CHECKERBOARD CARDIOVASCULAR CURRICULUM

这份提案描述了一个多学科的研究项目 旨在确定促进生活方式的有效方法， 农村居民心血管健康行为调查 西南部印度学校的儿童，他们的家庭和他们的 社区. 它的基础是需要承认和尊重 它所服务的人民的传统和文化， 流行病学数据从这个离散的人口，并采用 针对文化和地理特征的方法 的人口。 它的目的是：l）产生积极的 目标人群健康行为的变化，以及2） 提供程序开发和实施的模型 适用于其他离散人群。 该项目有三个组成部分：首先是 校本课程的发展、推行及 评价：实验设计包括比较 控制和两个实验条件，其中之一包括 同伴辅助教学。 课程内容包括练习， 营养和肥胖、放射血管系统和烟草使用。 除了以学校为基础的教育外，该项目还利用外联活动， 活动，包括家庭参与、社区卫生日、 和同龄人和代际建模，旨在加强 儿童的学习和鼓励材料的传播， 家庭和社区。 结果衡量标准将包括变化 知识和态度，特别是健康方面的变化， 行为-营养习惯、吸烟和锻炼。 的 第二个组成部分是收集人口和个人- 社会数据可以作为预测变量， 心血管危险行为 第三，该项目将收集 该人群的已知生理学标准数据， 人体测量和心理社会心血管危险因素。 两 这些组件提供了以前无法获得的数据， 心血管疾病发病率和死亡率可能 随着他们接受流行的社会特征而增加， 行为。

This proposal describes a multidisciplinary research project designed to identify effective methods to promote lifestyles and health behaviors conductive to cardiovascular health among rural Southwestern Indian school children, their families and their communities. It is based on the need to recognize and respect the traditions and culture of the people whom it serves, using epidemiologic data from this discrete population and employing approaches specific for the culture and geographic characteristics of that population. It is designed to: l) produce positive changes in the health behaviors of the target population, and 2) provide a model of program development and implementation applicable to other discrete populations. There are three components to the project: First is the development of a school-based curriculum, its implementation and evaluations: the experimental design includes comparison of a control and two experimental conditions, one of which includes peer-assisted teaching. Curricular content includes exercise, nutrition and obesity, the radiovascular system and tobacco use. In addition to school-based education, the project employs outreach activities, including family involvement, community health days, and peer and intergenerational modeling designed to reinforce the children's learning and encourage diffusion of the material to families and communities. Outcome measures will include changes in knowledge and attitudes and especially changes in health behaviors--nutritional habits, tobacco use and exercise. The second component is the collection of demographic and personal- social data which can serve as predictor variables of cardiovascular risk behaviors. Thirdly, this project will collect normative data for this population on known physiologic, anthropometric and psychosocial cardiovascular risk factors. Both of these latter components offer previously unavailable data on a population whose cardiovascular morbidity and mortality are likely to increase as they adopt prevailing social characteristics and behaviors.