Consortium for Community-Based Research in Native American Health

描述(由申请人提供)：该项目旨在纠正健康问题，扭转生活在蒙大拿州的美洲原住民所经历的健康差距。我们的经验坚持认为，对这一群体进行科学研究和增进健康的必要方法是基于社区的参与性研究(CBPR)。美洲原住民健康社区研究联盟是在寻求复制成功的CBPR项目的美国原住民社区和寻求解决美国原住民健康问题和差异的研究人员的双重要求下发展起来的。这项提议的主要实际目的是发展联盟，改变传统上与部落国家进行研究的方式，将研究人员和社区聚集在一起，建立信任，分享权力，促进合作，增强优势和资源，建设能力，并审查和解决社区确定的需求和健康问题。这些制度和行为变化对于实现通过该项目寻求的最终结果至关重要：通过健康素养和疾病预防行为，改善美洲原住民的健康，减少健康差距，改变卫生机构，增加美国原住民社区的社会资本，最终改善经济状况。该项目的具体目标是：为蒙大拿州的研究人员、医疗和公共卫生从业人员以及美洲原住民社区成员建立一个持久、适应性强和有益的基础设施，以发展其能力、协调他们的努力并进行合作，以解决蒙大拿州美洲原住民人口面临的健康差距(行政核心)；在乌鸦部落社区开展一项全面的CBPR研究项目，并开发12-25个CBPR试点项目，以满足蒙大拿州美洲原住民社区确定的需求(研究核心)；扩大和提高蒙大拿州以学术为基础的健康研究人员和医疗和公共卫生从业人员的能力，以便与美洲原住民社区伙伴有效合作，并为学生发展指导关系，使其积极参与涉及蒙大拿州美洲原住民健康问题的研究(培训核心)；并通过经验的熔炉发展对社区结构、程序、参与和社区的了解。与美国原住民社区进行CBPR研究，成功解决美国原住民健康问题和差异所需的大学政策(社区参与核心)。

DESCRIPTION (provided by the applicant): This project aims to redress the health concerns and reverse the health disparities experienced by Native Americans living in Montana. Our experience is insistent that the necessary approach to scientific inquiry and health enhancement for this population is Community-Based Participatory Research (CBPR). The Consortium for Community-Based Research in Native American Health was developed out of a dual request by Native American communities seeking to replicate successful CBPR projects, and by researchers seeking an entree to address Native American health concerns and disparities. The central practical purpose of this proposal is to grow the Consortium and change the way that research historically has been conducted with tribal nations by bringing together researchers and communities to establish trust, share power, foster colearning, enhance strengths and resources, build capacity, and examine and address community-identified needs and health problems. These institutional and behavioral changes are critical to achieving the ultimate outcomes sought through this project: improvements in Native Americans' health and reduction of health disparities through health literacy and disease prevention behaviors, change in health institutions, and increasing social capital in Native American communities that ultimately leads to improved economic conditions. The project's specific aims are to: establish an enduring, adaptable and conducive infrastructure for Montana researchers, medical and public health practitioners, and Native American community members to develop their capacity, coordinate their efforts and cooperate to address the health disparities faced by Montana's Native American populations (Administrative Core); carry out one full CBPR research project in the Crow tribal community and develop 12-25 CBPR pilot projects that address needs identified by Native American communities in Montana (Research Core); expand and enhance the capabilities of academically-based health researchers and medical and public health practitioners in Montana to work effectively with Native American community partners, and develop mentoring relationships for students to actively engage in research dealing with health issues of Montana's Native Americans (Training Core); and develop through the crucible of experience an understanding of the community structures, processes and participation and the. university policies required to conduct CBPR research with Native American communities that successfully addresses Native American health concerns and disparities (Community Engagement Core).