COMMUNITY ENGAGEMENT CORE

社区参与/外展核心 具体目标 糖尿病在俄克拉荷马州美国印第安人已达到不可接受的水平，估计 患病率为14.5%。它被认为是一种巨大的流行病， 无法接受的残疾和死亡水平。不幸的是，研究表明，美国印第安人 儿童和青少年现在患肥胖症、糖耐量异常和2型糖尿病的风险增加， 糖尿病，最初被认为是中年人的问题。此外， 怀孕期间患有糖尿病的母亲患这些结果的风险更大。因此，根据 在俄克拉荷马州美国印第安人糖尿病健康差异中心（OCAIDHD）的主持下， 社区参与/外展核心将继续在出口中心下开始的使命， 致力于儿童和青少年糖尿病的一级和二级预防， 美国印第安人社区值得注意的是，五名核心人员中有三名是研究人员， 俄克拉荷马州美国印第安部落的成员，并广泛参与人工智能社区。 该核心包括两项干预措施：1）土著青年预防糖尿病（NYPD）和2） 鹰图书计划。 具体目标#1：通过初级保健解决糖尿病的社区和个人风险因素 针对儿童和青少年的预防战略。 具体目标2：扩大土著青年预防糖尿病计划， 社区. 具体目标3：扩大“鹰书”系列的传播范围， 俄克拉荷马州部落社区。 具体目标4：从以下方面评估纽约警察局方案的有效性：参与者人数， 参与者和家庭对方案的反应，以及以下方面的量化指数：营养和 糖尿病防治知识，体力活动，行为健康，体重指数，空腹血糖，空腹 血脂和血压 具体目标#5：评估鹰图书的有效性：发行数量， 孩子、家庭和社区对这本书的反应。

Community Engagement/Outreach Core Specific Aims Diabetes in Oklahoma American Indians has reached unacceptable levels, with an estimated prevalence rate of 14.5% . It is considered to be an epidemic of monumental proportions with unacceptable levels of disability and death. Unfortunately, research has indicated that American Indian children and adolescents are now at increased risk for obesity, abnormal glucose tolerance, and Type 2 diabetes, conditions originally considered problems of middle-aged adults. Furthermore, offspring of mothers with diabetes during pregnancy are at even greater risk for these outcomes. Therefore, under the auspices of the Oklahoma Center for American Indian Diabetes Health Disparities (OCAIDHD), the Community Engagement/Outreach Core will continue the mission begun under the EXPORT center and be dedicated to primary and secondary prevention of diabetes among children and adolescents of American Indian communities. It is notable that three of the five core personnel are researchers who are members of Oklahoma American Indian tribes and have had extensive involvement in AI communities. Two interventions are included in this core: 1) Native Youth Preventing Diabetes (NYPD) and 2) Eagle Books Project. Specific Aim # 1: Address community and individual risk factors for diabetes through primary prevention strategies targeting children and adolescents. Specific Aim # 2: Expand the Native Youth Preventing Diabetes program to include additional tribal communities. Specific Aim # 3: Expand dissemination of the Eagle Book series to reach American Indian children in Oklahoma Tribal communities. Specific Aim # 4: Evaluate the effectiveness of the NYPD program in terms of: number participants, participant and familial response to programs, and quantifiable indices of the following: nutrition and diabetes prevention knowledge, physical activity, behavioral health, BMI, fasting blood glucose, fasting lipids, and blood pressure. Specific Aim # 5: Evaluate the effectiveness of the Eagle Books in terms of: distribution number, and child, family, and community responses to the book series.