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种种族和种族类别中，有3个脱颖而出 在历史，人口统计，知名度和健康中：美国印第安人（AIS），阿拉斯加本地人（ANS）和本地人 夏威夷人和太平洋岛民（NHPIS）。 NHPIS和AI和ANS（后2通常是组合）是 美国种族最小和第二最小的种族群体，人口分别为1.2和520万。这些 与我们白人相比，小组在健康和死亡率方面经历了伤害分布。关于他们的 高血压，心血管疾病（CVD）和中风的人群患病率，它们与 通常高于美国白人。尽管这些严重的公共卫生不平等，但两组都在很大程度上是 健康研究忽略了。作为针对血压（BP）控制的干预措施的文献搜索作为一个 AIS，ANS和NHPIS中CVD和中风的贡献者没有任何结果。没有干预措施 - 因此没有 多层次干预研究 - 曾关注这些组的BP控制。根据总体 通过技术（本地创作）的原始控制高血压和风险的目的是改善 这些人群中BP和相关CVD和中风风险因素的控制。我们的研究议程 阐明了基于现场经验以及理论上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调查结果将使可持续发展的可能性 在AI，AN和NHPI社区内的利益，从大型城市地区到阿拉斯加边境村庄的范围。 我们的方法利用参与者居住，工作和获取的设置中可用的技术 医疗保健 - 包括电子健康记录，文本消息，在线杂货购物应用程序，可穿戴 体育活动监视和家庭BP监视器。我们的3个研究项目在 个人，家庭，社区和政策层面。我们的具体目的是：1）扩展并建立新的 与私人，部落和公共选区的研究合作伙伴的合作，以解决BP控制 在多层干预框架内； 2）开发一个多层次的多环境基础架构，以确保 包括本地，区域和国家关于控制BP的研究重点和方法的看法； 3） 促进科学严格的文化知识询问计划，该计划获取新知识 实施创新的方法来提高高血压知识和意识，激活患者， 增加药物依从性，并改善AIS，ANS和NHPI之间的BP控制。我们的目标是移动 在这些社区中，对BP控制以及CVD和中风风险因素的研究超出了其当前 描述性状态，并将其转化为有意义的行动。