Northern California Healthy Indian Communities/University of California, Davis Me

描述（由申请人提供）：在其他相关疾病中，肥胖和糖尿病对美洲印第安人的影响尤为严重。通常是美洲印第安人居住地区的建筑环境造成了这个问题。虽然这些问题是重要的研究课题，但美国印第安人社区往往觉得外部研究人员来评估情况，而不是留下来改善情况。此外，他们觉得自己对这个过程几乎没有控制力，这反过来又限制了他们参与研究甚至学习研究的兴趣。我们的目标是提高北加州几个美洲印第安人社区的能力，指导可能在他们中间进行的研究类型，以改善他们的健康。具体目标包括：1。培训社区研究助理、作为社区与学术研究人员之间联络人的社区领导人，这些学术研究人员将在保健方面响应社区的愿望，并将加强社区对所选项目的支持。2. 培训社区评估机构和社区成员使用基于社区的参与性研究（CBPR），使社区能够根据对改善健康结果的预期确定其研究重点并对其进行排序。3. 对社区服务机构和社区成员进行调查和其他数据收集技术方面的培训，以便将来能够研究建筑环境对社区健康的影响，从而改进它。4. 加强和扩展加州大学戴维斯分校与社区之间七年前建立的现有电信网络，以促进加州大学戴维斯分校与社区和临床工作之间的教育和合作，造福社区。5. 建立北加州部落机构审查委员会，审查和确定由北加州印第安社区确定并包括北加州印第安社区的研究项目的相关性。这一过程将是双向的，社区在为改善其健康而开展的未来研究的过程和方向上拥有强大的发言权。在这些社区中有一批训练有素的骨干人员，未来研究的可持续性将是可能的，因为社会科学家和健康研究人员不仅会发现一个丰富的环境来研究建筑环境，而且会发现一个欢迎的环境，在这个环境中，成员们明白这种研究对他们自己的健康有多重要。这种未来的研究将提供重要的健康信息来源。我们期望这种相互作用的结果是深远的，并影响到其他美国印第安社区和受肥胖和合并症影响的一般人群。

DESCRIPTION (provided by applicant): Obesity and diabetes, among other related illnesses, affect American Indians disproportionately. Often it's the built environment of the areas in which American Indians live that contributes to this problem. While these issues are important topics of research, too often American Indian communities feel that outside researchers come in to evaluate the situation but do not stay to improve it. Further, they feel that they have little control over this process, which in turn, limits their interest in participating in research or even learning about it. Our objectives are to enhance the ability of several American Indian communities in Northern California to direct the type of research that might be carried out among them to improve their health. Specific aims include: 1. Training community research associates (CRAs), community leaders serving as the liaison between their communities and the academic researchers who will respond to the wishes of the community in terms of relevance for health and who will enhance community support of the projects chosen. 2. Train CRAs and community members in the use of Community Based Participatory Research (CBPR) to allow the communities to determine and rank their research priorities according to anticipation of improved health results. 3. Train CRAs and community members in the development of surveys and other data collection techniques to allow future research into the effects of the built environment on community health in order to improve it. 4. Enhance and extend the existing telecommunications network established between UCDMC and the communities over seven years ago to enable education and collaboration between UCDavis and community based and clinically based endeavors for the benefit of the community. 5. Develop the Nor-Cal Tribal Institutional Review Board, to review and determine the relevance of research projects which are identified by and include northern California Indian communities. This process will be bi-directional with communities having a strong voice in the process and direction of future studies developed to improve their health. With a cadre of trained personnel in these communities, sustainability of future research will be likely, as social scientists and health researchers will find not only a rich environment for studies on the built environment but a welcoming environment in which members understand how important such research is for their own health. Such future studies will provide important sources of health information. We expect that the results of such an interaction be far-reaching and affect other American Indian communities and the general population impacted by obesity and comorbidities. PUBLIC HEALTH RELEVANCE: The obesity epidemic and resulting illnesses affect American Indian communities disproportionately; proven public health measure to improve the built environment that encourages unhealthy dietary habits and activity levels can have great and far ranging impact. Our project aims to empower the community to determine the course of health research carried out among them by teaching them the rationale and methods of community- based research and to develop an institutional review board composed of community members who will establish the level of safety and appropriateness of future health research that may occur in their communities. This will be accomplished by enhancing the long term academic/community partnership that we developed over more than five years and by expanding our telehealth network which we have used to great advantage with our community partners to develop programs that improve their health.