Tribal College and Universities Behavioral Wellness Project (TCU BeWell)

项目总结(见说明)： 大学生中的酒精和其他药物(AOD)及相关危害是一个主要的国家和部落问题，与许多美国印第安人/阿拉斯加原住民(AIAN)的健康差距有关：意外伤害(高149%)、杀人(高92%)和自杀(高72%)。然而，在部落学院和大学(TCU)就读的AIAN学生中，没有关于AOD或其他精神健康问题的流行率和相关性的社会流行病学数据。本研究是一项为期3年的社区参与性研究(CBPR)项目的扩展，该项目的重点是TCU的AOD问题。它是美国印第安人高等教育联盟、31个TCU和华盛顿大学3个研究中心的合作伙伴关系。 具体目标是：(1)调查具有代表性的TCU学生样本(N=1200)，以确定AOD和精神健康障碍的患病率，并应用土著压力和应对模式来检查AIAN特定的风险和保护因素如何影响AOD滥用和结果，(2)获得必要的人种学数据，以将先前目标的结果与文化背景联系起来，以及(3)广泛传播研究结果，并通过将研究结果转化为政策和政策，努力消除健康差距 利益相关者的实践指南。 研究设计包括对31个TCU的1200名学生进行简单的随机抽样调查，包括4个步骤：1)与合作研究团队合作，最终确定调查工具和抽样框架；2)在小样本中进行调查，以发现潜在问题，估计完成调查的时间，确保技术和知情同意程序有效；3)进行基于网络的调查；4)召集科学和社区咨询委员会和研究小组的一个小组进行数据分析，审查和计划定性后续行动，以澄清调查结果，并与TCU教职员工和学生一起开展焦点小组，将调查结果与背景联系起来。研究结果将形成并指导干预措施的发展和适应，以解决TCU学生已确定的AOD问题。

PROJECT SUMMARY (See instructions): Alcohol and other drug (AOD) and related harm among college students is a major national and Tribal concern, and is associated with numerous American Indians/Alaska Natives (AIAN) health disparities: unintentional injuries (149% higher), homicide (92% higher) and suicide (72% higher). However, there is no available social epidemiological data on the prevalence and correlates of AOD or other mental health concerns among AIAN students attending Tribal Colleges and Universities (TCU). The present study is an expansion of a 3-year program of community-based participatory research (CBPR) focused on AOD issues in TCU. It is a partnership between the American Indian Higher Education Consortium, 31 TCUs, and 3 research centers at the University of Washington. Specific Aims are: (1) Survey a representative sample of TCU students (N=1200) to determine the prevalence of AOD and mental health disorders, and apply an Indigenous stress and coping model to examine how AIAN specific risk and protective factors influence AOD abuse and outcomes, (2) Obtain ethnographic data necessary to culturally contextualize the results of the previous aims, and (3) disseminate study findings broadly and work to eliminate health disparities by translating the findings into policy and practice guidelines for stakeholders. The study design consists of a simple random sample survey of 1,200 students at 31 TCUs with a 4-step process: 1) work with the partnership research team, finalize the survey instrument and the sampling frame; 2) pilot the survey in a small sample to catch potential problems, estimate time to complete the survey, ensure that the technology and informed consent procedures work, etc.; 3) conduct the Web-based survey; 4) convene a subgroup of the Scientific and Community Advisory Committees and research teams for data analysis, and review and plan the qualitative follow up for clarification of survey results, and conduct focus groups with TCU faculty, staff, and students to contextualize the finding. The results will shape and guide intervention development and adaptation to address the identified AOD issues of TCU students.