FAMILY CENTERED DIABETES PROJECT FOR PUEBLO NATIVE AMS

普韦布洛本地 AMS 以家庭为中心的糖尿病项目

• 批准号: 6337966
• 负责人: JANETTE S CARTER
• 金额: $ 21.17万
• 依托单位: UNIVERSITY OF NEW MEXICO
• 依托单位国家: 美国
• 财政年份: 1993
• 资助国家: 美国
• 起止时间: 1993-08-01 至 2001-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6337966
• 关键词: Alaskan Native American; behavioral /social science research tag; body composition; clinical research; diabetes mellitus; diabetes mellitus therapy; exercise; family; family structure /dynamics; functional ability; health care service utilization; hemoglobin As; human subject; human therapy evaluation; lifestyle; nutrition; nutrition related tag

Diabetes is a major concern for Native American communities nationwide. In New Mexico the prevalence of diabetes in some tribes is as high as 30% in adults ages 35 and older, and dramatically rising diabetes mortality rates for Native Americans exceed other ethnic groups in the state. The Native American Diabetes Project (NADP) seeks to improve the lives of people with diabetes from eight Rio Grande Pueblo communities served by three Indian Health Service (IHS) clinics. The specific aim is to determine whether a diabetes lifestyle program delivered within the setting of group (family and friends) meetings will have a positive impact. Outcome measures are functional status, family functioning, nutrition and excercise habits, hemoglobin A1c, body mass index, and health care use. A community-based, quasi-experimental research design is being used with three experimental arms: 1) diabetes lifestyle information delivered within group (family and friends) meetings, 2) the same information delivered with a one-on-one appointment, and 3)usual care control (delayed intervention). The NADP has successfully followed the timeline of project as originally outlined; however, an additional eighteen months is required for complete quantitative and qualitative data analysis. This proposal outlines the following activities: 1) analyses and interpretation of quantitative data, 2)analyses and interpretation of qualitative data needed to interpret the quantitative findings, and 3)reporting to participating tribes and clinics with presentation and publication of results to the professional community. Therefore, the purpose of this competing continuation is to request additional funds for 18 months for the analysis, interpretation, and reporting of findings.

糖尿病是美洲原住民社区的主要关注点 全国。 在新墨西哥州，有些糖尿病患病率 在35岁及以上的成年人中，部落高达30％，急剧 美洲原住民的糖尿病死亡率上升超过其他 该州的族裔。 美国原住民糖尿病项目 （NADP）试图改善糖尿病患者的生活 三个印度健康服务的八个里奥格兰德·普韦布洛社区 服务（IHS）诊所。 具体目的是确定糖尿病的生活方式是否 在小组（家人和朋友）的设置中提供的计划 会议将产生积极影响。 结果指标是 功能状态，家庭功能，营养和运动习惯， 血红蛋白A1C，体重指数和医疗保健使用。 一个 正在使用基于社区的准实验研究设计 用三个实验臂：1）糖尿病生活方式信息 在小组（家人和朋友）会议中交付，2）相同 通过一对一的任命提供的信息，3）通常 护理控制（延迟干预）。 NADP成功地遵循了项目的时间表 最初概述；但是，另外18个月是 完整的定量和定性数据分析所需。 这 提案概述了以下活动：1）分析和 定量数据的解释，2）分析和解释 解释定量发现所需的定性数据，以及 3）向参与的部落和诊所报告，以及 向专业社区发布结果。 因此， 这种竞争延续的目的是要求其他资金 在18个月内进行分析，解释和报告 发现。