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，扭转居住在蒙大拿州的美洲原住民所经历的健康差距。我们的经验表明，为这一人群进行科学调查和增进健康的必要方法是基于社区的参与性研究（CBPR）。基于社区的美洲土著健康研究联盟是由寻求复制成功的CBPR项目的美洲土著社区和寻求解决美洲土著健康问题和差异的研究人员提出的双重要求而建立的。该提案的核心实际目的是发展该联盟，改变历史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、促进合作学习、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。这些制度和行为上的改变对于实现本项目所寻求的最终成果至关重要：通过卫生知识普及和疾病预防行为改善美洲土著人的健康和减少健康差距，改变卫生机构，增加美洲土著人社区的社会资本，最终改善经济条件。

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).