Family Listening Program: Multi-Tribal Implementation and Evaluation

家庭聆听计划：多部落实施和评估

• 批准号: 9251802
• 负责人: Lorenda Belone
• 金额: $ 59.5万
• 依托单位: UNIVERSITY OF NEW MEXICO HEALTH SCIS CTR
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-04-01 至 2019-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9251802
• 关键词: Address; American Indians; Apache; Attention; Child; Child Support; Collaborations; Communication; Communities; Community Actions; Community Health; Community Integration; Coping Skills; Country; Data; Diffusion; Educational Curriculum; Effectiveness; Elderly; Employee Strikes; Evaluation; Evidence based intervention; Experimental Designs; Family; Funding; Future; Grant; Health; Health education; Indigenous; Intervention; Interview; Knowledge; Language; Leadership; Learning; Mainstreaming; Measures; Modeling; Native Americans; Navajo; New Mexico; Outcome; Ownership; Parents; Pathway interactions; Population; Prevention; Prevention Research; Prevention education; Prevention program; Preventive; Process; Program Effectiveness; Psychosocial Factor; Pueblo Race; Research; Research Activity; Research Design; Research Infrastructure; Research Project Grants; Research Support; Risk; Risk Factors; Science; Structure; Substance abuse problem; Sum; Testing; Theoretical model; Training; Tribes; United States Indian Health Service; United States National Institutes of Health; Universities; Youth; community based participatory research; comparative; coping; cultural values; effectiveness trial; elementary school; empowerment; evidence base; experience; falls; group intervention; health disparity; innovation; intergenerational; intervention program; longitudinal design; meetings; novel; prevent; programs; psychosocial; public health relevance; reduced substance abuse; response; satisfaction; substance abuse prevention; transmission process; tribal community; tribal leader; willingness

DESCRIPTION (provided by applicant): With substance abuse concerns plaguing tribal communities, health preventive approaches for American Indian (AI) children need urgent attention. Mainstream programs fall short by failing to speak to AI children on their own terms. Not so with the Family Listening/Circle Program (FL/CP) which integrates an evidence-based family-strengthening core, with cultural values and practices for 4th graders, their parents and elders? Through previous Native American Research Centers for Health funding (Indian Health Service & National Institutes of Health partnership) the FL/CP was created and piloted by community-based participatory research (CBPR) partnerships between the University of New Mexico Center for Participatory Research and three tribal communities: Pueblo of Jemez, Ramah Band of Navajo and Mescalero Apache Nation. FL/CP fills a gap in substance abuse prevention by recapturing historic traditions of cultural transmission, such as family dinner story telling where elders connect with children, supporting enhanced child-family communication and psycho-social coping through traditional dialogue, indigenous languages and empowerment where children and families create community action projects addressing community substance abuse. With initial FL/CP pilot and feasibility research completed, Tribal Research Teams (TRTs) from the Pueblo of Jemez, Ramah Band of Navajo and Mescalero Apache Nation are now in place for full program implementation and effectiveness testing through a longitudinal quasi-experimental design involving a long-term, multi-tribal/academic research partnership. Under this five-year R01 effectiveness trial, tribal partners are committed to assessing the program's effectiveness and disseminating the approach and intervention within Indian Country as a best practice in reducing substance abuse health disparities, with TRTs collaborating on all research activities, implementation, interpretation/analysis, and dissemination plans. Three specific aims are 1) To rigorously test effectiveness of FLCP; with a comparative longitudinal design within and across the tribes, with 4th graders to prevent substance initiation/use and strengthen families; 2) Through CBPR, support TRTs to transform their research capacities into local prevention research infrastructures and partnering; 3) To assess additional program effects on other health/education programs and leadership within the tribes. In sum, this multi-tribal/academic partnership builds on accomplishments to test the effectiveness of an innovative intervention. This grant provides an unparalleled opportunity to reduce substance abuse in three tribal communities, strengthen tribal research capacities, and impact substance abuse prevention research designs nationally, by illustrating how CBPR processes can integrate evidence-based and cultural-centered practices to create effective programs that generate community ownership and sustainability.

描述(申请人提供)：由于药物滥用问题困扰着部落社区，美国印第安人(AI)儿童的健康预防方法需要紧急关注。主流节目未能以自己的方式与人工智能儿童交谈。家庭倾听/家庭圈子计划(FL/CP)就不是这样了，该计划整合了一个以证据为基础的家庭强化核心，与四年级学生、他们的父母和长辈的文化价值观和实践相结合？通过以前的美洲原住民卫生研究中心的资助(印度卫生服务和国家卫生研究院的伙伴关系)，FL/CP是由新墨西哥大学参与性研究中心和三个部落社区之间的基于社区的参与性研究(CBPR)伙伴关系创建和试点的：杰梅兹的Pueblo、纳瓦霍的Ramah Band和Mscalero阿帕奇民族。FL/CP通过恢复文化传播的历史传统，填补了预防药物滥用方面的空白，例如，在家庭晚餐故事中讲述老年人与儿童的联系，通过传统对话、土著语言和赋权，支持加强儿童与家庭之间的沟通和心理社会应对，其中儿童和家庭创建社区行动项目，解决社区药物滥用问题。随着初步FL/CP试点和可行性研究的完成，来自杰梅兹普韦布洛、纳瓦霍拉玛和马斯杰罗阿帕奇民族的部落研究小组(TRT)现已就位，通过涉及长期、多部落/学术研究伙伴关系的纵向准实验设计，进行全面计划实施和有效性测试。在这项为期五年的R01有效性试验中，部落合作伙伴致力于评估该计划的有效性，并在印度境内传播该方法和干预措施，作为减少药物滥用健康差距的最佳实践，TRT在所有研究活动、实施、解释/分析和传播计划上进行合作。三个具体目标是1)严格测试FLCP的有效性；采用部落内部和部落间的纵向比较设计，与四年级学生一起防止药物的引发/使用，并加强家庭；2)通过CBPR，支持TRT将其研究能力转变为地方预防研究基础设施和合作伙伴关系；3)评估其他方案对部落内其他健康/教育方案和领导力的影响。总而言之，这种多部落/学术伙伴关系建立在成果的基础上，以测试创新干预的有效性。这笔赠款提供了一个无与伦比的机会，可以减少三个部落社区的药物滥用，加强部落研究能力，并影响全国的药物滥用预防研究设计，说明CBPR过程如何整合基于证据的做法和以文化为中心的做法，创建有效的方案，产生社区所有权和可持续性。