Performance Improvement 2000. Prevention Services

01/01/2000

Alaska Native Teen Tobacco

The purpose of the Alaska Native Teen Tobacco Cessation Project is to (1) help the youth who participate in the project to quit tobacco; (2) motivate the youth to become tobacco prevention and cessation advocates in their communities; (3) determine the effectiveness of cessation camp model in helping youth to quit tobacco. If successful, further application of this model would be promoted. This is a three year project.

AGENCY SPONSOR: Office of Public Health

FEDERAL CONTACT: Fowler, Elizabeth A.
301-443-3024

PIC ID: 7128

PERFORMER: Indian Health Service
Rockville MD

EXPECTED DATE OF COMPLETION: 12/30/2002

Effectiveness of Evaluation of Systematic Implementation of Clinical Prevention Protocols for Chronic Disease Risk Reduction

This project will address health prevention and the reduction of chronic disease complications through development of a tracking system for use by the physicians and patients. This tracking system will serve as a model for tribes with health contracts.

AGENCY SPONSOR: Office of Public Health

FEDERAL CONTACT: Fowler, Elizabeth A.
301-443-3024

PIC ID: 5938

PERFORMER: Nashville Area Indian Health Service
Nashville TN

EXPECTED DATE OF COMPLETION: 09/30/2000

Evaluation of the Behavioral Risk Factor Surveillance System's Results and Their Applicability to the Native Population of Anchorage

This study will determine the relative accuracy, validity and reliability of the Behavioral Risk Factor Surveillance System (BRFSS) risk estimates of the Anchorage Native population, compared with data collected using other techniques that include: (1) door-to-door household surveys, (2) key informant surveys, and (3) intercept data collection from Natives seeking primary care services in Anchorage from the Alaska Native Medical Center and the Primary Care Center. The analyses are revealing those particular risk factors that appear to be most significantly misrepresented by the BRFSS. This factor, combined with a more clinical analysis of those factors that pose the greatest risks to the health and well-being of the Native community, will be used in determining which questions to include on the key informant survey. Due to the nature of the survey, a relatively concise instrument is required, and only those items holding a high priority on one or both of the selection criteria (i.e., representation problems with the BRFSS and high clinical/medical risk) will be included in the key informant survey instrument.

AGENCY SPONSOR: Indian Health Service

FEDERAL CONTACT: Fowler, Elizabeth A.
301-443-3024

PIC ID: 7137

PERFORMER: Indian Health Service
Rockville MD

EXPECTED DATE OF COMPLETION: 09/30/2000

Hyperlipidemia and Coronary Heart Disease (CHD) in Native Americans: Evaluation of Lipid Control Through a Pharmacist Managed Lipid Clinic

The purpose of this project is to evaluate the results of CV clinic coronary heart disease (CHD) risk management, counseling and aggressive medical nutritional therapy and pharmacological-therapeutic treatment of hyper-cholesterol in primary and secondary prevention in American Indian/Alaska Native (AI/AN) patients. The study will evaluate whether a pharmacist can effectively manage patients with dyslipidemias in comparison to usual care. In order to do this, the study will look at the proportion of patients enrolled in the CV clinic who meet target goals for total cholesterol, LDL cholesterol and triglycerides, compared to those receiving only the usual care. Secondly, the cost-effectiveness of the CV clinic will be evaluated. Lastly, changes in morbidity and mortality will be evaluated. If the findings of this evaluation show that the CV clinic is cost effective and successful in decreasing morbidity and mortality in the native population, this clinic could serve as a national prototype for other Indian Health Service (IHS) facilities.

AGENCY SPONSOR: Office of Public Health

FEDERAL CONTACT: Fowler, Elizabeth A.
301-443-3024

PIC ID: 7139

PERFORMER: Indian Health Service
Rockville MD

EXPECTED DATE OF COMPLETION: 09/30/2000

Infant/Child Restraint Usage and Program Effectiveness

This project will determine (1) the effectiveness of Billings Area Indian Health Service (IHS) car seat programs; and (2) how to increase the use of carseats. Study subjects, mothers of children under three years old, will be recruited while at the hospital and at well-child clinics. Methods to increase awareness of the benefits of using car seats will include “buckle-up” campaigns and encouraging tribal councils to pass and enforce seat-belt ordinances.

AGENCY SPONSOR: Office of Public Health

FEDERAL CONTACT: Fowler, Elizabeth A.
301-443-3024

PIC ID: 5529

PERFORMER: Indian Health Service
Rockville MD

EXPECTED DATE OF COMPLETION: 09/30/2000

Pueble of Zuni End Stage Renal Disease (ESRD) Quality of Life Survey

This study will assist the Pueblo of Zuni to measure the level of burden and quality life factors associated with end stage renal disease as it effects tribal members and their families.

AGENCY SPONSOR: Office of Public Health

FEDERAL CONTACT: Fowler, Elizabeth A.
301-443-3024

PIC ID: 6411

PERFORMER: Indian Health Service
Rockville MD

EXPECTED DATE OF COMPLETION: 09/01/2001

Study of the Impact of a Full-Time Community Health Nurse on the Health of Native American (Sioux) Patients with Hypertension & Prevention .....

This project will study the impact of a full-time community health nurse on the detection and follow-up of hypertension within a specific Native American tribe, the Sioux. The impact of having a full-time community health nurse on the prevention of and education cerebrovascular, cardiovascular and renal disease within this population will also be examined.

AGENCY SPONSOR: Office of Public Health

FEDERAL CONTACT: Fowler, Elizabeth A.
301-443-3024

PIC ID: 6413

PERFORMER: Aberdeen Area Indian Health Service
Aberdeen, SD

EXPECTED DATE OF COMPLETION: 09/01/2001

Utilizing the Indian-Specific Health Risk Assessment to Evaluate Community Health Promotion/Disease Prevention Programs

This project will: (1) produce a planning and assessment model for rural Alaska villages to develop a community behavior risk profile, (2) plan and implement appropriate intervention strategies, and (3) determine the impact of these interventions. It will collect baseline data through a community-wide health risk appraisal (HRA), and use model results to: (1) identify the most serious health risk behaviors, (2) plan appropriate interventions, (3) re-administer the HRA in the community after a trial period to determine its impact, and (4) conduct a workshop for other communities to facilitate program replication.

AGENCY SPONSOR: Office of Public Health

FEDERAL CONTACT: Fowler, Elizabeth A.
301-443-3024

PIC ID: 4996

PERFORMER: Southeast Alaska Regional Health Corporation
Sitka AK

EXPECTED DATE OF COMPLETION: 12/20/1999