Admin-Core-001

管理核心-001

• 批准号: 10380517
• 负责人: DEDRA S BUCHWALD
• 金额: $ 105.47万
• 依托单位: WASHINGTON STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-08-01 至 2023-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10380517
• 关键词: Address; Adult; Affect; Aggressive behavior; Alaska; Alaska Native; American Indians; Asians; Awareness; Blood Pressure; Cardiovascular Diseases; Categories; Censuses; Cessation of life; Cities; Collaborations; Communities; Coronary Arteriosclerosis; Data; Data Collection; Diabetes Mellitus; Diagnosis; Electronic Health Record; Ensure; Environment; Ethnic group; European; Family; Genetic; Goals; Health; Healthcare; Heart; Heart Diseases; Home Blood Pressure Monitoring; Hypertension; Individual; Infrastructure; Intervention; Intervention Studies; Kidney Failure; Knowledge; Language; Literature; Longitudinal Studies; Methods; Military Personnel; Minority Groups; Modeling; Monitor; Morbidity - disease rate; Motivation; Native Hawaiian; Native-Born; Neighborhood Health Center; Pacific Island Americans; Participant; Patients; Physical activity; Policies; Population; Population Heterogeneity; Population Study; Prevalence; Privatization; Process; Public Health; Race; Recording of previous events; Reporting; Research; Research Personnel; Research Priority; Research Project Grants; Risk; Risk Factors; Role; Science; Source; Stroke; Technology; Text Messaging; Translating; Universities; Work; World Health Organization; base; blood pressure regulation; cardiovascular disorder epidemiology; cardiovascular disorder risk; demographics; disorder risk; experience; frontier; health data; health disparity; health inequalities; improved; innovation; interest; medication compliance; minority health; mortality; multidisciplinary; neglect; programs; public health relevance; racial and ethnic; response; stroke risk; theories; urban area

Abstract Among the 6 racial and ethnic categories recognized by the US Census Bureau, 3 stand out for their similarity in history, demographics, visibility, and health: American Indians (AIs), Alaska Natives (ANs), and Native Hawaiians and Pacific Islanders (NHPIs). NHPIs and AI and ANs (the latter 2 are typically combined) are the smallest and second-smallest US racial groups, with populations of 1.2 and 5.2 million, respectively. These groups experience harsh disparities in health and mortality compared to US Whites. Concerning are their population prevalences of hypertension, cardiovascular disease (CVD), and stroke, which are as high as, and usually higher than, US Whites. Despite these serious public health inequities, both groups have been largely neglected by health research. A literature search for interventions targeting blood pressure (BP) control as a contributor to CVD and stroke in AIs, ANs, and NHPIs returned no results. No interventions – and thus no multilevel intervention studies – have ever focused on BP control in these groups. Accordingly, the overarching objective of Native-Controlling Hypertension And Risks through Technology (Native-CHART) is to improve control of BP and associated CVD and stroke risk factors among these populations. Our research agenda articulates a practical model of health and health disparities grounded in lived experience as well as in theory. Our community-based participatory approach increases the likelihood that findings will confer sustainable benefits within AI, AN, and NHPI communities, which range from large urban areas to frontier villages in Alaska. Our approach harnesses technologies available in the settings where participants live, work, and obtain healthcare – including electronic health records, text messaging, online grocery shopping apps, wearable physical activity monitors, and home BP monitors. Our 3 Research Projects feature interventions at the individual, family, community, and policy levels. Our Specific Aims are to: 1) expand and establish new collaborations with research partners across private, tribal, and public constituencies that address BP control within a multilevel intervention framework; 2) develop a multilevel, multisector infrastructure that ensures inclusion of local, regional, and national views on research priorities and approaches to controlling BP; 3) promote a scientifically rigorous, culturally informed program of inquiry that acquires new knowledge to implement innovative approaches to increase hypertension knowledge and awareness, activate patients, increase medication adherence, and improve BP control among AIs, ANs, and NHPIs. Our goal is to move research on BP control and CVD and stroke risk factors in these communities beyond its current, largely descriptive state, and translate that knowledge into meaningful action.

抽象的 在美国人口普查局认可的 6 个种族和民族类别中，有 3 个类别因其相似性而脱颖而出 历史、人口统计、能见度和健康：美洲印第安人 (AI)、阿拉斯加原住民 (AN) 和原住民 夏威夷人和太平洋岛民 (NHPI) 以及 AI 和 AN（后两者通常合并）。 美国最小和第二小的种族群体，人口分别为 1.2 和 520 万。 与美国白人相比，这些群体在健康和死亡率方面存在严重差异。 高血压、心血管疾病 (CVD) 和中风的人口患病率高达 尽管存在严重的公共卫生不平等，但这两个群体在很大程度上都高于美国白人。 被健康研究忽视的针对血压（BP）控制干预措施的文献检索。 导致 AI、AN 和 NHPI 中 CVD 和中风的因素没有返回结果，因此没有干预措施。 多层次干预研究——一直关注这些群体的血压控制。 通过技术本地控制高血压和风险 (Native-CHART) 的目标是改善 控制这些人群中的血压以及相关的心血管疾病和中风危险因素。 阐明了基于生活经验和理论的健康和健康差异的实用模型。 我们基于社区的参与方法增加了研究成果赋予可持续发展的可能性 AI、AN 和 NHPI 社区受益，范围从大城市地区到阿拉斯加的边境村庄。 我们的方法利用参与者生活、工作和获取环境中可用的技术 医疗保健 - 包括电子健康记录、短信、在线杂货购物应用程序、可穿戴设备 我们的 3 个研究项目以干预措施为特色。 个人、家庭、社区和政策层面的具体目标是： 1) 扩大和建立新的。 与私人、部落和公共选区的研究合作伙伴合作，解决血压控制问题 2）发展多层次、多部门的基础设施，确保 纳入地方、区域和国家对研究重点和控制血压的方法的看法； 促进科学严谨、文化丰富的探究计划，获取新知识 实施创新方法来提高高血压知识和意识，激活患者， 提高 AI、AN 和 NHPI 的用药依从性并改善血压控制。 对这些社区的血压控制、心血管疾病和中风危险因素的研究超出了目前的范围 描述性状态，并将该知识转化为有意义的行动。