ADMINISTRATIVE CORE

该提案旨在建立俄克拉荷马州美国印第安人糖尿病和健康中心 差异（OCAIDHD）。该中心是一个广泛的多学科，跨学院的组织，旨在 收获一系列重要的科学范式，专业知识的特殊领域和研究方法， 重点是改善美国印第安人（AI）之间的糖尿病健康差异。 OCAIDHD的经营理念是：1）所有人都具有内在价值，2） 过度的发病率，死亡率和社区破坏是不可接受的，3）文化多样性是积极的 力，以及4）健康差距的解决方案将是协作的，多学科的，生物心理社会的 定向。有了这些基本主题，人工智能糖尿病健康差异可以通过以下方式广泛参与： 探索性研究，解决几个相互关联的问题。 OCAIDHD的组织基础是扩大和发展， 这是通过出口中心完成的（见项目说明）。扩大和 导致本提案所述办法的演变体现在其新的提法中， 俄克拉荷马州大学健康科学中心（OUHSC）有史以来最广泛的学院 已被带到承担人工智能糖尿病：（按字母顺序后，领先的学院）公共卫生，联合健康， 艺术与科学，医学，护理和药学，加上俄克拉荷马州医学研究基金会 这是在俄克拉荷马州健康科学中心校园的大学， 两者学术研究和教育部门也有史以来最大的代表性 （健康促进科学、卫生政策和管理、流行病学和生物统计学、营养学） 科学、内科、内分泌学、儿科、精神病学、护理学、人类学和 药房）。在这个扩大的健康差距中心发现的学科是医学人类学， 内科学、内分泌学、儿科学、护理学、药学、营养科学、卫生政策、文化 人类学、健康教育、流行病学、生物统计学、寿命研究、儿科心理学，以及 糖尿病教育认证还有以下中心：预防研究中心 美国原住民健康，俄克拉荷马州糖尿病中心，和一般临床和研究中心。 最后，有一个关键的发展伙伴关系，其使命是帮助部落改善人工智能 健康状况和减少健康差距。合作伙伴是俄克拉荷马州城市地区部落间健康 委员会及其南部平原部落间流行病学中心。 这个组织系统是一个名副其实的科学专门知识的生物、心理和社会的机构 以及对糖尿病中AI健康差异问题进行有力攻击的工具。的 具体目标是： 1.与AI部落合作开展糖尿病研究，特别关注 沟通，文化价值观，以及平衡互惠的持续互动， OCAIDHD和AI Nations的成员。 2.对人工智能人群的糖尿病进行多学科研究，目的是 改善和消除目前不可接受的健康差距。 3.通过整合多学科的专业知识，提高研究的影响力。 中心的研究人员成为一个有效的跨学科团队，旨在实现共同的目标， AI糖尿病健康差异改善。 4. * 不断与各部落沟通，介绍协调处在以下方面取得的进展： 显然，这是为了尽可能快地将研究成果转化为真实的生活 对AI人的好处。

This proposal seeks to create the Oklahoma Center for American Indian Diabetes and Health Disparities (OCAIDHD). This Center is a widely multi-disciplinary, cross-college organization designed to harvest a significant range of scientific paradigms, special areas of expertise, and research methods all focused on the amelioration of diabetes health disparities among American Indian (AI) people. The OCAIDHD takes as its operational philosophy that 1) all people are inherently valuable, 2) excess morbidity, mortality, and community disruption is unacceptable, 3) cultural diversity is a positive force, and 4) health disparity solutions will be collaborative, multidisciplinary, and biopsychosocially oriented. With these foundational themes, AI diabetes health disparities can be broadly engaged through exploratory research attacking several interconnected problems. The OCAIDHD has at its foundation of organization, the purpose of expanding and evolving that which was accomplished via the EXPORT Center (see Description of the Project). The expansion and evolution leading to the approach delineated in this proposal is found in its new formulation in which the widest range ever of colleges across the University of Oklahoma Health Sciences Center (OUHSC) has been brought to bear on AI diabetes: (Alphabetical after the lead College) Public Health, Allied Health, Arts & Sciences, Medicine, Nursing, and Pharmacy, plus the Oklahoma Medical Research Foundation that is on the University of Oklahoma Health Sciences Center campus with staff who are employees of both. There is also the largest ever representation of academic research and education departments (Health Promotion Sciences, Health Policy and Management, Epidemiology and Biostatistics, Nutrition Sciences, Internal Medicine, Endocrinology, Pediatrics, Psychiatry, Nursing, Anthropology, and Pharmacy). The disciplines found in this expanded health disparities Center are medical anthropology, internal medicine, endocrinology, pediatrics, nursing, pharmacy, nutrition science, health policy, cultural anthropology, health education, epidemiology, biostatistics, life span studies, pediatric psychology, and Certified Diabetes Education. There are also the following Centers: Prevention Research Center on Native American Health, Oklahoma Diabetes Center, and the General Clinical and Research Center. Last, there is the crucial development of a partnership whose mission it is to assist tribes in improving AI health status and reducing health disparities. The partner is the Oklahoma City Area Inter-Tribal Health Board and its Southern Plains Inter-Tribal Epidemiology Center. This organizational system is a veritable biopsychosocial armamentarium of scientific expertise and tools with which to mount a powerful attack on the problem of AI health disparities in diabetes. The specific aims are: 1. Collaborate with AI tribes in the conduct of research on diabetes with special attention to communications, cultural values, and balanced reciprocity in the ongoing interactions between the OCAIDHD and the members of AI Nations. 2. Conduct multidisciplinary research on diabetes in AI populations with the purpose of ameliorating and eliminating the current unacceptable health disparity gap. 3. Increase the potency of the impact of the research by coalescing the multidisciplinary expertise of the Center's research staff into an effective interdisciplinary team aimed at the common goal of AI diabetes health disparities amelioration. 4. Provide constant communications with tribes regarding the progress made by the OCAIDHD with efforts toward the most rapid possible translation of research findings into real life, obvious benefits to the AI people.