Preventing CVD in Native Populations: Traditional Living

预防土著居民的心血管疾病：传统生活方式

• 批准号: 7068691
• 负责人: CHERYL KAY RITENBAUGH
• 金额: $ 21.64万
• 依托单位: UNIVERSITY OF ARIZONA
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-07-10 至 2008-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7068691
• 关键词: Alaskan Native American; adolescence (12-20); adult human (21+); alternative medicine; behavioral /social science research tag; biomarker; body weight; cardiovascular disorder epidemiology; cardiovascular disorder prevention; cardiovascular disorder risk; clinical research; community; folk medicine; health care service planning; health services research tag; human subject; interdisciplinary collaboration; lifestyle; motivation; questionnaires

DESCRIPTION (provided by applicant): American Indians and Alaska Natives AlANs suffer the highest rates of health disparities, such as CVD, where lifestyle is a key risk factor. Behavior change interventions that have been attempted to date with AlANs have frequently incorporated native cultural components as a means of making the intervention culturally relevant. They have usually NOT started with native culture and indigenous wisdom as the community strength and foundation upon which to stimulate the motivation for and design of an intervention. The project proposed here develops from a CBPR-based masters' thesis that identified a 10-day immersion experience in traditional culture and life-ways - the Traditional Living Challenge (TLC) - followed by a 3- month follow-up period for continuing the changes begun during the immersion, as a mechanism for community revitalization around wellness. This project will be a collaboration between the University of Arizona and Salish Kootenai College (SKC) to design and pilot a community-based CVD risk reduction intervention using the TLC as the basis for motivation and commitment to wellness. This application proposes a 2-year planning process that will accomplish the following goals: build capacity for NIH-funded research at SKC; develop collaborations among the tribal health department, cultural leaders, tribal council, and other relevant tribal units; identify the most appropriate age-gender and risk factor target population segment; choose and evaluate relevant outcome measures and potential effect size; evaluate the feasibility of the project through a full pilot process including all aspects of intervention and data collection; and design a full-scale study for submission as an R01. The planning process and subsequent study will be guided by Internal and External Advisory Groups, with the External Advisory Group assuring scientific integrity (via the scientific consultants) and relevance for dissemination to other tribal communities (via the tribal members). This is the first step in a program of research that would lead first to full-scale implementation within the Confederated Salish and Kootenai Tribes and subsequently to a multi-community dissemination trial, potentially among AIAN communities represented on the External Advisory Board.

描述（由申请人提供）：美洲印第安人和阿拉斯加原住民的健康差异率最高，例如心血管疾病，其中生活方式是一个关键风险因素。迄今为止，针对 AlAN 尝试的行为改变干预措施经常纳入本土文化成分，作为使干预措施具有文化相关性的手段。他们通常不会从本土文化和本土智慧开始，作为激发干预动机和设计干预的社区力量和基础。这里提出的项目源自基于 CBPR 的硕士论文，该论文确定了传统文化和生活方式的 10 天沉浸式体验 - 传统生活挑战 (TLC) - 随后是 3 个月的后续期，以继续变化是在沉浸期间开始的，作为围绕健康的社区振兴机制。该项目将由亚利桑那大学和萨利什库特奈学院 (SKC) 合作，设计和试点基于社区的 CVD 风险降低干预措施，使用 TLC 作为激励和健康承诺的基础。该申请提出了一个为期 2 年的规划流程，将实现以下目标： 建设 SKC NIH 资助的研究能力；发展部落卫生部门、文化领袖、部落理事会和其他相关部落单位之间的合作；确定最合适的年龄-性别和风险因素目标人群；选择并评估相关结果指标和潜在影响大小；通过完整的试点过程评估项目的可行性，包括干预和数据收集的各个方面；并设计一项全面的研究以作为 R01 提交。规划过程和后续研究将由内部和外部咨询小组指导，外部咨询小组确保科学完整性（通过科学顾问）和与其他部落社区传播的相关性（通过部落成员）。这是研究计划的第一步，该计划将首先在萨利什部落和库特奈部落内全面实施，随后进行多社区传播试验，可能在外部咨询委员会有代表的 AIAN 社区中进行。