Tribal Collaborative in the Preventive or Alcohol-Exposed Pregnancies

预防性怀孕或酒精暴露怀孕中的部落合作

• 批准号: 8500579
• 负责人: Jessica D Hanson
• 金额: $ 37.25万
• 依托单位: SANFORD RESEARCH/USD
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-01-01 至 2015-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8500579
• 关键词: Alcohol consumption; Alcohols; American Indians; Birth; Clinic; Collaborations; Communities; Community Developments; Community Health Education; Community Hospitals; Community Participation; Contraceptive methods; Data; Data Collection; Effectiveness; Epidemiology; Evaluation; Fetal Alcohol Exposure; Fetal Alcohol Spectrum Disorder; Fetal Alcohol Syndrome; Fostering; Goals; Grant; Health; Hospitals; Individual; Intervention; Knowledge; Lead; Measurement; Modeling; Needs Assessment; Northern Plains Tribe; Participant; Patients; Pilot Projects; Pine Ridge Indian Reservation; Population; Pregnancy; Pregnant Women; Prevention; Prevention program; Preventive; Principal Investigator; Program Development; Program Effectiveness; Public Health; Reporting; Research; Research Methodology; Research Personnel; Research Project Grants; Risk; Risk Behaviors; Rural; Sampling; Sioux Indians; Site; South Dakota; Tribes; United States Indian Health Service; Woman; Work; alcohol exposure; base; binge drinking; birth control; clinical practice; clinical research site; community based participatory research; data collection evaluation; design; disorder prevention; drinking; experience; health administration; high risk; improved; innovation; interest; meetings; motivational enhancement therapy; northern plains; pregnancy prevention; pregnant; prevent; programs; sexually active; statistics; success; tribal community; tribal health; unintended pregnancy

DESCRIPTION (provided by applicant): The overarching objective of the proposed research is to prevent alcohol-exposed pregnancies (AEP) and Fetal Alcohol Spectrum Disorders in American Indian communities. To accomplish this objective, the proposed research will utilize a Community-Based Participatory Research (CBPR) model to strengthen existing partnerships and utilize community participation in program development, implementation, and evaluation. Previous presentations, meetings, and discussions have highlighted the need for an AEP prevention project in the tribes included in this grant. Therefore, it is the goal of the proposed study to work with community partners using a CBPR collaborative research approach to support partnerships with tribes in the Northern Plains who have an interest in an AEP prevention program (SA 1). We will implement a community needs assessment to establish effective input from the community on the importance of AEP prevention efforts; what an AEP prevention project would ideally look like; and, if desired, how to best modify current AEP prevention projects to make appropriate for individual tribal communities (SA 2). Finally, based on results from the community needs assessment and input from Community Advisory Boards, AEP prevention pilot projects will be implemented in three large, hospital Indian Health Service (IMS) sites: Pine Ridge IHS Hospital, Sioux San IHS Hospital, and Rosebud Comprehensive IHS Hospital, all using CBPR principles (SA 3). There is great significance in this proposed study. First, it targets non-pregnant women from an extremely high-risk population, and it targets more than one risky behavior related to AEP. A focus on preventing FASD and AEP before a woman becomes pregnant would overcome a critical barrier in the field of FASD prevention. Utilizing CBPR methodology, a successful completion of the specific aims will alter the focus of FASD prevention with Al communities from more intervention efforts with pregnant women, where the pregnancy might already be alcohol-exposed, to a focus on prevention, where the ultimate goal is to prevent any and all pregnancies from having an alcohol-exposure. The goals of this proposed CBPR project will lead to an improvement both in scientific knowledge and clinical practice. The project is also innovative in that it promotes collaboration between tribes, utilizing experiences from one program to develop and expand on programs with other tribes and with larger clinical sites. RELEVANCE The short-term goal of this study is to, through CBPR methods; implement alcohol-exposed pregnancy (AEP) prevention programs with non-pregnant American Indian women, focusing on evaluating such programs for effectiveness in decreasing risky behaviors related to AEP. This leads to the long-term goal, which is to utilize CBPR principles to foster sustainable efforts to prevent AEP.

描述（由申请人提供）：拟议研究的总体目标是预防美国印第安社区的酒精暴露妊娠（AEP）和胎儿酒精谱系障碍。为了实现这一目标，拟议的研究将利用基于社区的示范性研究（CBPR）模式，以加强现有的伙伴关系，并利用社区参与方案的制定，实施和评估。以前的演讲，会议和讨论都强调了在本赠款所包括的部落中开展AEP预防项目的必要性。因此，拟议研究的目标是使用CBPR合作研究方法与社区合作伙伴合作，以支持与北方平原中对AEP预防计划感兴趣的部落建立伙伴关系（SA 1）。我们将实施一项社区需求评估，以确定社区对AEP预防工作的重要性的有效投入; AEP预防项目理想的样子;以及，如果需要，如何最好地修改当前的AEP预防项目，以适合各个部落社区（SA 2）。最后，根据社区需求评估的结果和社区咨询委员会的意见，将在三个大型医院印度卫生服务（IMS）站点实施AEP预防试点项目：Pine Ridge IHS医院，Sioux San IHS医院和Rosebud综合IHS医院，所有这些都使用CBPR原则（SA 3）。本研究具有重要的意义。首先，它针对的是来自极高风险人群的非孕妇，并且针对的是与AEP相关的一种以上的危险行为。在妇女怀孕前重点预防FASD和AEP将克服FASD预防领域的一个关键障碍。利用CBPR方法，成功完成具体目标将改变FASD预防的重点与Al社区从更多的干预努力与孕妇，其中怀孕可能已经是酒精暴露，以预防为重点，最终目标是防止任何和所有怀孕从酒精暴露。这个CBPR项目的目标将导致科学知识和临床实践的改进。该项目还具有创新性，因为它促进了部落之间的合作，利用一个项目的经验，与其他部落和更大的临床站点开发和扩展项目。 相关性本研究的短期目标是，通过CBPR方法，实施酒精暴露妊娠（AEP）预防计划与非怀孕的美国印第安妇女，重点是评估这些计划的有效性，减少与AEP相关的危险行为。这导致了长期目标，即利用CBPR原则促进预防AEP的可持续努力。