This Program Project grant application (P60), submitted in response to RFA MD-03-003, “Project EXPORT,” will promote high quality, culturally competent, theoretically sound, and programmatically relevant research through a series of projects that promise to shed important light on the barriers as well as facilitators to improved health status and functioning of older American Indians and Alaska Natives. This new, explicitly focused program project, through its synergistic relationship with the NERC/RCMAR, and CNHED and our larger network of organizations/institutions serving AIAN populations, will significantly increase both the extent of as well as subsequent capacity for health services research undertaken by American Indian/Alaska Native investigators, focused on a racial minority population among the most in need.
Towards these ends, the specific aims are to do the following:
- Provide an administrative structure that promotes excellence in research and research capacity-building specific to improving the health and well-being of American Indian and Alaska Native communities.
- Plan and carry out an interdisciplinary, culturally grounded, problem-oriented research program of major scientific and programmatic importance to the health status and functioning of older American Indians and Alaska Natives, with particular emphasis on understanding and improving:a) quality of diabetic care for AI youth; telepsychiatry; documenting obesity among AI infants and children; cancer; chlamydia screening with AI males; increasing fitness among urban AIAN youth; smoking cessation; development and understanding of the performance properties of a widely used health quality measure; assessing/improving the quality of mental health care for AI children
- Structure and pursue career development opportunities for American Indian and Alaska Native investigators through intensive mentorship within the applied health research program described herein.
- Disseminate the results of this work as a means of guiding the design, conduct, and interpretation of future research specific to understanding and reducing the health disparities that plague older adults in American Indian and Alaska Native communities.
- Assist individuals, provider organizations, and other institutions of higher education in planning and implementing similar health research and in maximizing the relevance of its outcomes for application in American Indian and Alaska Native communities.
A unique, interdisciplinary cadre of health scientists, the majority themselves Native, has been assembled from across an existing collaborative network to address these aims. They will staff the PP, which is organized in terms of 5 core components and 4 full research projects and 6 pilot projects. The core components include: an Administrative Core, a Community Outreach/Dissemination Core, Training Core, a Research Core, and a Shared Resources Core. None are entirely new to the proposed effort, but instead capitalize on and extend the existing infrastructure provided by the NERC/RCMAR and CNHED. The result is in an efficient, cost-effective investment that benefits all three programs, while advancing a research agenda that was previously envisioned, but awaited the resources available through this RFA to move to maturity. Likewise, the research projects, which span the emphases relevant within the recently authorized Minority Health and Health Disparities Research Education Act of 2000.
Center Projects Affiliated with EXPORT:
Organizations can receive assistance as they create a project such as a website or a digital storytelling project.
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