American Indians and Alaska Natives (AI/ANs) are at substantial risk of diabetes. They exhibit rates of diabetes often greater than other citizens; they suffer serious, debilitating complications thereof; a disproportionate share of their scarce health care resources are consumed by a small percentage of patients with diabetes. A growing body of knowledge about evidence-based policies, programs and practices promises to redress these disparities. The Center for American Indian and Alaska Native Diabetes Translation Research: 1) Provides an administrative structure that promotes diabetes-related translational research capacity. Its Pilot and Feasibility Program supports small-scale, innovative projects; the Enrichment program offers related training, technical assistance, and consultation to investigators and key stakeholders; 2) Sustains and expands a Research Base of funded faculty whose research either directly targets diabetes prevention and treatment or is translational in nature with clear potential for application to diabetes translational research; 3) Supports a Translational Research Core that offers resources in community engagement, cultural adaptation of intervention, health literacy, health technologies, dissemination and implementation science, and sustainability to advance a multidisciplinary, culturally grounded, problem-oriented translational research program of major scientific and programmatic importance; 4) Serves as a National Resource Core for other investigators pursuing diabetes translational research with AI/AN communities; and 5) Establishes a Health Disparities Population Core that promotes the dissemination of lessons learned in this Center's areas of expertise to other rural, underserved, and under-represent racial/ethnic populations.

Public Health Relevance

Center Overview: Project Narrative American Indians and Alaska Natives (AI/ANs) exhibit high rates of diabetes and serious, debilitating comorbidities, the treatment of which consumes a large share of increasingly scarce health care resources. This Center promotes research and builds capacity that promises to redress these disparities.

Agency
National Institute of Health (NIH)
Institute
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Type
Center Core Grants (P30)
Project #
5P30DK092923-08
Application #
9559656
Study Section
Special Emphasis Panel (ZDK1)
Program Officer
Thornton, Pamela L
Project Start
2012-05-01
Project End
2021-07-31
Budget Start
2018-08-01
Budget End
2019-07-31
Support Year
8
Fiscal Year
2018
Total Cost
Indirect Cost
Name
University of Colorado Denver
Department
Public Health & Prev Medicine
Type
Schools of Public Health
DUNS #
041096314
City
Aurora
State
CO
Country
United States
Zip Code
80045
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Jiang, Luohua; Chang, Jenny; Beals, Janette et al. (2018) Neighborhood characteristics and lifestyle intervention outcomes: Results from the Special Diabetes Program for Indians. Prev Med 111:216-224
Pratte, Katherine A; Beals, Janette; Johnson, Ann et al. (2018) Recruitment and effectiveness by cohort in a case management intervention among American Indians and Alaska Natives with diabetes. Transl Behav Med :
Teufel-Shone, Nicolette I; Jiang, Luohua; Rockell, Jennifer et al. (2018) Food choices and distress in reservation-based American Indians and Alaska Natives with type 2 diabetes. Public Health Nutr 21:2367-2375
Jiang, Luohua; Johnson, Ann; Pratte, Katherine et al. (2018) Long-term Outcomes of Lifestyle Intervention to Prevent Diabetes in American Indian and Alaska Native Communities: The Special Diabetes Program for Indians Diabetes Prevention Program. Diabetes Care 41:1462-1470
Bullock, Ann; Sheff, Karen; Moore, Kelly et al. (2017) Obesity and Overweight in American Indian and Alaska Native Children, 2006-2015. Am J Public Health 107:1502-1507
Nicklett, Emily J; Omidpanah, Adam; Whitener, Ron et al. (2017) Access to Care and Diabetes Management Among Older American Indians With Type 2 Diabetes. J Aging Health 29:206-221
O'Connell, Joan; Rockell, Jennifer; Ouellet, Judith C et al. (2017) Disparities in Potentially Preventable Hospitalizations Between American Indian and Alaska Native and Non-Hispanic White Medicare Enrollees. Med Care 55:569-575
Jiang, Luohua; Chen, Shuai; Zhang, Ben et al. (2016) Longitudinal Patterns of Stages of Change for Exercise and Lifestyle Intervention Outcomes: An Application of Latent Class Analysis with Distal Outcomes. Prev Sci 17:398-409
Gonzales, Kelly L; Noonan, Carolyn; Goins, R Turner et al. (2016) Assessing the Everyday Discrimination Scale among American Indians and Alaska Natives. Psychol Assess 28:51-8

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