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Elevating NW Tribal Health Sciences: NW NARCH Program

提升西北部落健康科学：西北 NARCH 计划

基本信息

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
项目类别：
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

项目摘要

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.

项目总结：