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The Native Proverbs 31 Health Project

土著箴言 31 健康项目

基本信息

批准号：
8147763
负责人：
Ronny A Bell
金额：
$ 18.32万
依托单位：
WAKE FOREST UNIVERSITY HEALTH SCIENCES
依托单位国家：
美国
项目类别：
财政年份：
2010
资助国家：
美国
起止时间：
2010-09-30 至 2013-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8147763
关键词：
Adolescent Adult African American American Indians Behavior Body mass index Cardiovascular Diseases Church Cigarette Collaborations Communities Community Health Community Participation County Data Daughter Decision Making Development Diet Educational Curriculum Ethnic group Family Family Practice Fatty acid glycerol esters Fiber Fostering Funding Gatekeeping General Population Healed Health Health Educators Health behavior Health behavior outcomes Health education Heart Intervention Joints Life Lumbee tribe Mississippi Modeling Movement National Center on Minority Health and Health Disparities National Heart, Lung, and Blood Institute Native Americans Non-Insulin-Dependent Diabetes Mellitus North Carolina Not Hispanic or Latino Obesity Outcome Study Physical activity Play Population Poverty Prevention program Prevention strategy Primary Prevention Process Assessment Proverb Research Risk Factors Rivers Role Rural Self Efficacy Smokeless Tobacco Staging Stroke Time Tobacco use Training Tribes Universities Woman Work arm base cardiovascular disorder prevention cardiovascular disorder risk community setting design disorder prevention experience forest fruits and vegetables healing health disparity health equity innovation intervention program medical schools primary outcome programs public health relevance racial and ethnic randomized trial response saturated fat secondary outcome sedentary self esteem

项目摘要

DESCRIPTION (provided by applicant): Cardiovascular disease (CVD) rates have increased dramatically among American Indians in recent years. Modifiable CVD risk factors, such as obesity, type 2 diabetes, sedentary behavior, and tobacco use are generally higher in most American Indian communities compared to non-Hispanic whites, although there is limited understanding of the unique cultural aspects of appropriate CVD primary prevention strategies in these populations. The Lumbee Indian tribe, a non-reservation tribe with a population of about 50,000, is the largest American Indian tribe east of the Mississippi River, and is largely concentrated in Robeson County, in southeastern North Carolina (NC). This county is largely rural, has a high poverty rate, and is almost equally divided among American Indians, African Americans and non-Hispanic whites. Limited available data indicate that CVD and its risk factors are very high among American Indians in North Carolina in general and Lumbees in particular. The Lumbee tribe is largely Christian, and the church is a very important component of Lumbee culture, providing opportunities to develop church-based health interventions in this population. The proposed project, entitled, "The Native Proverbs 31 Health Project," is in response to RFA-MD-10-004 (NCMHD Innovative Faith-based Approaches to Health Disparities Research). This project is designed to develop, implement and evaluate a CVD prevention program among Lumbee Indian women in Robeson County, NC, focusing on the biblical messages in Proverbs 31. The following aims will be performed 1) Based on prior research and formative work in the community, collaboratively develop a community-based, culturally appropriate CVD intervention program for Lumbee Indian women in Robeson County, NC, focusing on the health-related messages in biblical passage in Proverbs 31; 2) Implement a 6-month CVD intervention program in four Lumbee Indian churches in Robeson County, NC, using a community health / lay health educator model. 3) Evaluate the community-based, culturally appropriate CVD intervention program on diet, physical activity and tobacco use among Lumbee women using a two-armed randomized trial with a cluster design and delayed intervention for control churches. Our primary outcomes for this study will be changes in health behaviors (diet, physical activity) and movement along the transtheoretical model stages of change for tobacco use. Secondary outcomes will include changes in body mass index (BMI) and changes in self-efficacy and self-esteem. We will conduct process assessments to determine the level of feasibility in the development and delivery of the intervention materials. This model could be adapted for other American Indian churches as well as churches of other racial/ethnic groups. PUBLIC HEALTH RELEVANCE: Project Narrative The proposed project entitled The Native Proverbs 31 Health Project is in response to RFA-MD-10-004. The project is designed to develop, implement and evaluate a church-based CVD prevention program among Lumbee Indian women in Robeson County, NC. The program will focus on an educational curriculum based on the biblical messages in Proverbs 31, which focuses on the behaviors of the "virtuous woman." The primary outcomes include changes in diet, physical activity and tobacco use and secondary outcomes in BMI, self-efficacy and self-esteem.

描述（由申请人提供）：近年来，美洲印第安人的心血管疾病（CVD）发病率急剧增加。与非西班牙裔白人相比，大多数美国印第安社区的可改变的CVD风险因素，如肥胖，2型糖尿病，久坐行为和烟草使用通常较高，尽管对这些人群中适当的CVD一级预防策略的独特文化方面的了解有限。伦比印第安部落是一个非保留地部落，人口约5万，是密西西比河以东最大的美洲印第安部落，主要集中在北卡罗来纳州东南部的罗伯逊县。这个县大部分是农村，贫困率很高，美国印第安人、非洲裔美国人和非西班牙裔白人几乎各占一半。有限的可用数据表明，心血管疾病及其危险因素是非常高的美洲印第安人在北卡罗来纳州一般和Lumbees特别是。Lumbee部落主要是基督徒，教会是Lumbee文化的一个非常重要的组成部分，为在这一人群中开展基于教会的健康干预提供了机会。拟议的项目名为“土著谚语31健康项目”，是对RFA-MD-10-004（NCMHD基于信仰的健康差异研究创新方法）的回应。该项目旨在制定、实施和评估北卡罗来纳州罗伯逊县Lumbee印第安妇女的心血管疾病预防方案，重点是箴言31中的圣经信息。1）根据先前的研究和社区的形成工作，合作为北卡罗来纳州罗伯逊县的Lumbee印第安妇女制定基于社区的、文化上适当的心血管疾病干预计划，重点是箴言31中圣经段落中与健康有关的信息; 2）在北卡罗来纳州罗伯逊县的四个Lumbee印第安教堂实施为期6个月的CVD干预计划，使用社区健康/非专业健康教育者模型。3)评价基于社区的，文化上适当的CVD干预计划的饮食，体育活动和烟草使用的Lumbee妇女使用一个两个手臂的随机试验与集群设计和控制教会延迟干预。我们这项研究的主要结果将是健康行为（饮食，体育活动）和运动的变化沿着烟草使用变化的跨理论模型阶段。次要结果将包括体重指数（BMI）的变化以及自我效能和自尊的变化。我们将进行过程评估，以确定开发和交付干预材料的可行性水平。这种模式可以适用于其他美国印第安人教会以及其他种族/族裔群体的教会。公共卫生相关性：项目叙述拟议的项目名为土著谚语31健康项目是对RFA-MD-10-004的回应。该项目旨在制定、实施和评估北卡罗来纳州罗伯逊县Lumbee印第安妇女基于教会的心血管疾病预防方案。该计划将侧重于一个教育课程的基础上，圣经的信息在箴言31，其中重点是行为的“贤惠的女人。“主要结果包括饮食、体育活动和烟草使用的变化，以及BMI、自我效能和自尊的次要结果。