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Population-based Interventions to Improve Behavioral Health in a Tribal Healthcare System

以人群为基础的干预措施，以改善部落医疗保健系统中的行为健康

基本信息

批准号：
9983087
负责人：
Denise A Dillard
金额：
$ 34.07万
依托单位：
SOUTHCENTRAL FOUNDATION
依托单位国家：
美国
项目类别：
财政年份：
2017
资助国家：
美国
起止时间：
2017-09-15 至 2022-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9983087
关键词：
Address Affect Alaska Alaska Native American Indians Applied Research Area Attention Behavioral Clinical Clinical Research Communities Country Development Diabetes Mellitus E-learning Effectiveness Electronic Health Record Environmental Risk Factor Foundations Funding Future Genetic Goals Grant Health Health Professional Health Services Health system Healthcare Healthcare Systems Individual Infrastructure Injury International Intervention Lead Liver diseases Malignant Neoplasms Mental Depression Mentorship Native American Research Center for Health Native-Born Patients Pharmacists Pharmacogenomics Pharmacy (field)Population Positioning Attribute Pragmatic clinical trial Principal Investigator Process Provider Public Health Publications Recovery Research Research Personnel Research Project Grants Resources Role Running Seasonal Affective Disorder Self Management Services Students Suicide Teacher Professional Development Technology Testing Time Training Translational Research Tribes Uninsured United States United States Indian Health Service Universities Vitamin D Vitamin D Deficiency Vitamin D supplementation Vitamins Washington Work Writing alcohol misuse alcohol use disorder anxiety treatment base behavioral health behavioral health intervention educational atmosphere electronic data evidence base experience health care service health care service organization health care settings health disparity health goals health organization health record improved innovation learning community outreach physical conditioning population based pragmatic trial prediction algorithm predictive modeling professor skills success suicidal risk tribal community tribal healthcare

项目摘要

Summary/Abstract Overall In the Southcentral Foundation (SCF) proposed center grant entitled “Population-based Interventions to Improve Behavioral Health in a Tribal Healthcare System”, builds on existing relationships with University of Washington (UW) and new partnerships with the Henry Ford Health System (HFHS) in five independent yet related efforts across three research projects (RPs) and 2 cores. Given the well- documented behavioral health disparities among Alaska Native and American Indian (ANAI) people yet limited healthcare resources, the RPs will examine the effectiveness of behavioral health interventions with large scale promise given potential reach and limited resource requirements. “Predictive Algorithms for Identifying Risk for Suicide in an Alaska Native Health Organization ”(RP1) will develop a prediction model of clinical factors prior to suicide using readily available health record information, then identify best practices for outreach to individuals identified to have potential suicide risk. “Cultural Innovations for Recovery in Community-Based Learning Environments” (RP2) will conduct a pragmatic clinical trial of an online learning community in which ANAIs with alcohol use disorders can communicate with each other and clinicians, as well as access educational and self-management materials. “Genetic contributors to Vitamin D, Impact on Behavioral Health in Alaska Native People” (RP3) will test for an association between vitamin D deficiency and depression and explore the potential benefit of vitamin D supplementation in depression management. The RPs will be supported by two cores, an “Administrative Core” and “Faculty Development Core” which will build upon SCF Research Departmental infrastructure, support development of new investigators, and strengthen skills sets of researchers and staff within the department. These core capacity building efforts are critical to optimize success of the proposed RPs and future applied research within a tribal healthcare setting. This proposed Center is innovative in that it will expand capacity within an established ANAI owned and operated Research Department to address ANAI identified health disparities and better position the tribal healthcare organization and ANAIs involved to lead future research efforts in the betterment of ANAI health and healthcare provision.

总结/摘要整体在中南部基金会（SCF）提议的题为“基于人口的干预措施，改善部落医疗保健系统中的行为健康”，建立在与大学的现有关系之上华盛顿（UW）和新的伙伴关系与亨利福特卫生系统（HFHS）在五个三个研究项目（RP）和两个核心的独立但相关的工作。因为井- 阿拉斯加原住民和美洲印第安人（ANAI）之间的行为健康差异有限的医疗资源，RP将检查行为健康干预措施的有效性在给定潜在范围和有限资源要求的情况下具有大规模的前景。“预测算法在阿拉斯加土著健康组织中识别自杀风险“（RP 1）将开发一个预测使用现成的健康记录信息建立自杀前的临床因素模型，对被确定有潜在自杀风险的个人进行外展的做法。“文化创新，在社区为基础的学习环境恢复”（RP 2）将进行一项务实的临床试验，一个在线学习社区，其中患有酒精使用障碍的ANAIs可以与每个人交流其他和临床医生，以及访问教育和自我管理材料。“基因维生素D的贡献者，对阿拉斯加原住民行为健康的影响”（RP 3）将测试一个维生素D缺乏与抑郁症之间的联系，并探讨维生素D的潜在益处抑郁症管理的补充。RP将由两个核心提供支持，一个是“行政核心”，核心”和“教师发展核心”，将建立在SCF研究部门的基础设施，支持培养新的调查人员，加强研究人员和工作人员的技能组合，部门这些核心能力建设工作对于使拟议的联络点取得最大成功至关重要，未来的应用研究在一个部落的医疗保健设置。这个拟议中的中心是创新的，因为它将扩大能力内建立的ANAI拥有和运营的研究部门，以解决ANAI确定的健康差距，并更好地定位部落参与的医疗保健组织和ANAI将领导未来改善ANAI的研究工作提供保健和医疗服务。

项目成果

期刊论文数量（6）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Postpartum hemorrhage: Moving from response to prevention for Alaska Native mothers.

DOI：
10.1002/ijgo.13883
发表时间：
2021-11
期刊：
INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS
影响因子：
3.8
作者：
Hadley, Megan E.;Day, Gretchen;Beans, Julie A.;Groen, Reinou S.
通讯作者：
Groen, Reinou S.

The Cultural Adaption of a Sobriety Support App for Alaska Native and American Indian People: Qualitative Feasibility and Acceptability Study.

DOI：
10.2196/38894
发表时间：
2023-02-07
期刊：
JMIR FORMATIVE RESEARCH
影响因子：
2.2
作者：
Trinidad, Susan Brown;Shane, Aliassa L.;Guinn, Tiffany R.;Apok, Charlene R.;Collier, Ann F.;Avey, Jaedon P.;Donovan, Dennis M.
通讯作者：
Donovan, Dennis M.

Engaging Stakeholders in Social Determinants of Health Quality Improvement Efforts.

让利益相关者参与健康质量改善工作的社会决定因素。

DOI：
10.7812/tpp/22.035
发表时间：
2022
期刊：
The Permanente journal
影响因子：
0
作者：
Wark,Kyle;Woodbury,RBrian;LaBrie,Scott;Trainor,John;Freeman,Michele;Avey,JaedonP
通讯作者：
Avey,JaedonP

Acceptability and feasibility of an intervention for Alaska Native and American Indian couples.

阿拉斯加原住民和美洲印第安人夫妇干预的可接受性和可行性。

DOI：
10.1111/fare.12986
发表时间：
2024
期刊：
Family relations
影响因子：
2.2
作者：
Avey,JaedonP;Wark,Kyle;Andrews,Polly;Donadio,James;Bradbury,Thomas;Outten,Bobbi
通讯作者：
Outten,Bobbi

Using the electronic health record to identify suicide risk factors in an Alaska Native Health System.

使用电子健康记录来识别阿拉斯加原住民卫生系统中的自杀风险因素。