Oklahoma Center on American Indian Diabetes Health Disparities

俄克拉荷马州美洲印第安人糖尿病健康差异中心

• 批准号: 7503509
• 负责人: Joseph Neil Henderson
• 金额: $ 82.49万
• 依托单位: UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-09-30 至 2012-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7503509
• 关键词: Oklahoma; Center; American; Indian; Diabetes

DESCRIPTION (provided by applicant): The purpose of the Oklahoma Center for American Indian Diabetes Health Disparities (OCAIDHD) is to reduce and eventually eliminate the excess mortality, morbidity, and quality of life and culture lost due to diabetes. The primary impacts of the OCAIDHD will be on diabetes, maternal health, infant mortality, and obesity. The OCAIDHD confronts health disparities by focusing the expertise of a multi-disciplinary, multi-college team of diabetes researchers on specific biological, physiological, behavioral, and cultural stressors of the disease. The Center also has added non-university strengths owing to its partnership with the Oklahoma City Area Inter-tribal Health Board (covering all tribes in Oklahoma, Kansas, and Texas) and its Southern Plains Center on American Indian Epidemiology. That the OCAIDHD is directed by an American Indian (AI) researcher is a significant part of its ability to relate to American Indian people who continue to endure health disparities in the face of unprecedented medical technology for diabetes. The Center is organized by four cores: 1) Administration, 2) Research, 3) Research Training and Education, and 4) Community Engagement and Outreach. The Administrative Core will serve as the overall unit of coordination, supervision, and accounting. It will be directed by the Center PI and have an internal Executive Committee comprised of the PI, Co-Pi, Project Coordinator, and all Core Directors. The Administrative Core will also house the External Advisory Committee comprised of AI diabetes researchers and leaders outside the University. The Research Core will be directed by the Center's Co-PI. The Research Core will oversee three Full Proposals and four Pilot Projects. The cross-cutting theme is reduction of the multiplicative effects of biomedical and sociocultural insults to optimal management of diabetes. Full Proposal topics are 1) Early Markers of Pre-eclampsia in American Indians with Type 2 Diabetes, 2) Insulin Resistance and Glucocorticoid Treatment of Inflammatory Diseases of High Prevalence among AFs, and 3) AI Diabetes Beliefs and Practices: Maternal Care, Infant Mortality, and Adherence. Pilot Projects will explore these topics: 1) SF-36 Medical Outcomes Survey: Validations and Cultural Adaptation in the American Indian Population with Diabetes, 2) Weight Bearing Activity: Links to Diabetic Foot Health in American Indians, 3) Regular Moderate Exercise in Elementary-aged American Indians: Steady Activity in Life Study (SAILS), and 4) Arterial Elasticity in Overweight and Normal Weight American Indian Children. The Research Training/Education Core is directed by an AI who is the head of the Southern Plains Epidemiology Center of the OCAIHD's partner organization. The core's activities will prepare nurses from AI clinics and hospitals in Oklahoma and Kansas with the instruction and support necessary to conduct practical research studies within their health care settings. Completion of this activity will result in a cadre of AI nurse researchers with a specialty in diabetes, a curriculum for model replication, and a process evaluation. This core will also coordinate other education activities of the Center .The Community Engagement/Outreach Core is directed by an AI behavioral science specialist in childhood traumas. This core will augment and support the Native Youth Preventing Diabetes summer camp open to all Oklahoma AI's age 8-12 years. This vital project will expand the number of attendees and collect data on fasting lipids, glucose, blood pressure, random blood glucose, waist circumference, and BMI.

描述（由申请人提供）：俄克拉荷马州美洲印第安人糖尿病健康差异（OCAIDHD）的目的是减少并最终消除由于糖尿病而失去的过剩死亡率，发病率以及生活质量和文化。 OCAIDHD的主要影响将是糖尿病，孕产妇健康，婴儿死亡率和肥胖症。 OCAIDHD通过关注糖尿病研究人员的多学科，多大学研究人员的专业知识来面对健康差异。该中心还增加了与俄克拉荷马城地区间卫生委员会的合作伙伴关系（涵盖俄克拉荷马州，堪萨斯州和德克萨斯州的所有部落）及其在美洲印第安流行病学的南部平原中心。 OCAIDHD是由美洲印第安人（AI）的研究人员指导的，它是其与美国印第安人建立联系的重要组成部分，他们面对前所未有的糖尿病医疗技术，他们继续忍受健康差异。该中心由四个核心组织：1）管理，2）研究，3）研究培训和教育，以及4）社区参与和外展。行政核心将充当协调，监督和会计的整体单位。它将由PI中心指导，并由PI，Co-Pi，项目协调员和所有核心董事组成一个内部执行委员会。行政核心还将举办外部咨询委员会，由AI糖尿病研究人员和大学以外的领导者组成。研究核心将由该中心的Co-Pi指导。研究核心将监督三个完整的建议和四个试点项目。横切主题是减少生物医学和社会文化侮辱对糖尿病最佳管理的乘法效应。完整的建议主题是1）2型糖尿病的美洲印第安人的早期标志物，2）胰岛素抵抗和糖皮质激素治疗对AFS高患病率的炎症性疾病的治疗，以及3）AI糖尿病信念和实践：糖尿病的信念和实践：孕妇护理，婴儿死亡率和增强性。飞行员项目将探讨以下主题：1）SF-36医疗结果调查：糖尿病的美洲印度人人口的验证和文化适应，2）体重承受活动：与美国印第安人的糖尿病足健康的联系，3）定期进行中等的美国印第安人中等运动：美国印第安人的中度运动：生活中的稳定活动（赛车）和4）竞争激烈的人，竞争激烈的人，越来越平衡。研究培训/教育核心是由AI导演的，该AI是OCAIHD合作伙伴组织南部平原流行病学中心的负责人。该核心的活动将为俄克拉荷马州和堪萨斯州AI诊所和医院的护士做好准备，并在其医疗保健环境中进行实用研究所必需的指导和支持。这项活动的完成将导致AI护士研究人员的干部，具有糖尿病专业，模型复制课程和过程评估。该核心还将协调中心的其他教育活动。社区参与/外展核心是由儿童创伤的AI行为科学专家指导的。该核心将增加并支持防止糖尿病夏令营的土著年轻人向所有俄克拉荷马州AI开放的8-12岁。这个重要的项目将扩大与会者的数量，并收集有关禁食脂质，葡萄糖，血压，随机血糖，腰围和BMI的数据。