Adaptation and implementation of a Cherokee-based participatory research project to reduce CVD risk

改编和实施基于切罗基的参与性研究项目以降低心血管疾病风险

• 批准号: 10349446
• 负责人: MELISSA LEWIS
• 金额: $ 13.39万
• 依托单位: UNIVERSITY OF MISSOURI-COLUMBIA
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-02-15 至 2025-01-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10349446
• 关键词: Address; Adopted; Adult; Affect; Age; American Heart Association; American Indians; Behavior; Blood Pressure; Body mass index; Cardiovascular Diseases; Cause of Death; Cessation of life; Cherokee Indian; Cherokee Nation, Oklahoma; Collaborations; Communities; Community Participation; Data Collection; Development; Development Plans; Diet; Education; Enrollment; Ensure; Evaluation Studies; Excision; Exercise; Focus Groups; Foundations; Funding; Future; General Population; Generations; Goals; Health; Hypertension; Intervention; Interview; Knowledge; Language; Learning; Life Style; Logistics; Mental Depression; Mental Health; Mentors; Methods; Minority Groups; Morbidity - disease rate; Non-Insulin-Dependent Diabetes Mellitus; Obesity; Oklahoma; Outcome; Participant; Pathology; Personal Satisfaction; Persons; Pharmaceutical Preparations; Physical activity; Pilot Projects; Population; Positioning Attribute; Prediabetes syndrome; Prevalence; Prevention; Prevention program; Primary Prevention; Principal Investigator; Protocols documentation; Public Health; Randomized Controlled Trials; Recording of previous events; Reporting; Research; Research Activity; Research Methodology; Research Personnel; Research Project Grants; Risk Factors; Science; Smoking; Social support; Stress; Surveys; Time; Training; Tribes; Unhealthy Diet; Work; Writing; acceptability and feasibility; aged; base; cardiovascular disorder prevention; cardiovascular disorder risk; cardiovascular health; career; career development; commune; community based participatory research; community based research; cultural values; diet and exercise; disease disparity; effectiveness trial; evidence base; exercise regimen; experience; federal policy; flexibility; health equity; healthy lifestyle; high risk population; improved; indigenous community; informant; innovation; lifestyle intervention; member; mortality; novel strategies; participant retention; pilot test; premature; prevent; programs; research and development; sedentary lifestyle; social; social culture; success; successful intervention; trend; tribal Nation; young adult

ABSTRACT American Indians (AI) have the largest prevalence of cardiovascular disease (CVD) in the nation with double the prevalence compared to non-AIs. Programs developed and implemented in the general population to prevent CVD may not be appropriate or effective for AI populations due to unique environmental barriers and cultural differences. The PI, a member of the Cherokee nation, proposes a career development plan and research to facilitate her development into a leader in interventions to prevent CVD and other negative health outcomes among American Indians. The first specific aim is to adapt an existing Cherokee program to maximize reach to more Cherokee Nation citizens and address primary prevention of CVD in Cherokee Nation (CN) adults. The second aim is to conduct a pilot study to demonstrate acceptability and feasibility of the adapted intervention. The third aim is to complete a rigorous career development plan including mentoring plans, training plans, and pertinent coursework. The community-based participatory research project is centered in Tahlequah, Oklahoma with the Cherokee Nation and built on a three-year research relationship between the tribe and the PI. Over this time, the PI has worked with this community to evaluate a current Cherokee-created program, Remember the Removal, that aims to improve the health and well-being of select young adult citizens through programs that teach Cherokee culture, language and history along with improving diet and exercise. The new program, Journey of Cherokees, to be developed with community participation, will build on the prior program’s foundation but include expanded enrollment capacity, a larger age range, and flexible physical activity programs. The goal of the proposed project is to advance the science of community-partnered generation of culturally specific health interventions by promoting the power of cultural learning and cultural revitalization. The proposed research and career development plan will position the PI to obtain R01 funding within the 5-year study period, and to become a nationally recognized leader in innovative lifestyle interventions for preventing CVD and other negative health outcomes among AIs.

抽象的 美洲印第安人 (AI) 的心血管疾病 (CVD) 患病率是全美最高的，是美国印第安人 (AI) 的两倍 与非人工智能相比，在普通人群中制定和实施的预防方案。 由于独特的环境障碍和文化障碍，CVD 可能不适合或对人工智能人群无效。 PI 是切罗基族的成员，他提出了职业发展计划和研究以 帮助她发展成为预防心血管疾病和其他负面健康结果干预措施的领导者 第一个具体目标是调整现有的切罗基计划，以最大限度地覆盖美国印第安人。 更多切罗基族公民并解决切罗基族 (CN) 成年人心血管疾病的一级预防问题。 第二个目标是进行试点研究，以证明调整后的干预措施的可接受性和可行性。 第三个目标是完成严格的职业发展计划，包括指导计划、培训计划和 以社区为基础的参与性研究项目以俄克拉荷马州塔勒阔为中心。 与切罗基民族合作，并建立了该部落与 PI 之间为期三年的研究关系。 当时，PI 与该社区合作评估当前 Cherokee 创建的程序，请记住 驱逐，旨在通过以下项目改善特定年轻成年公民的健康和福祉： 教授切罗基文化、语言和历史，同时改善饮食和锻炼。 切罗基人的项目将在社区参与下开发，将建立在先前项目的基础上，但 包括扩大招生规模、扩大年龄范围和灵活的体育活动项目的目标。 拟议的项目旨在推进社区合作一代文化特定健康的科学 通过促进文化学习和文化复兴的力量进行干预。 职业发展计划将使PI能够在5年学习期内获得R01资助，并成为 预防心血管疾病和其他不良健康的创新生活方式干预领域全国公认的领导者 人工智能之间的结果。