Development Project 1

开发项目1

• 批准号: 8744894
• 负责人: BETI THOMPSON
• 金额: $ 8.22万
• 依托单位: FRED HUTCHINSON CANCER RESEARCH CENTER
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-09-25 至 2018-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8744894
• 关键词: Adoption; American Indians; Attention; Back; Behavioral; Collaborations; Communities; Community Outreach; Consumption; Dedications; Development; Educational workshop; Effectiveness; Ensure; Environment; Experimental Designs; Farming environment; Food; Goals; Health; Health Food; Hour; Intake; Intervention; Life Style; Malignant Neoplasms; Monitor; Navajo; New Mexico; Obesity; Outcome Measure; Phase; Pilot Projects; Plants; Population; Public Health; Randomized; Research; Sample Size; Seasons; Self Efficacy; Trust; Work; anticancer research; base; college; design; fruits and vegetables; health disparity; improved; intervention program; meetings; member; multi-component intervention; programs; self-renewal; social cognitive theory; social norm

This pilot project is part of an ongoing partnership with members of the Navajo Nation in New Mexico. The long range goal of this cancer-related public health intervention proposal in underserved communities is to improve vegetable and fruit consumption and general health among people ofthe Navajo Nation. The Southwest American Indian population has low intake of vegetables and fruit, especially among the Navajo, who also have high rates of obesity. The Navajo Nation land is a food desert because of its lack of access to affordable healthy foods, but the Navajo people are receptive to the wellness intervention proposed. Gardens and small farms that involved growing your own produce were once part of a healthy lifestyle for Navajo people. Traditionally, planting is viewed as a renewing activity, and each growing season is an opportunity for self renewal. Research collaborations with the Navajo Nation require dedication of hours in conversations and meetings at regular intervals over several years to gain trust. We have worked closely with members of the Navajo Nation over the past five years and have built a successful collaborative relationship. Many community leaders are now reaching out to NMSU and other cooperative extension agents for assistance with bringing gardens back to the communities on the Navajo Nation. We plan to build further on these current collaborations and together build the Capacity of our partners to develop and evaluate a sustainable garden-based health intervention program to improve health and wellness of the Navajo people and their neighbors. Specifically, we aim to: 1) Develop a multi-component intervention that integrates community gardens, educational workshops and community outreach components in Navajo communities; 2) Estimate the effects of an integrated intervention on adoption of gardening practices, vegetable and fruit intake; and 3) Estimate the effects of an integrated intervention on self-monitoring, self-efficacy, behavioral capability, and social norms related to gardening and vegetable and fruit consumption. Guided by an adaptation of social cognitive theory, we plan jointly to develop community gardens and to provide a culturally appropriate integrated behavioral change program with technical horticultural support to augment these garden projects through a phased collaborative intervention in Navajo communities. Aspects of Navajo culture and traditional practices will be integrated into the intervention activities. Navajo Technical College, Dine College and NMSU cooperative extension agents are an essential part ofthe intervention to ensure sustainability. This project will lay the groundwork, including specification ofthe intervention and ofthe outcome measures, for an R01 type proposal to formally evaluate the effectiveness ofthe intervention with a group randomized design. In the pilot, using a quasi-experimental design, we will obtain estimates of effect size and variability for use in determining the sample size for the R01. This proposal is directly responsive to the overall goal ofthe NMSU/FHCRC partnership: it will increase the capacity of NMSU to conduct cancer research in a competitive environment and attention at FHCRC to cancer-related health disparities research.

该试点项目是与新墨西哥州纳瓦霍族成员持续合作的一部分。这项针对服务不足社区的癌症相关公共卫生干预提案的长期目标是改善纳瓦霍族人民的蔬菜和水果消费以及总体健康状况。西南美洲印第安人的蔬菜和水果摄入量较低，尤其是纳瓦霍人，他们的肥胖率也很高。纳瓦霍族土地因缺乏负担得起的健康食品而成为食物荒漠，但纳瓦霍人愿意接受拟议的健康干预措施。自己种植农产品的花园和小农场曾经是纳瓦霍人健康生活方式的一部分。 传统上，种植被视为一种更新活动，每个生长季节都是自我更新的机会。 与纳瓦霍族的研究合作需要在几年内定期投入大量时间进行对话和会议，以获得信任。过去五年来，我们与纳瓦霍族成员密切合作，并建立了成功的合作关系。许多社区领袖现在正在向 NMSU 和其他合作推广机构寻求帮助，将花园带回纳瓦霍族保留地的社区。我们计划在当前的合作基础上进一步发展，共同建设我们合作伙伴的能力，以开发和评估可持续的基于花园的健康干预计划，以改善纳瓦霍人及其邻居的健康和福祉。 具体来说，我们的目标是： 1) 制定多方干预措施，将纳瓦霍社区的社区花园、教育研讨会和社区外展活动结合起来； 2) 估计综合干预措施对园艺实践、蔬菜和水果摄入量的影响； 3) 估计综合干预对与园艺和蔬菜水果消费相关的自我监控、自我效能、行为能力和社会规范的影响。 在社会认知理论的指导下，我们计划共同开发社区花园，并提供文化上适当的综合行为改变计划和园艺技术支持，通过对纳瓦霍社区的分阶段协作干预来增强这些花园项目。纳瓦霍文化和传统习俗的各个方面将被纳入干预活动中。纳瓦霍技术学院、戴恩学院和新墨西哥州立大学合作推广机构是确保可持续性的干预措施的重要组成部分。该项目将为 R01 类型提案奠定基础，包括干预措施和结果测量的规范，以通过小组随机设计正式评估干预措施的有效性。在试点中，我们将使用准实验设计获得效应大小和变异性的估计值，用于确定 R01 的样本大小。该提案直接响应了 NMSU/FHCRC 合作伙伴关系的总体目标：它将提高 NMSU 在竞争环境中进行癌症研究的能力以及 FHCRC 对癌症相关健康差异研究的关注。