Tribal College and Universities Behavioral Wellness Project (TCU BeWell)

部落学院和大学行为健康项目 (TCU BeWell)

• 批准号: 8841631
• 负责人: BONNIE M DURAN
• 金额: $ 13.72万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-03-01 至 2016-02-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8841631
• 关键词: Academic achievement; Accidental Injury; Address; Advisory Committees; Alcohol consumption; Alcohol or Other Drugs use; Alcohols; Ally; American Indian and Alaska Native; American Indians; Area; Behavior; Behavioral; Behavioral Model; Child Welfare; Communities; Consumption; Data; Data Analyses; Development; Drug abuse; Drug usage; Education; Ensure; Environment; Epidemiologic Studies; Epidemiology; Ethnography; Evaluation; Event; Exposure to; Faculty; Family history of; Focus Groups; Future; Goals; Homicide; Incidence; Indigenous; Individual; Informed Consent; Instruction; Intervention; Knowledge; Life; Literature; Mainstreaming; Mediator of activation protein; Mental Health; Mental disorders; Modeling; Online Systems; Outcome; Pattern; Pharmaceutical Preparations; Policies; Practice Guidelines; Prevalence; Prevention; Procedures; Process; Religion and Spirituality; Reproduction; Research; Research Design; Research Institute; Research Project Grants; Risk; Risk Factors; Sampling; Schools; Services; Shapes; Social support; Stress and Coping; Students; Subgroup; Substance abuse problem; Suicide; Surveys; System; Technology; Testing; Time; Translating; Trauma; Universities; Violence; Washington; Work; alcohol and other drug; base; college; college drinking; combat; community based participatory research; community organizations; coping; follow-up; health disparity; health equity; improved; innovation; intervention program; minority health; novel; population based; programs; social; social capital; stressor; therapy development; tribal college; tribal community; university student

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.

项目总结（见说明）： 酒精和其他药物（AOD）以及大学生的相关伤害是一个主要的国家和部落问题，并与许多美国印第安人/阿拉斯加原住民（AIAN）的健康差异有关：意外伤害（高出149%），杀人（高出92%）和自杀（高出72%）。然而，目前还没有关于在部落学院和大学就读的土著印第安人和土著民族学生中AOD或其他心理健康问题的流行率和相关因素的社会流行病学数据。本研究是一项为期3年的以社区为基础的参与性研究（CBPR）的扩展计划，重点是在TCU的AOD问题。这是美国印第安人高等教育联盟，31个TCU和华盛顿大学3个研究中心之间的合作伙伴关系。 具体目标是：（1）调查TCU学生的代表性样本（N=1200），以确定AOD和心理健康障碍的患病率，并应用土著压力和应对模式，以研究AIAN特定的风险和保护因素如何影响AOD滥用和结果，（2）获得必要的民族志数据，以文化背景化先前目标的结果，和（3）广泛传播研究结果，并通过将研究结果转化为政策， 利益攸关方的实践指南。 研究设计包括对31个技合单位的1 200名学生进行简单随机抽样调查，调查过程分为4个步骤：1）与伙伴关系研究小组合作，最终确定调查工具和抽样框架; 2）在小样本中进行试点调查，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发挥作用等; 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，并审查和计划定性跟进，以澄清调查结果，并与TCU教师，员工和学生进行焦点小组讨论，以了解调查结果。结果将塑造和指导干预措施的发展和适应，以解决TCU学生的确定的AOD问题。