AI Reservation-based FASD Prevention

描述(由申请人提供)：该项目的目的是减少怀孕的AI/AN妇女和保留社区的育龄妇女饮酒，以努力降低在AI/AN人群中更常见的胎儿酒精谱障碍(FASD)的发生率。为实现这一目标提出了三个具体目标：1)加深我们对孕妇/育龄妇女饮酒的了解，以及这一认识对保留社区预防做法的影响；2)利用CBPR方法，评估以证据为基础的FASD预防干预在该保留社区的相关性、可行性和可持续性；以及3)选择一种适应和小规模试点测试的预防干预措施，为涉及同一部落人口的多个保留社区的大型随机对照试验做准备。研究小组将与当地人工智能/保留社区合作开展这项工作，使用基于社区的参与性研究(CBPR)方法作为完成所有工作的指南，包括社区咨询委员会(CAB)的参与。SA1将涉及利用重点小组和定性分析结果，并将与CAB以及一组关于FASD预防的国家专家一起审查这些结果，以选择有希望的现有循证预防干预措施。将对选定的预防性干预措施进行调整，以使其在该部落社区内具有相关性(例如，在文化上)、可行和可持续。调整后的干预措施将在一小部分妇女(n=10-20)中试行。在试点工作和基于这项试点工作的任何其他适应工作之后，该小组将与该社区和其他与部落有关的社区合作，将这项工作扩大到预防性干预的全面试验。该项目承诺解决服务不足群体(AI/AN)的一个重要健康差距(FASD)，该群体相对于美国和其他种族群体人口经历了多重健康差距。如果成功，该项目将减轻AI/AN人群在FASD方面承担的疾病负担。公共卫生相关性：该项目承诺解决服务不足群体(美洲印第安人和阿拉斯加原住民；AI/AN)中一个重要的健康差距(胎儿酒精谱障碍；FASD)，相对于美国和其他种族群体，他们经历了多重健康差距。如果成功，该项目将减轻AI/AN人群在FASD方面承担的疾病负担。

DESCRIPTION (provided by applicant): The purpose of this project is to reduce drinking among pregnant AI/AN women and women of childbearing age in a reservation community, in an effort to reduce the rate of Fetal Alcohol Spectrum Disorders (FASD), which occurs more frequently in AI/AN populations. Three specific aims are proposed to achieve this goal: 1) to deepen our understanding of drinking among pregnant women/women of childbearing age and the implications of this understanding for prevention practices in a reservation community; 2) utilizing a CBPR approach, assess the relevance, feasibility, and sustainability of evidence-based FASD preventive interventions in this reservation community; and 3) select one preventive intervention for adaptation and pilot testing on a small scale in preparation for a larger randomized control trial involving multiple reservation communities of the same tribal population. The research group will partner with a local AI/AN reservation community to conduct this work, using Community-Based Participatory Research (CBPR) methods as a guide for all work to be completed, including the involvement of a Community Advisory Board (CAB). SA1 will involve the use of focus groups and a qualitative analysis of findings which will be reviewed with the CAB, as well as a group of national experts on FASD prevention, in the service of selecting a promising existing evidence-based preventive intervention. Adaptations will be made to the chosen preventive intervention to make it relevant (e.g. culturally), feasible, and sustainable within this tribal community. The adapted intervention will be piloted with a small sample of women (n=10-20). Following the pilot, and any additional adaptations based on this pilot work, the team will work with this community and other tribally related communities to expand this work to a full-scale trial of the preventive intervention. This project promises to address an important health disparity (FASD) in an underserved group (AI/AN) that experiences multiple health disparities relative to the general U.S. and other racial group populations. If successful, this project will reduce the burden of disease borne by AI/AN populations with respect to FASD. PUBLIC HEALTH RELEVANCE: This project promises to address an important health disparity (Fetal Alcohol Spectrum Disorders; FASD) in an underserved group (American Indian and Alaska Natives; AI/AN) that experiences multiple health disparities relative to the general U.S. and other racial group populations. If successful, this project will reduce the burden of disease borne by AI/AN populations with respect to FASD.