Faith in Action Research Alliance: Reducing diabetes among Pacific Islanders

信仰行动研究联盟：减少太平洋岛民的糖尿病

• 批准号: 8147754
• 负责人: NIA AITAOTO
• 金额: $ 18.69万
• 依托单位: UNIVERSITY OF IOWA
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-09-30 至 2012-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8147754
• 关键词: Action Research; Address; Adherence; Affect; American Samoa; Attitude; Belief; Chronic Disease; Church; Communities; Data; Development; Diabetes Mellitus; Diabetes prevention; Educational workshop; Epidemic; Evidence based intervention; Face; Family; Focus Groups; Future; Guam; Hawaii; Hawaiian population; Health; Health Communication; Health Personnel; Home environment; Intervention; Interview; Iowa; Island; Lead; Life; Location; Marshall Islands; Medical; Non-Insulin-Dependent Diabetes Mellitus; Northern Mariana Islands; Oral; Pacific Island Americans; Pacific Islands; Palau; Pharmaceutical Preparations; Physical activity; Play; Population; Positioning Attribute; Prevalence; Principal Investigator; Process; Qualitative Research; Religion; Research; Research Project Grants; Role; Rural Health; Site; Social support; Spirituality; Study Subject; Techniques; Time; United States; Universities; Work; base; community based participatory research; community setting; data sharing; design; diabetes control; diabetes management; disorder control; disorder prevention; global health; health disparity; information gathering; innovation; literacy; member; minority health; nutrition; programs; public health relevance; social cognitive theory; success; theories

DESCRIPTION (provided by applicant): Project Summary: The type 2 diabetes epidemic is a global health issue that is especially severe in the United States Associated Pacific Islands (USAPI) including the Commonwealth of the Northern Mariana Islands (CNMI).1 The prevalence rate of diabetes in the CNMI is 34%, which is four times higher than the US diabetes rate of 8%.2-4 Pacific Islanders living in the U.S also face greater burden of diabetes as compared to the general population.5-7 According to the Office of Minority Health, Native Hawaiians and Other Pacific Islanders have a higher rates of diabetes (20.6%) than Whites (6.4%).8 Although there are diabetes prevention and management programs in Hawai'i and the Pacific, success is limited due in part to the lack of tailoring for the Pacific audience.9,10 In spite of numerous recommendations11-18 to incorporate Pacific cultural constructs (including spirituality) into health interventions, to our knowledge, there are no studies in the CNMI or the Pacific that examines the integration of these cultural constructs into diabetes prevention and management. To address the need for research in the Pacific, an innovative partnership was formed between the Pacific Chronic Disease Coalition and faith community coalitions from Hawai'i and the Pacific. This new partnership, also known as Faith in Action Research Alliance (FARA) selected the University of Iowa to be their scientific partner and the CNMI and Hawai'i to be the two sites for this research project. This research will also benefit from experts from the faith and medical community. Our aim is to use the Social Cognitive Theory, Grounded Theory and Community Based Participatory Research (CBPR) processes to assist in the development of an innovative culturally based conceptual framework that explains relationships between constructs such as culture, religion, family, and diabetes prevention and control. This framework will assist in the design of future diabetes prevention and control interventions. PUBLIC HEALTH RELEVANCE: Project Narrative Type 2 diabetes disproportionally affects Pacific Islanders. The Faith in Action Research Alliance's aim to reduce the burden of diabetes among Pacific Islanders in Hawaii and the Pacific by conducting Community Based Participatory Research that integrates cultural construct (including region and spirituality) to inform future diabetes prevention and management interventions.

描述（申请人提供）： 项目概要：2 型糖尿病流行是一个全球性健康问题，在包括北马里亚纳群岛联邦 (CNMI) 在内的美国太平洋岛屿联邦 (USAPI) 尤为严重。1 北马里亚纳群岛联邦的糖尿病患病率为 34%，比美国 8% 的糖尿病患病率高出四倍。2-4 居住在美国的太平洋岛民也 与一般人群相比，他们面临着更大的糖尿病负担。5-7 根据少数族裔健康办公室的数据，夏威夷原住民和其他太平洋岛民的糖尿病发病率 (20.6%) 高于白人 (6.4%)。8 尽管夏威夷和太平洋地区有糖尿病预防和管理计划，但成功的部分原因是缺乏针对太平洋受众的定制方案。9,10 尽管有大量建议11-18 将太平洋文化建构（包括灵性）纳入健康干预措施，据我们所知，北马里亚纳群岛或太平洋地区尚无研究探讨将这些文化建构纳入糖尿病预防和管理。为了满足太平洋地区的研究需求，太平洋慢性病联盟与夏威夷和太平洋地区的信仰社区联盟之间建立了创新伙伴关系。这一新的合作伙伴关系，也称为行动信仰研究联盟 (FARA)，选择爱荷华大学作为其科学合作伙伴，北马里亚纳群岛联邦和夏威夷作为该研究项目的两个地点。这项研究还将受益于信仰界和医学界的专家。我们的目标是利用社会认知理论、扎根理论和基于社区的参与性研究（CBPR）过程来协助开发基于文化的创新概念框架，解释文化、宗教、家庭和糖尿病预防和控制等结构之间的关系。该框架将有助于设计未来的糖尿病预防和控制干预措施。 公共卫生相关性：项目叙述 2 型糖尿病对太平洋岛民的影响尤为严重。信仰行动研究联盟的目标是通过开展基于社区的参与性研究来减轻夏威夷和太平洋地区太平洋岛民的糖尿病负担，该研究整合了文化建设（包括地区和精神），为未来的糖尿病预防和管理干预措施提供信息。