Culturally-Appropriate Treatment for Native Americans

描述(由申请人提供)：关于美洲原住民酒精使用障碍的文化适宜治疗方法的发展，目前仍有争论，但经验数据很少。许多印度人通过专门针对美洲原住民客户的单独项目接受药物滥用治疗，但通常不是基于经验，这一事实进一步拉大了通常的研究与实践之间的差距。新墨西哥大学要求为卡米拉·文纳博士提供早期职业发展和培训支持，他的主要研究兴趣是改进美洲原住民的治疗方法。她的培训计划侧重于发展三个领域的独立研究人员技能：(1)研究设计、统计和拨款编写(2)研究管理技能和(3)培训治疗师，以提供手动指导的疗法，供未来的临床试验使用。这些领域中的每一个都纳入了一系列综合的课程工作、有指导的研究经验、与专家同事的培训和科学写作。她的研究计划建立在她的博士前研究基础上，研究美洲原住民从酒精依赖中恢复的过程。将招募100名美洲原住民提供定量和定性数据，旨在描述酒精问题的严重性，创建用于解决酒精依赖的事件的年表，并检查有助于改变和维持的因素。这项研究将产生第一项实证研究，考察美洲原住民康复事件的自然历史，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促进有关如何修改或补充目前的循证治疗方法，使其在文化上更适合治疗美洲原住民患者和培训美国原住民从业者的知识。文纳博士的职业生涯规划包括制定R03和R01建议，在印度特定的治疗服务中开发和测试这种治疗方法，从而为研究科学家的职业生涯奠定了坚实的基础。

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.