SuSt-AInS: Sustainment of suicide prevention programs in American Indian Settings

SuSt-AInS：在美洲印第安人环境中维持自杀预防计划

• 批准号: 10226506
• 负责人: Emily Haroz
• 金额: $ 4.94万
• 依托单位: JOHNS HOPKINS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-06-01 至 2020-10-15
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10226506
• 关键词: Address; Adoption; American Indians; Assessment tool; Case Management; Case Manager; Cessation of life; Communities; Community Outreach; Competence; Data; Development; Evidence based practice; Feedback; Focus Groups; Funding; General Population; Goals; Health; Healthcare; Intake; Intervention; Interview; K-Series Research Career Programs; Knowledge; Life; Longterm Follow-up; Mental Health; Mentors; Mentorship; Methodology; Methods; Modeling; National Institute of Mental Health; Navajo; Population; Prevention program; Process; Program Sustainability; Public Health; Research; Research Personnel; Research Support; Resources; Science; Series; Services; Strategic Planning; Structure; Suicide; Suicide prevention; Surveillance Program; System; Testing; Thinking; Time; Tribes; Underrepresented Groups; United States National Institutes of Health; White Mountain Apache; Work; Youth; base; behavioral health; design; dissemination research; dynamic system; effective intervention; evidence base; follow-up; hands-on learning; implementation research; implementation science; implementation trial; improved; innovation; mortality; novel; outreach; prevent; prevention service; programs; prospective; public health research; reducing suicide; scale up; theories; treatment services; tribal leader

PROJECT SUMMARY Suicide is a significant public health problem with rates in the US general population gradually increasing over time. The burden of suicide is even more pronounced in many American Indian tribes, especially among youth, with average rates estimated to be about four times higher than the US general population. The effects of these deaths are felt throughout communities. Programs aimed at preventing suicide are critically important in these settings and represent one of the top priorities of the National Institute of Mental Health. However, even when we know prevention programs work, sustaining them and their effects has proved challenging. The overall goal of this K01 Mentored Research Career Development Award is to broaden the candidate’s expertise in the science of sustainment. Through coursework, structured mentorship activities and applied learning, the candidate will develop new competencies in (1) Dissemination and Implementation (D&I) science with a focus on sustainment; (2) American Indian health research; (3) use of innovative methodologic approaches, including mixed-methods and systems dynamic approaches; and (4) professional development, to become an independent NIMH-funded investigator. Drs. Joseph Gallo, Shannon Wiltsey-Stirman, and Allison Barlow will provide primary mentorship, and are joined by a team of dedicated and interdisciplinary consultant mentors including Drs. Takeru Igusa, Sonja Schoenwald, Lawrence Palinkas, Lindsey Zimmerman and Teresa Brockie. The research will be conducted by leveraging the NIMH U19 Southwest Suicide Prevention Hub. The candidate will combine mixed-methods and systems dynamic science, to innovatively identify, prioritize and ultimately, test strategies to enhance sustainment of the Celebrating Life youth suicide prevention program as it is disseminated to other tribal contexts. Locally, this research will help our community partners to devise solutions for sustaining effective suicide prevention programs in their settings. More broadly, this study addresses a critical gap in research on sustainment in the Dissemination and Implementation (D&I) science field, and focuses on populations from low-resource and underrepresented groups, representing one of the core values of D&I science.!Results from this study will inform development of an R01 proposal focused on testing systems dynamic approaches as sustainment strategies in an appropriately powered implementation trial. The study goals advance NIMH strategic objective #4 strengthening the public health impact of NIMH supported research by developing and validating “strategies for implementing, sustaining and continuously improving evidence-based practices” (4.2a) and is consistent with NIH’s Priorities for D&I science, focusing on “research testing approaches to scaling up and sustaining effective interventions.”

项目摘要 自杀是一个重大的公共卫生问题，美国一般人口的利率逐渐增加 时间。在许多美洲印第安人部落，尤其是在青年中，自杀的燃烧更加明显 估计平均利率是美国普通人群的四倍。效果 这些死亡在整个社区中都感受到了。旨在防止自杀的计划至关重要 这些环境并代表了美国国家心理健康研究所的首要任务之一。但是，甚至 当我们知道预防计划有效时，维持它们及其效果已被证明是挑战。这 这个K01指导研究职业发展奖的总体目标是扩大候选人的 维持科学专业知识。通过课程，结构化的精通活动和应用 学习，候选人将在（1）传播和实施（D＆I）科学方面发展新的能力 专注于维持； （2）美洲印第安人卫生研究； （3）使用创新的方法论 方法，包括混合方法和系统动态方法； （4）专业发展， 成为一名独立的NIMH资助的研究者。博士。约瑟夫·加洛（Joseph Gallo），香农·威尔特西·斯蒂尔（Shannon Wiltsey-Stirman）和艾莉森（Allison） Barlow将提供主要的心态，并由专门和跨学科顾问团队加入 包括博士在内的导师。 Takeru Igusa，Sonja Schoenwald，Lawrence Palinkas，Lindsey Zimmerman和Teresa 布罗基。这项研究将通过利用NIMH U19西南自杀预防中心进行进行。这 候选人将结合混合方法和系统动态科学，以创新，确定，优先级和 最终，增强庆祝生活青年预防自杀计划的维持的测试策略是 它被传播到其他部落背景。在本地，这项研究将帮助我们的社区合作伙伴设计 在其环境中维持有效自杀计划的解决方案。更广泛地，这项研究 解决了传播与实施（D＆I）科学研究中维持研究的关键差距 领域，专注于低资源和代表性不足的群体的人口，代表其中一个 D＆I科学的核心价值。！这项研究的结果将为R01提案的开发提供信息 测试系统动态方法作为适当实施的维持策略 审判。研究目标提高了NIMH战略目标＃4增强了NIMH的公共卫生影响 通过制定和验证“实施，维持和继续执行的策略，支持研究 改善基于证据的实践”（4.2a），与NIH的D＆I科学的优先事项一致，重点是 “研究测试方法扩展和维持有效的干预措施。”