CBPR Institute 2013

Home » Designing and Testing Strategies to Prevent Diabetes among Urban American Indians

Designing and Testing Strategies to Prevent Diabetes among Urban American Indians



Beginning in the Fall of 2011, the Indian Health Center of Santa Clara Valley (IHC) initiated a research partnership with the Stanford Program on Prevention Outcomes and Practices (PPOP) with support from the Stanford Office of Community Health (OCH). The partnership is comprised of four entities depicted in the figure. The group drafted the following vision statement for their partnership:

“This is an equal research partnership between Indian Health Center of Santa Clara Valley (IHC) and Stanford University Program on Prevention Outcomes and Practices to demonstrate effective models for improving health, reducing disparities, and informing policy. As a partnership, we value meaningful community engagement, primary prevention and wellness, and rigorous research methodology. We are committed to sustainability of the IHC Community Wellness and Outreach Programs.”

This collaboration would benefit the community by further developing and enhancing the wellness and health programs offered to them by IHC and by empowering members to engage in the research process. IHC by strengthening the staff’s capacity to provide effective programs and to rigorously evaluate them within a CBPR framework and to disseminate effective models of care. Stanford by providing researchers with experience in CBPR in the American Indian community and opportunities to disseminate the research through scientific and policy mechanisms. The ultimate goal of this research partnership is to 1) Improve health among American Indians in Santa Clara County and other community members served by IHC; 2) Train IHC staff to conduct clinical research; 3) Educate Stanford researchers on conducting CBPR in American Indian communities.



Randall S. Stafford, MD, PhD

Stanford Program on Prevention Outcomes and Practices


Lisa Goldman Rosas, PhD, MPH

Stanford Program on Prevention Outcomes and Practices


Jan Vasquez Chacon, MPH

Indian Health Center


Ramin Naderi, MA

Indian Health Center


Randall Stafford is an associate professor of medicine at the StanfordPreventionResearchCenter and a fellow at CHP/PCOR. He is an epidemiologist, health services researcher and primary-care internist. His research focuses on patient and physician interventions to improve chronic disease prevention, and the mechanisms by which physicians adopt new prevention practices. Many of his published studies have documented and raised concerns about the so-called “quality gap” — the healthcare system’s failure to consistently implement clinically proven therapies — and have helped shape policy initiatives aimed at improving medical care. His research has also focused on drug costs and patterns of medication prescribing. At the StanfordPreventionResearchCenter, he directs the Program on Prevention and Outcomes Practices. He maintains clinical responsibilities at Stanford’s Preventive Cardiology and Internal Medicine clinics, and serves on StanfordMedicalSchool’s faculty Senate. From 1994 to 2001 he served on the faculty at HarvardUniversityMedicalSchool and at Massachusetts GeneralHospital’s Institute for Health Policy, where he was principal investigator on several federally funded projects that assessed and sought to improve physician practices. As assistant director of primary care operations improvement at Massachusetts General, he led several projects aimed at improving the quality of outpatient care at the hospital. He joined the Stanford faculty in 2001. Stafford earned a BA in sociology from ReedCollege, an MS in health administration from JohnsHopkinsUniversity, an MD from UC-San Francisco and a PhD in epidemiology from UC-Berkeley. He completed an internal medicine residency at Massachusetts GeneralHospital and a fellowship in epidemiology at the federal Centers for Disease Control and Prevention.


Lisa Goldman Rosas, PhD MPH is Instructor of Medicine in the Stanford School of Medicine. Dr. Rosas joined the StanfordPreventionResearchCenter as the Research Director of the Program on Prevention Outcomes and Practices in 2010.  She completed a Postdoctoral Fellowship on Social Disparities in Health at the University of California San Francisco. Dr. Rosas received her master’s degree in public health and PhD in epidemiology from the University of California, Berkeley.  Dr. Rosas’ research focuses on reducing the prevalence of obesity and related comorbidities among low-income minority children and their families in the United States.


Jan Vasquez (Chacon) –  CHES has managed the Diabetes Prevention Program (DPP) at the Indian Health Center of Santa Clara Valley (IHC) in San Jose, CA since 2007. Jan manages several grants including the Indian Health Services DPP, Valley Health Plan DPP, CDC REACH and Veggie RX. Through Jan’s leadership and vision, IHC’s DPP has been the recipient of Six National Recognitions including the 2011 UIHI Leadership in Data use Award, 2011 APHA Archstone Foundation Award for Innovation (hon. mention), 2010 CDC Frank Vinicor Award of Excellence, 2009 ADA John Pipe Award for program Innovation, 2009 National Indian Health Board Local Impact Award and the 2008 YMCA Activate America Award. IHC’s DPP was featured in the International Diabetes Federation’s Diabetes Voice magazine as well as the ADA’s Diabetes Forecast magazine. Jan has been instrumental in creating and developing IHC’s CBPR collaborative.


Ramin Naderi’s career as a health and wellness professional began in 1996 after being diagnosed with diabetes. Ramin created a pathway to health for himself and found that he was able to teach it to others. This prompted Ramin to change his career direction and in 2002, he earned a Masters degree in Kinesiology with a concentration in Adapted Physical Activity from San Jose State University. In 2003 at the request of American Indian community members, Ramin began a journey to create a Wellness Center dedicated to the underserved, low income, low access populations in Santa Clara Valley. With over 15 years of experience in the health and wellness field, 10+ years of grassroots activities in the American Indian community and as the Indian Health Center of Santa Clara Valley’s Community Wellness and Outreach Director, Ramin believes in community empowerment. He believes that with the right information and support systems, a healthy life, including avoiding chronic illness, is achievable for almost everyone. Wellness Center programs embody his training and experience in healing the community. He is dedicated to creating healing pathways for the American Indian and Alaska Native community in Santa Clara County.


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