Elevating NW Tribal Health Sciences: NW NARCH Program

提升西北部落健康科学：西北 NARCH 计划

• 批准号: 10487401
• 负责人: THOMAS MARK BECKER
• 金额: $ 120.87万
• 依托单位: NORTHWEST PORTLAND AREA INDIAN HLTH BD
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-09-10 至 2025-07-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10487401
• 关键词: Academia; Accreditation; Address; Advisory Committees; Alaska Native; American Indians; Area; Biomedical Research; Biometry; Chronic Disease; Collaborations; Communities; Community Health; Data; Data Set; Development; Elderly; Equilibrium; Fall prevention; Fellowship; Fellowship Program; Fright; Funding; Goals; Grant; Health; Health Alliance; Health Priorities; Health Professional; Health Sciences; Health Status; Healthcare; Human Resources; Individual; Infrastructure; Institutes; Institution; Internet; Intervention; Leadership; Mentors; Methods; Modification; Monitor; Native American Research Center for Health; Native-Born; Oregon; Persons; Prevalence; Prevention Research; Prevention education; Research; Research Personnel; Research Project Grants; Research Support; Research Training; Role; Strategic Planning; Students; Technology; Training; Training Programs; Tribes; Trust; United States Indian Health Service; United States National Institutes of Health; Universities; Vocational Guidance; balance testing; cancer prevention; community center; community partnership; design; disparity reduction; distrust; evidence base; experience; faculty mentor; falls; follow-up; health data; health disparity; improved; intervention program; lectures; member; programs; racial health disparity; response; skills; substance misuse; summer research; training project; tribal community; tribal health; tribal leader; tribal member; tribal organization

Project Summary: Overall Three premises underlie the development of our NW NARCH. First, despite longstanding efforts by tribal, federal, and state health care programs, the available data show substantial disparities in health for NW American Indian and Alaska Native people (AI/ANs) compared to non-AI/ANs. NW tribal leaders fear that their health status is getting worse instead of better; this fear unfortunately has been substantiated with health data that show increases in key chronic disease conditions, instead of decreases, over the past 20 years. Second, Indian communities distrust health research because of negative experiences with non-AI/AN researchers who did not respect tribal needs or sensitivities, even though carefully implemented health research has the potential to provide solutions to reduce, and ultimately eliminate, existing health disparities. Third, health research done by highly skilled AI/ANs who are sensitive to the culture and specific concerns of NW and other Indian communities can bridge the gap between academia and community, though currently we lack the critical mass of AI/AN researchers necessary to accomplish this task. In response to these three issues, we have established the NW NARCH to form a tribal-academic partnership for community-based health research focused on eliminating racial health disparities and will continue this partnership with this application. The 43 NW Indian communities represented by NPAIHB have a long track record of coordinated efforts to improve their health status; our tribal-academic partnerships with Oregon Health & Science University and Portland State University will build a wide-reaching and multi-layered infrastructure to increase the skills of AI/AN researchers, and address health problems of critical importance to the tribes. Our Board delegates and Board of Advisors have directed us to pursue three training projects in this application: 1) a fellowship program that will increase the numbers of tribal people who are trained to conduct cancer prevention research among tribal people, 2) continuation of our Summer Research Training Institute for AI/AN health professionals, so that they can develop the skills needed to function as researchers in their current roles with their tribal organizations 3) an applied biostatistics fellowship designed to train a cadre of AI/AN people to conduct a variety of analyses with their own tribal data or through accessing administrative datasets, and 4) a pilot research project on fall prevention using very high technology methods for balance assessments. We trust that we will have substantial impact on AI/AN communities through supporting trainees and increasing the number of rigorously trained tribal people in conducting health and biomedical research of relevance to the tribes…consistent with the NIH Strategic Plan for Tribal Health Research FY 2019-2023.

项目摘要：总体 三个前提是我们西北地区的发展。首先，努力了部落的长期努力， 联邦和州卫生保健计划，可用的数据显示了西北的大量健康分布 与非ai/ans相比，美洲印第安人和阿拉斯加土著人民（AI/ANS）。西北部落领导人担心他们 健康状况恶化而不是更好。不幸的是，这种恐惧已经得到了健康数据的证实 这表明在过去20年中，关键的慢性疾病状况增加而不是下降。第二， 印度社区不信任健康研究，因为非ai/一个研究人员的负面经历 即使精心实施的健康研究具有 提供解决方案以减少并最终消除现有健康差异的潜力。第三，健康 高技能AI/ANS对NW和其他其他问题敏感的研究 印度社区可以弥合学术界与社区之间的鸿沟，尽管目前我们缺乏关键 大量的AI/一个研究人员需要完成这项任务。 为了回应这三个问题，我们已经建立了西北纳克（NW Narch）建立了部落学术的伙伴关系 对于基于社区的健康研究，重点是消除种族健康差异，并将继续这一点 与此应用程序合作。由NPAIHB代表的43 NW印度社区的轨道很长 协调努力改善其健康状况的记录；我们与俄勒冈州的部落学术伙伴关系 健康与科学大学和波特兰州立大学将建造广泛的多层 提高AI/A/A研究人员技能的基础设施，并解决至关重要的健康问题 部落。我们的董事会代表和顾问委员会指示我们从事三个培训项目 此申请：1）奖学金计划将增加受过培训的部落​​人数 在部落人群中进行癌症预防研究，2）继续我们的夏季研究培训 AI/A卫生专业人员学院，以便他们可以发展作为研究人员的工作所需的技能 他们目前在部落组织中的角色3）旨在培训干部的应用生物统计学奖学金 AI/AN人通过​​自己的部落数据进行各种分析或通过访问管理 数据集，以及4）使用非常高的技术方法来平衡秋季预防的试点研究项目 评估。 我们相信，我们将通过支持培训和增加对AI/A社区产生重大影响 受过严格培训的部落​​人数进行了与该人有关的健康和生物医学研究的数量 部落…与2019-2023财年NIH战略计划一致。