DIABETES WELLNESS--AMERICAN INDIAN TALKING CIRCLES

糖尿病健康——美国印第安人讨论圈

• 批准号: 6311890
• 负责人: FELICIA S HODGE
• 金额: $ 3.07万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
• 依托单位国家: 美国
• 财政年份: 1998
• 资助国家: 美国
• 起止时间: 1998-06-01 至 2000-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6311890
• 关键词: Native Americans; behavior test; clinical research; community; culture; data collection; diet; disease /disorder prevention /control; food processing /preparation; health behavior; health care model; human morbidity; human mortality; human subject; lifestyle; model design /development; noninsulin dependent diabetes mellitus; nursing intervention; nutrition related tag; statistics /biometry; therapy compliance; training aid

DESCRIPTION (Adapted from the Investigator's Abstract): Non-insulin Dependent Diabetes Mellitus NIDDM), or Type II Diabetes, has reached epidemic proportions among American Indians throughout North America. The age adjusted diabetes mellitus mortality rate for American Indians and Alaska Natives in the Indian Health Service (IHS) Areas is 21.7 per 100,000. When the three IHS Areas with problems in underreporting of Indian race on death certificates are excluded, the diabetes mellitus mortality rate rises to 41.4 per 100,000. This is 248 percent higher than the US All Races rates of 11.9 per 100,000. Obesity is a risk factor for NIDDM, as well as other chronic diseases. Levels of obesity have increased dramatically among American Indians during the last 50 years. NIDDM is believed to be preventable with a healthy lifestyle which includes proper nutrition and exercise. The goal of this project is to design, implement and evaluate a community-based health care model for American Indians which incorporates culturally appropriate approaches to NIDDM prevention and control. Our target population is American Indian adults residing in the Aberdeen IHS Service Area, which includes the states of Nebraska and South Dakota. Phase I (Year 01) of this three-phase study will consist of planning and start up activities. Staff will be hired and trained, the Advisory Board will be convened, and initial planning will take place. Focus groups will meet during the fourth and eighth months of the first year. Curriculum will be developed, data collection protocols and survey instrument development will take place. The training video will be produced during the last six months of the first year. A cookbook emphasizing local Native American foods will be developed by the Project Field Director. This cookbook will be provided as a gift to participants and will be widely disseminated to the intervention and control groups at the project s end. In Phase II (Years 02 and 03), four sites will be randomized into intervention and control groups. Adult American Indians with diabetes and those at-risk for diabetes will be identified and invited to participate. Wellness Circle (with pre- and post-tests, anthropometric measures and 24 hour dietary recalls) will be implemented in the intervention sites. Pre- and post-tests, anthropometric measures and 24 hour dietary recalls will be administered at the control sites. Phase III (Year 04) activities will focus on completion of data entry, analyses, evaluation/hypothesis testing and reporting on the findings of the intervention and project results. During this final year, control sites will be provided all educational materials and one training session per site.

描述（改编自调查员的摘要）：非胰岛素 依赖性糖尿病已达到糖尿病）或II型糖尿病已达到 整个北美的美洲印第安人的流行比例。 这 美国印第安人的年龄调整后糖尿病死亡率 印度卫生服务（IHS）地区的阿拉斯加土著人为每10万人21.7。 当三个IHS区域在不足的印度竞赛中出现问题时 排除死亡证明，糖尿病的死亡率上升 至每100,000人为41.4。 这比美国所有种族的利率高248％ 每10万人11.9。 肥胖是NIDDM以及其他的危险因素 慢性疾病。 肥胖水平在 在过去的50年中，美洲印第安人。 据信NIDDM是 可预防健康的生活方式，包括适当的营养和 锻炼。 该项目的目的是设计，实施和评估 美国印第安人的基于社区的医疗保健模式 NIDDM预防和控制的文化适当方法。 我们的 目标人群是居住在阿伯丁IHS的美洲印第安人成年人 服务区，包括内布拉斯加州和南达科他州。 阶段 我的三相研究（01年）将包括计划和启动 活动。 员工将被录用和培训，顾问委员会将是 召集了，将进行初始计划。 焦点小组将见面 在第一年的第四和第八个月中。 课程将是 开发的数据收集协议和调查工具开发将 发生。 培训视频将在过去六个月中制作 第一年。 一本强调美洲原住民食品的食谱将 由项目现场总监开发。 这本食谱将提供 作为给参与者的礼物，将被广泛传播到 干预和对照组在项目结束。 在第二阶段（年02年） 和03），将四个站点随机分为干预组和对照组。 成年美洲印第安人患有糖尿病和糖尿病风险的印第安人 确定并邀请参加。 健康圈（带有前和 测试后，人体测量措施和24小时饮食召回）将是 在干预地点实施。 测试前和后期，人体测量学 措施和24小时的饮食召回将在控制下进行 站点。 第三阶段（04年）活动将重点放在数据完成 对发现的输入，分析，评估/假设测试和报告 干预和项目结果。 在最后一年，控制 将为网站提供所有教育材料和一项培训课程 每个站点。