Culturally-Appropriate Treatment for Native Americans

描述（由申请人提供）：关于开发适合印第安人酒精使用障碍的文化治疗方法的争论正在进行，但很少有经验数据。由于许多印第安人接受药物滥用治疗是通过专门针对印第安人的单独项目进行的，但通常不是基于经验的，这一事实进一步扩大了通常的研究与实践差距。新墨西哥大学要求为卡米拉·温纳博士提供早期职业发展和培训支持，她的主要研究兴趣是提高美洲原住民的治疗方法。她的培训计划侧重于在三个方面培养独立研究者的技能：(1)研究设计、统计和拨款写作；(2)研究管理技能；(3)培训治疗师，为未来的临床试验提供手册指导疗法。这些领域中的每一个都被整合到一个完整的课程序列中，指导研究经验，与专家同事的培训和科学写作。她的研究计划建立在她博士前的研究基础上，研究美国原住民从酒精依赖中恢复的过程。将招募100名印第安人提供定量和定性数据，旨在描述酒精问题的严重程度，创建用于解决酒精依赖的事件年表，并检查有助于改变和维持的因素。这项研究将产生第一个实证研究，考察美洲原住民恢复事件的自然历史，并将为解决酒精依赖的成功方法提供新的跨文化知识。拟议研究的主要目标是推进有关如何修改或补充现有循证治疗方法的知识，使其更适合治疗美洲原住民患者和培训美洲原住民从业者。Venner博士的职业规划包括R03和R01提案的发展，以开发和测试印度特定治疗服务中的此类治疗方法，从而为研究科学家的职业生涯奠定坚实的基础。

DESCRIPTION (provided by applicant): There are ongoing debates but very few empirical data regarding the development of culturally appropriate treatment methods for alcohol use disorders among Native Americans. The usual research-practice gap is further widened by the fact that many Indian people receive substance abuse treatment through separate programs specifically for Native American clientele but not usually empirically based. The University of New Mexico requests early career development and training support for Dr. Kamilla Venner, whose primary research interests are in the advancement of treatment methods for Native American peoples. Her training plan focuses on the development of independent investigator skills in three areas: (1) research design, statistics and grant-writing (2) research management skills and (3) training therapists to provide manual-guided therapies for use in future clinical trials. Each of these areas is incorporated into an integrated sequence of coursework, mentored research experience, training with expert colleagues and scientific writing. Her research plan builds upon her predoctoral research studying processes of recovery from alcohol dependence among Native Americans. One hundred Native Americans will be recruited to provide quantitative and qualitative data designed to describe the severity of alcohol problems, create a chronology of events used to resolve alcohol dependence, and examine factors contributing to change and maintenance. This research will yield the first empirical study examining the natural history of recovery events among Native Americans, and will contribute new cross-cultural knowledge regarding successful methods for resolving alcohol dependence. The primary goal of the proposed research is to advance knowledge about how current evidence-based treatment methods could be modified or supplemented to be more culturally appropriate for treating Native American patients and in training Native American practitioners. Dr. Venner's career plan includes the development of R03 and R01 proposals to develop and test such treatment methods within Indian-specific treatment services, thus forming a strong foundation for a research scientist career.