Community Partnership to Affect Cherokee Adolescent Substance Abuse

描述（由申请人提供）：美国土著印第安人滥用药物会导致危及生命和致命的问题，如事故、慢性肝病、肝硬化、杀人和自杀。因为切罗基人是美国第二大部落，所以在美洲土著印第安人中有很大比例的酗酒和吸毒可归因于切罗基人。对切罗基族一所高中学生的调查结果表明，90- 95%的学生尝试过酒精；70%的人尝试过大麻；24% - 27%的人尝试过吸入剂。“影响切罗基青少年药物滥用的社区伙伴关系”项目的总体目标是加强佛罗里达大西洋大学护理学院与美洲土著印第安人（切罗基）社区之间的伙伴关系，通过开发和试验一种具有文化能力的学校干预措施，影响切罗基青少年的药物滥用。PI，一个新的调查员，已经做了试点工作，测试在切罗基青少年中使用干预的可行性。拟议的干预计划包括一个关于药物滥用的传统切罗基谈话圈。具体而言，该项目旨在：(a)建立一个社区伙伴关系指导委员会，该委员会由当地切罗基社区的成员代表，将在该委员会开展以社区为基础的参与性研究；(b)评估切罗基社区在药物滥用方面的需要；(c)与切罗基社区合作，制作符合文化的谈话圈干预材料，并选择符合文化的结果措施；(d)评估接受有文化能力的干预和接受标准药物滥用教育的切罗基青少年在药物滥用、切罗基人自力更生和压力方面的差异。预计本研究的结果将增加对以下方面的认识：(a)文化能力干预的设计；(b)选择与文化相适应的结果衡量标准；(c)影响切罗基青少年滥用药物的干预措施的有效性。预期以社区为基础的研究进程将有助于社区管理青少年药物滥用的健康问题的能力。此外，该项目产生的数据将有助于继续对滥用药物的美洲印第安土著青少年进行研究。

DESCRIPTION (provided by applicant): Substance abuse by Native American Indians accounts for life-threatening and deadly problems such as accidents, chronic liver disease, cirrhosis, homicide, and suicide. Because Cherokees represent the second- largest tribe in the United States, a large percentage of alcohol and drug use among Native American Indians can be attributed to the Cherokee people. Survey findings for students at one high school in the Cherokee Nation indicate that 90-95 percent have tried alcohol; 70 percent have tried marijuana; and 24-27 percent have tried inhalants. The overall objective of the "Community Partnership to Affect Cherokee Adolescent Substance Abuse" project is to strengthen a partnership between the Florida Atlantic University College of Nursing and a Native American Indian (Cherokee) community to affect substance abuse among Cherokee adolescents by developing and testing a culturally competent school-based intervention. The PI, a new investigator, has done pilot work testing the feasibility of using the intervention with Cherokee adolescents. Proposed plans for the intervention include a traditional Cherokee Talking Circle for substance abuse. Specifically, the project aims to: (a) create a community partnership steering committee that is representative of members from the local Cherokee community where the community-based participatory research will be conducted; (b) assess the Cherokee community needs regarding substance abuse; (c) partner with the Cherokee community to create culturally competent Talking Circle intervention materials and select culturally appropriate outcome measures; (d) evaluate the difference in substance abuse, Cherokee self-reliance, and stress for Cherokee adolescents who receive the culturally competent intervention and those who receive standard substance abuse education. It is expected that the results of this study will increase knowledge about: (a) design of a culturally competent intervention; (b) selection of culturally appropriate outcome measures; and (c) effectiveness of the intervention for affecting substance abuse among Cherokee adolescents. It is also expected that the community-based research process will contribute to community capacity for managing the health issue of adolescent substance abuse. Further, the data generated from this project will contribute to continuing research with Native American Indian adolescents who are abusing substances.