge into meaningful action.

摘要 在美国人口普查局承认的6个种族和民族类别中，有3个因其相似性而脱颖而出 在历史，人口统计，知名度和健康：美洲印第安人（AI），阿拉斯加原住民（AN），和土著 夏威夷人和太平洋岛民（NHPIs）NHPI和AI和AN（后两种通常合并）是 最小和第二小的美国种族群体，人口分别为120万和520万。这些 与美国白人相比，这些群体在健康和死亡率方面存在严重差异。关于他们的 高血压、心血管疾病（CVD）和中风的人群患病率高达， 通常高于美国白人。尽管存在这些严重的公共卫生不公平现象，但这两个群体在很大程度上都是 被健康研究所忽视。一项针对血压（BP）控制的干预措施的文献检索， AI、AN和NHPI中CVD和卒中的贡献者没有返回结果。没有干预-因此， 多层次干预研究-曾经集中在这些群体的血压控制。因此，总体而言， 通过技术控制高血压和风险（Native-CHART）的目的是改善 在这些人群中控制血压和相关的CVD和中风风险因素。我们的研究议程 阐述了一个实际的模式，健康和健康的差距接地生活经验，以及在理论上。 我们以社区为基础的参与式方法增加了研究结果将赋予可持续发展的可能性。 AI，AN和NHPI社区内的利益，从大城市地区到阿拉斯加的边境村庄。 我们的方法利用参与者生活，工作和获得环境中可用的技术 医疗保健-包括电子健康记录，短信，在线杂货店购物应用程序，可穿戴设备 身体活动监测器和家庭血压监测器。我们的3个研究项目的特点干预在 个人、家庭、社区和政策层面。我们的具体目标是：1）扩大和建立新的 与私人、部落和公共选区的研究伙伴合作，解决BP控制问题 在多层次干预框架内; 2）发展多层次、多部门的基础设施， 纳入地方、区域和国家对研究重点和控制BP方法的意见; 3） 促进科学严谨，文化知情的调查程序，获得新的知识， 实施创新方法，提高高血压知识和意识，激活患者， 增加药物依从性，改善AI、AN和NHPI的血压控制。我们的目标是 在这些社区进行的血压控制、心血管疾病和中风风险因素的研究， 描述性的状态，并将这些知识转化为有意义的行动。

项目成果

Communication With American Indians and Alaska Natives About Cardiovascular Disease.

• DOI: 10.5888/pcd17.200189
• 发表时间: 2020-12-17
• 期刊: Preventing chronic disease
• 影响因子: 5.5
• 作者: Boyd AD;Fyfe-Johnson AL;Noonan C;Muller C;Buchwald D
• 通讯作者: Buchwald D

Patient and primary care perspectives on hypertension management: short report of a qualitative study in a tribal health system.

• DOI: 10.1080/22423982.2022.2049054
• 发表时间: 2022-12
• 期刊: International journal of circumpolar health
• 影响因子: 1.3
• 作者: Schaefer KR;Todd MR;Trinidad SB;Robinson RF;Dillard DA
• 通讯作者: Dillard DA

Evaluating COVID-19 Response Within a Tribal Health Care Organization.

• DOI: 10.7812/tpp/23.039
• 发表时间: 2023-12-15
• 期刊: The Permanente journal
• 作者: Schaefer KR;Triplett B;Lorenzo O;Aregood M;Galbreath D;Dillard DA;Collier AF
• 通讯作者: Collier AF

Food Systems, Food Sovereignty, and Health: Conference Shares Linkages to Support Indigenous Community Health.

粮食系统、粮食主权和健康：会议分享支持土著社区健康的联系。

• DOI: 10.1177/15248399231190360
• 发表时间: 2023
• 期刊: Health promotion practice
• 影响因子: 1.9
• 作者: Jernigan,ValarieBlueBird;Taniguchi,Tori;Nguyen,CassandraJ;London,SaraM;Henderson,Austin;Maudrie,TaraL;Blair,Stephanie;Clyma,KayleeR;Lopez,SusannaV;Jacob,Tvli
• 通讯作者: Jacob,Tvli

The cost-efficacy of a healthy food box for managing hypertension within a native American population: a group randomized controlled trial.

健康食品盒治疗美国原住民高血压的成本效益：一组随机对照试验。

• DOI: 10.1186/s13690-024-01274-9
• 发表时间: 2024
• 期刊: Archives of public health = Archives belges de sante publique
• 作者: Henderson,Austin;Rosenman,Robert;Fyfe-Johnson,AmberL;Taniguchi,Tori;Standridge,Joy;Shackleford,Tyra;Muller,ClemmaJ;Umans,JasonG;Jernigan,ValarieBlueBird
• 通讯作者: Jernigan,ValarieBlueBird