Tribal Equine Assisted Psychotherapy: Building Youth Resiliency Through Horses

部落马辅助心理治疗：通过马增强青少年的适应能力

• 批准号: 10231060
• 负责人: Charlene Poola
• 金额: $ 9.19万
• 依托单位: ALBUQUERQUE AREA INDIAN HEALTH BOARD
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-08-17 至 2024-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10231060
• 关键词: Address; Adolescent; Adolescent Development; Age; Alaska Native; American Indians; Anger; Anxiety; Area; Child; Communities; Coupled; Epidemiology; Equus caballus; Ethnic group; Family; Feeling hopeless; Functional disorder; Goals; Health; High Prevalence; Interpersonal Violence; Intervention; Knowledge; Link; Mental Depression; Mental Health; Mental disorders; Modeling; Native American Research Center for Health; Native-Born; Navajo; New Mexico; Outcome; Pilot Projects; Psychotherapy; Pueblo Race; Qualitative Methods; Research; Research Project Grants; Risk; Risk Behaviors; Schools; Self Efficacy; Services; Sexual abuse; Social Work; Substance abuse problem; Suicide; Suicide attempt; Symptoms; Testing; Therapeutic; Trauma; Tribes; Universities; Violence; Vulnerable Populations; Youth; adverse childhood events; base; behavioral health; completed suicide; disparity reduction; efficacy testing; efficacy trial; emotional abuse; evidence base; experience; health disparity; health inequalities; health practice; improved; native youth; physical abuse; preventive intervention; programs; racial and ethnic; resilience; rural Americans; social

PROJECT SUMMARY: TRIBAL EQUINE ASSISTED PSYCHOTHERAPY: BUILDING YOUTH RESILIENCY THROUGH HORSES The overall goal of this pilot research project is to test the efficacy of an Equine Assisted Psychotherapy (EAP) intervention with at-risk American Indian/Alaska Native (AI/AN) adolescents and develop a culturally informed EAP implementation guide for use in tribal settings. The proposal addresses persistent and well- documented disparities in mental and behavioral health outcomes among AI/AN adolescents. Currently, few culturally-informed treatments for AI/AN adolescents suffering from mental health concerns exist. EAP is an emerging alternative to traditional evidence-based behavioral health practice, and may be an especially promising alternative in rural AI/AN communities where horses are inextricably linked to AI/AN identity, culture and tradition. This pilot study addresses gaps in scientific knowledge and practice by exploring the impact of EAP upon resiliency and self-efficacy among AI/AN adolescents in two Southwest Tribes. Our primary hypothesis is that by embedding a culturally-defined EAP intervention within existing tribal behavioral health programs, resiliency and self-efficacy among at-risk AI/AN adolescents will increase. We plan to test our central hypothesis and thereby accomplish the overall study objective by pursuing the following specific aims: Aim 1: Conduct an efficacy trial to test the additive benefits of Equine Assisted Psychotherapy upon resilience and self-efficacy among at-risk AI/AN adolescents (age 12-18) compared to standard intervention alone. Aim 2: Use qualitative methods to elucidate determinants that facilitate or constrain the implementation of EAP in tribal settings, including important cultural and contextual considerations that will be incorporated into an EAP tribal implementation guide to promote the replication and further study of EAP treatment in AI/AN communities. The outcomes of this pilot study are expected to have an important positive impact towards establishing a culturally-informed EAP model that can bolster resiliency and self-efficacy and reduce disparities in health risk behaviors among AI/AN adolescents.

项目概要：部落马辅助心理治疗：建立青年复原力 通过马匹 这个试点研究项目的总体目标是测试马辅助心理治疗的效果 (EAP)对有风险的美国印第安人/阿拉斯加原住民（AI/AN）青少年进行干预， 在部落环境中使用的知情EAP实施指南。该提案涉及持久性和良好的- 记录了AI/AN青少年心理和行为健康结果的差异。目前，少数 存在对患有精神健康问题的人工流产/先天愚型青少年的文化知情治疗。EAP是一种 新兴的替代传统的循证行为健康实践，可能是一个特别 在农村AI/AN社区，马与AI/AN身份，文化 和传统这项试点研究通过探讨以下方面的影响， EAP对两个西南部落AI/AN青少年的弹性和自我效能的影响我们的首要 假设是，通过在现有的部落行为健康中嵌入文化定义的EAP干预， 计划，有风险的AI/AN青少年的弹性和自我效能将增加。我们计划测试 中心假设，从而通过追求以下具体目标实现总体研究目标： 目的1：进行一项有效性试验，以测试马辅助心理治疗对恢复力的额外益处 和自我效能的风险AI/AN青少年（年龄12-18）相比，标准干预单独。目标二： 使用定性方法阐明促进或限制EAP实施的决定因素， 部落环境，包括将纳入EAP的重要文化和背景因素 促进EAP治疗AI/AN的复制和进一步研究的部落实施指南 社区.这项试点研究的结果预计将对以下方面产生重要的积极影响： 建立一个文化上知情的EAP模型，可以增强弹性和自我效能，减少差异 AI/AN青少年的健康风险行为。