The Native Proverbs 31 Health Project

土著箴言 31 健康项目

• 批准号: 8049362
• 负责人: Ronny A Bell
• 金额: $ 22.2万
• 依托单位: WAKE FOREST UNIVERSITY HEALTH SCIENCES
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-09-30 至 2012-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8049362
• 关键词: Adolescent; Adult; African American; American Indians; Behavior; Body mass index; Cardiovascular Diseases; Church; Cigarette; Collaborations; Communities; Community Health; Community Participation; County; Data; Daughter; Decision Making; Development; Diet; Educational Curriculum; Ethnic group; Family; Family Practice; Fatty acid glycerol esters; Fiber; Fostering; Funding; Gatekeeping; General Population; Healed; Health; Health Educators; Health behavior; Health behavior outcomes; Health education; Heart; Intervention; Joints; Life; Lumbee tribe; Mississippi; Modeling; Movement; National Center on Minority Health and Health Disparities; Native Americans; Non-Insulin-Dependent Diabetes Mellitus; North Carolina; Not Hispanic or Latino; Obesity; Outcome Study; Physical activity; Play; Population; Poverty; Prevention program; Prevention strategy; Primary Prevention; Process Assessment; Proverb; Research; Reservations; Risk Factors; Rivers; Role; Rural; Self Efficacy; Smokeless Tobacco; Staging; Stroke; Time; Tobacco use; Training; Tribes; Universities; Woman; Work; arm; base; cardiovascular disorder prevention; cardiovascular disorder risk; community setting; design; disorder prevention; experience; forest; fruits and vegetables; healing; health disparity; health equity; innovation; intervention program; medical schools; primary outcome; programs; racial and ethnic; randomized trial; response; saturated fat; secondary outcome; sedentary; self esteem

DESCRIPTION (provided by applicant): Cardiovascular disease (CVD) rates have increased dramatically among American Indians in recent years. Modifiable CVD risk factors, such as obesity, type 2 diabetes, sedentary behavior, and tobacco use are generally higher in most American Indian communities compared to non-Hispanic whites, although there is limited understanding of the unique cultural aspects of appropriate CVD primary prevention strategies in these populations. The Lumbee Indian tribe, a non-reservation tribe with a population of about 50,000, is the largest American Indian tribe east of the Mississippi River, and is largely concentrated in Robeson County, in southeastern North Carolina (NC). This county is largely rural, has a high poverty rate, and is almost equally divided among American Indians, African Americans and non-Hispanic whites. Limited available data indicate that CVD and its risk factors are very high among American Indians in North Carolina in general and Lumbees in particular. The Lumbee tribe is largely Christian, and the church is a very important component of Lumbee culture, providing opportunities to develop church-based health interventions in this population. The proposed project, entitled, "The Native Proverbs 31 Health Project," is in response to RFA-MD-10-004 (NCMHD Innovative Faith-based Approaches to Health Disparities Research). This project is designed to develop, implement and evaluate a CVD prevention program among Lumbee Indian women in Robeson County, NC, focusing on the biblical messages in Proverbs 31. The following aims will be performed 1) Based on prior research and formative work in the community, collaboratively develop a community-based, culturally appropriate CVD intervention program for Lumbee Indian women in Robeson County, NC, focusing on the health-related messages in biblical passage in Proverbs 31; 2) Implement a 6-month CVD intervention program in four Lumbee Indian churches in Robeson County, NC, using a community health / lay health educator model. 3) Evaluate the community-based, culturally appropriate CVD intervention program on diet, physical activity and tobacco use among Lumbee women using a two-armed randomized trial with a cluster design and delayed intervention for control churches. Our primary outcomes for this study will be changes in health behaviors (diet, physical activity) and movement along the transtheoretical model stages of change for tobacco use. Secondary outcomes will include changes in body mass index (BMI) and changes in self-efficacy and self-esteem. We will conduct process assessments to determine the level of feasibility in the development and delivery of the intervention materials. This model could be adapted for other American Indian churches as well as churches of other racial/ethnic groups. PUBLIC HEALTH RELEVANCE: Project Narrative The proposed project entitled The Native Proverbs 31 Health Project is in response to RFA-MD-10-004. The project is designed to develop, implement and evaluate a church-based CVD prevention program among Lumbee Indian women in Robeson County, NC. The program will focus on an educational curriculum based on the biblical messages in Proverbs 31, which focuses on the behaviors of the "virtuous woman." The primary outcomes include changes in diet, physical activity and tobacco use and secondary outcomes in BMI, self-efficacy and self-esteem.

描述（由申请人提供）：近年来，美洲印第安人的心血管疾病（CVD）率显着提高。与非西班牙裔白人相比，在大多数美洲印第安人社区中，肥胖，2型糖尿病，久坐行为和烟草使用等可修改的CVD危险因素通常更高，尽管对这些人群中适当的CVD初级预防策略的独特文化方面的了解有限。 Lumbee Indian Tribe是一个人口约50,000的非保留部落，是密西西比河以东最大的美洲印第安部落，主要集中在北卡罗来纳州东南部的Robeson县（NC）。这个县在很大程度上是农村的，贫困率很高，在美洲印第安人，非裔美国人和非西班牙裔白人中几乎划分。有限的可用数据表明，CVD及其风险因素在北卡罗来纳州，尤其是卢姆贝斯的美国印第安人中非常高。 Lumbee部落在很大程度上是基督教徒，而教会是Lumbee文化的非常重要的组成部分，为在该人群中开发基于教会的健康干预措施提供了机会。拟议的项目标题为“本地谚语31健康项目”，是对RFA-MD-10-004（NCMHD创新的基于信仰的健康差异研究方法）的回应。 This project is designed to develop, implement and evaluate a CVD prevention program among Lumbee Indian women in Robeson County, NC, focusing on the biblical messages in Proverbs 31. The following aims will be performed 1) Based on prior research and formative work in the community, collaboratively develop a community-based, culturally appropriate CVD intervention program for Lumbee Indian women in Robeson County, NC, focusing on the health-related messages in biblical passage in谚语31; 2）使用社区健康 /外行健康教育家模型，在北卡罗来纳州罗伯森县的四个Lumbee印度教堂中实施了6个月的CVD干预计划。 3）使用两臂随机试验，对LUMBEE妇女在饮食，体育锻炼和烟草使用方面的基于社区的CVD干预计划，并具有群集设计和对控制教会的延迟​​干预。这项研究的主要结果将是健康行为（饮食，体育锻炼）和跨理论模型阶段的变化，用于烟草使用的变化阶段。次要结果将包括体重指数（BMI）的变化以及自我效能和自尊的变化。我们将进行过程评估，以确定干预材料开发和交付的可行性水平。该模式可以适用于其他印度教会以及其他种族/族裔的教堂。 公共卫生相关性：项目叙述拟议的项目题为“本地箴言31健康项目”是对RFA-MD-10-004的回应。该项目旨在开发，实施和评估北卡罗来纳州罗伯森县Lumbee Indian妇女的基于教会的CVD预防计划。该计划将重点介绍基于谚语31中圣经信息的教育课程，该课程的重点是“善良女人”的行为。主要结果包括饮食，体育锻炼和烟草使用的变化以及BMI的次要结果，自我效能和自尊。