Chukka Auchaffi’ Natana: The Weaving Healthy Families Program to Promote Wellness and Resilience and Prevent Alcohol and Other Drug Abuse and Violence

Chukka Auchaffi – Natana：编织健康家庭计划，旨在促进健康和复原力并防止酒精和其他药物滥用和暴力

• 批准号: 10394647
• 负责人: Catherine McKinley
• 金额: $ 9.88万
• 依托单位: TULANE UNIVERSITY OF LOUISIANA
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-05-15 至 2025-04-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10394647
• 关键词: Address; Affect; Alcohol abuse; Alcohols; Behavioral; Bison; Cardiovascular Diseases; Cause of Death; Cessation of life; Child Abuse and Neglect; Child Rearing; Choctaw; Cognition; Communities; Community Health; Consolidated Framework for Implementation Research; Diabetes Mellitus; Drug abuse; Drug usage; Emotional; Environment; Evidence based program; Family; Family Violence; Family member; Goals; Health; Health Promotion; Individual; Intervention; Knowledge; Liver Cirrhosis; Manuals; Measures; Mental Health; Methodology; Methods; Mississippi; Modeling; Native Americans; Only Child; Outcome; Outcomes Research; Poisoning; Population; Premature Mortality; Principal Investigator; Process; Psyche structure; Recommendation; Research; Research Methodology; Risk; Risk Factors; Suicide; Testing; Time; Translations; Tribes; Violence; Woman; Work; adolescent alcohol and drug use; alcohol and other drug; alcohol prevention; anger management; base; chronic liver disease; cohort; community based participatory research; cultural values; design; drug misuse; efficacious intervention; efficacy testing; emotion regulation; experience; health disparity; implementation intervention; innovation; intimate partner violence; men; mortality; neglect; nutrition; prevent; preventive intervention; programs; protective factors; racial disparity; resilience; scale up; social; trial design; violence prevention; young adult

Project Summary Alcohol and other drug (AOD) abuse and family violence are secondary health effects of COVID-19 and risk factors for the Native American (NA) health disparities that drive mortality rates. Given the gap in culturally- grounded programs to address these secondary effects of COVID-19—AOD abuse and violence in families— there is a critical need to test the efficacy of digitally enhanced and sustainable community-based interventions. The long-term goal of the parent research is to promote health and wellness, while preventing and reducing AOD abuse and violence in NA families. The supplement will extend this to address the secondary health effects of COVID-19 promoting access, sustainability, and engagement with a digitally assisted intervention. Using community-based participatory research methods (CBPR), the overall objectives of the proposed parent award are to use a stepped-wedge trial design (SWTD) to test the efficacy of the community-based, “Weaving Healthy Families program (WHF)”, which will prevent, reduce, and postpone the secondary health effects of COVID-19, namely AOD use and violence in families while promoting resilience and wellness (including mental health) among NA adults and youth. Objective 1 of the Supplement is to examine the secondary health effects of COVID-19, namely AOD abuse, IPV, as well as family functioning, and mental/physical health. Our working hypothesis is that the greater stress imposed by COVID-19 will worsen AOD abuse, IPV, and family conflict, but the WHF program will ameliorate these secondary health effects. We continue to use the parent grant's SWTD where groups (i.e. 175 MBCI families) are randomly assigned the order in which they receive the intervention. We examine the sex differences for COVID-19, using sex as a moderator to understand whether and how sex moderates the secondary health effects of COVID-19 and the differential effect of the WHF program by sex. We also integrate the explanatory sequential mixed- methods design to evaluate socio-behavioral impacts of COVID-19 through 30-50 qualitative interviews with female heads of household. Objective 2 of the Supplement is to evaluate the sustainability and feasibility of the WHF program with the inclusion of the mHealth component through the use of SMS text messaging to enhance the reach, access, engagement, efficiency, quality, and sustainability of the adapted evidence-based intervention. Our working hypothesis is that the inclusion of SMS text messages for survey and session reminders, engagement, and psychoeducation during and after the WHF program will improve the reach, access, engagement, efficiency, quality, and sustainability of the program. We use the parent grant's CFIR and the explanatory sequential mixed-methods design to evaluate the impact of qualitative and quantitative engagement methods enhanced with SMS text messaging. This research is well-matched to the supplement as the digitally enhanced WHF program directly addresses the secondary health effects of COVID-19, in particular AOD abuse, violence and family conflict, as well as health and mental health.

项目概要 酗酒和其他药物 (AOD) 滥用和家庭暴力是 COVID-19 的次要健康影响和风险 美洲原住民 (NA) 健康差异导致死亡率的因素。鉴于文化上的差距—— 旨在解决 COVID-19 的这些次要影响的扎根计划——AOD 滥用和家庭暴力—— 迫切需要测试数字增强和可持续的基于社区的有效性 干预措施。家长研究的长期目标是促进健康和保健，同时预防 减少 NA 家庭中的 AOD 虐待和暴力。该补充文件将对此进行扩展，以解决 COVID-19 的次要健康影响促进了数字化的获取、可持续性和参与 辅助干预。使用基于社区的参与式研究方法（CBPR），总体目标 拟议的家长奖的目的是使用阶梯楔形试验设计（SWTD）来测试的有效性 以社区为基础的“编织健康家庭计划（WHF）”，该计划将预防、减少和推迟 COVID-19 的次要健康影响，即 AOD 的使用和家庭暴力，同时提高复原力 北美成年人和青少年的健康（包括心理健康）。该补充文件的目标 1 是 检查 COVID-19 对健康的继发影响，即 AOD 滥用、IPV 以及家庭功能， 和心理/身体健康。我们的工作假设是，COVID-19 带来的更大压力将 恶化 AOD 滥用、IPV 和家庭冲突，但 WHF 计划将改善这些次要健康 影响。我们继续使用家长补助金的 SWTD，其中组（即 175 个 MBCI 家庭）是随机的 指定他们接受干预的顺序。我们检查了 COVID-19 的性别差异，使用 性别作为调节因素，了解性别是否以及如何调节 COVID-19 的继发性健康影响 以及 WHF 计划按性别的差异效应。我们还整合了解释性顺序混合 方法设计通过 30-50 次定性访谈来评估 COVID-19 的社会行为影响 女性户主。补充文件的目标 2 是评估可持续性和可行性 WHF 计划包含移动医疗组件，通过使用 SMS 短信来 增强基于证据的适应性的覆盖面、获取、参与、效率、质量和可持续性 干涉。我们的工作假设是，将短信纳入调查和会议 WHF 计划期间和之后的提醒、参与和心理教育将扩大影响范围， 该计划的可及性、参与度、效率、质量和可持续性。我们使用父资助的 CFIR 和 用于评估定性和定量影响的解释性序贯混合方法设计 通过短信增强参与方式。这项研究与补充材料非常匹配 由于数字化增强的 WHF 计划直接解决了 COVID-19 对健康的二次影响， 特别是 AOD 滥用、暴力和家庭冲突，以及健康和心理健康。