; This project collaboratively forges an alternative future for American Indian people relative to diabetes. Several disciplines are joined from within the clinical health, social, behavioral, and cultural sciences as well as native advisors to comprise the intellectual engine of this proposed center. Knitting these diverse professional cultures into an effective interdisciplinary force will be done by iterative psychoeducational seminars.
The Specific Aims are to reduce health disparities among American Indian (Al) people by 1) conducting medical and sociocultural research strengthening diabetes prevention and management in the context of contemporary Al culture, 2) developing interdisciplinary values and skills pervading all operations, 3) developing curricula fostering new skills and manpower in health disparities research, 4) collaborating with Al communities to produce diabetes education in culturally appropriate ways using new, easily accessed media, and 5) administering Center operations by Al's with Al perspectives that honor all people and things. The Administrative Core is composed of the PI, Project Coordinator, Administrative Director, and two staff assistants. This Core will manage all Center functions. The Research Core has three Research Sub-Projects: 1) discovering cultural categories of parental distress due to diabetes care of children with Type 1 and 2 diabetes for use in behavioral medicine counseling, 2) testing efficacy of financial incentives for increasing physical activity in obese youth and change in cardiometabolic status, and 3) comparing the differential risk for preeclampsia among Caucasian, American Indian, and Hispanic women to explore hypothesized protective effects in indigenous people of the Western hemisphere. The Research Training/Education Core will 1) develop a new certificate program in nursing on health disparity reduction research, practice, and ethics, 2) develop the capacity to produce a series of 12-minute video stories (a highly valued approach to teaching among Al's) for dissemination and evaluation, and 3) conduct education on diabetes to Al adults with integrated encouragement to serve as health disparities research subjects. The Community Engagement/Outreach Core will 1) conduct a Youth Asset building program using community, family, and individual factors that assist youth in avoiding risky health behaviors, 2) evaluate the CDC Eagle Books in public schools with high Al enrollment, and 3) add a new community partner comprised of owners of rural, small food stores to begin promoting healthy foods, and 4) continue the Oklahoma City Area Intertribal Health Board partnership of all tribes in Oklahoma. Texas, and Kansas.

Public Health Relevance

This project will improve the public's health by reducing the unacceptably huge diabetes health disparity crisis among Al people through finding better means to: provide clinical care in its treatment, prevent onset, reduce familial distress in chronic disease coping, develop better healthy decision-making among youth, and develop better means to communicate healthy lifestyle choices. The project also creates a collaboration with rural, small food outlets as

Agency
National Institute of Health (NIH)
Institute
National Institute on Minority Health and Health Disparities (NIMHD)
Type
Exploratory Grants (P20)
Project #
5P20MD000528-11
Application #
8565194
Study Section
Special Emphasis Panel (ZMD1-RN)
Project Start
2013-06-01
Project End
2017-05-31
Budget Start
2013-06-01
Budget End
2014-05-31
Support Year
11
Fiscal Year
2013
Total Cost
$49,486
Indirect Cost
$14,667
Name
University of Oklahoma Health Sciences Center
Department
Type
DUNS #
878648294
City
Oklahoma City
State
OK
Country
United States
Zip Code
73117
Hoffhines, Heather; Whaley, Kelleigh Dean; Blackett, Piers R et al. (2014) Early childhood nutrition in an American Indian community: educational strategy for obesity prevention. J Okla State Med Assoc 107:55-9
Gardner, Andrew W; Parker, Donald E; Krishnan, Sowmya et al. (2013) Metabolic syndrome and arterial elasticity in youth. Metabolism 62:424-31
Basu, Arpita; Alaupovic, Petar; Wu, Mingyuan et al. (2012) Plasma lipoproteins and preeclampsia in women with type 1 diabetes: a prospective study. J Clin Endocrinol Metab 97:1752-62
Gardner, Andrew W; Parker, Donald E (2011) Arterial elasticity in American Indian and Caucasian children, adolescents, and young adults. Vasc Med 16:275-83
Gardner, Andrew W; Parker, Donald E (2011) Predictors of large and small artery elasticity in healthy subjects from 9 to 89 years old. Am J Hypertens 24:599-605
Azar, Madona; Basu, Arpita; Jenkins, Alicia J et al. (2011) Serum carotenoids and fat-soluble vitamins in women with type 1 diabetes and preeclampsia: a longitudinal study. Diabetes Care 34:1258-64
Krishnan, Sowmya; Copeland, Kenneth C; Bright, Brianna C et al. (2011) Impact of type 1 diabetes and body weight status on cardiovascular risk factors in adolescent children. J Clin Hypertens (Greenwich) 13:351-6
Edwards, Karethy; Patchell, Beverly (2009) State of the science: a cultural view of Native Americans and diabetes prevention. J Cult Divers 16:32-5
Short, Kevin R; Blackett, Piers R; Gardner, Andrew W et al. (2009) Vascular health in children and adolescents: effects of obesity and diabetes. Vasc Health Risk Manag 5:973-90