Culturally Adapted Pain Management for Indigenous Peoples in the Pacific Northwest (CAP-I)

项目总结/摘要 美国印第安人/阿拉斯加原住民（AI/AN）的慢性疼痛患病率高于其他任何人。 集团在美国。尽管一些针对慢性疼痛的心理社会干预措施已经确立， 同样有效的是，没有针对人工授精/人工授精患者的文化适应性干预措施。这项研究旨在 开始为AI/AN个体开发适应文化的社会心理疼痛干预的过程， 波特兰地区印第安人保健服务-亚卡马服务单位。K99阶段将专注于开发 干预和R 00将需要一个可行性随机试点试验。在K99阶段，焦点小组 将帮助制定治疗手册，工作簿和程序， 心理社会疼痛干预（具体目标1）。在开发了原型干预之后，焦点小组将 提供反馈以改进干预措施（具体目标2）。具体目标3是评估 进行一项未来的随机对照试验，使用K99阶段开发的干预措施。这 研究将为NIH R 01提案提供试点数据，该提案将在最后准备并提交 R 00阶段。拟议的独立之路奖的长期目标是支持 申请人正在转变为一名研究慢性疼痛差异的独立研究科学家， 在AI/AN社区进行干预研究。候选人之前在慢性疼痛差异方面的研究 在亚拉巴马的低收入社区，基于社区的参与性研究和慢性疼痛试验是一种 非常适合目前的项目。通过目前的项目，她将扩大她的知识， 这是一个重要的新的研究领域，在很大程度上被研究界所忽视。 通过这个项目，候选人将获得提高文化能力所需的指导和培训 与AI/AN个人合作（培训目标1），获得开展基于社区的参与性 与AI/AN社区进行研究（培训目标2），并培养开发，适应， 临床试验中的实施和传播（培训目标3）。詹森、沃尔特斯、鲁迪和富恩特斯医生 将担任导师，并在慢性疼痛干预研究，文化适应， 用于AI/AN个体的心理社会干预，基于部落的研究和基于社区的研究 AI/AN社区的方法。华盛顿大学的培训环境提供了重要的 资源和支持，这将有助于发展所需的技能和专业知识，申请人， 成为一名独立的科学家。Yakama服务单位对此作出了坚定的承诺 拟议的研究，并将在招聘，保留和重点小组的空间提供关键支持， 治疗由于每个部落社区都有自己的价值观、传统和文化， 提供一个循序渐进的过程，以适应文化上的慢性疼痛干预措施， 全国各地的社区。

PROJECT SUMMARY/ABSTRACT The prevalence of chronic pain is higher among American Indian/Alaskan Native (AI/AN) people than any other group in the United States. Although a number of psychosocial interventions for chronic pain are well-established as effective, there are no culturally adapted interventions for AI/AN individuals. This proposed study aims to begin the process of developing a culturally-adapted psychosocial pain intervention for AI/AN individuals at the Portland Area Indian Health Service – Yakama Service Unit. The K99 phase will focus on the development of the intervention and the R00 will entail a feasibility randomized pilot trial. During the K99 phase, focus groups will aid the in the development of a treatment manual, workbooks, and procedures for a culturally appropriate psychosocial pain intervention (Specific Aim 1). After developing a prototype intervention, focus groups will then provide feedback to improve the intervention (Specific Aim 2). Specific Aim 3 is to assess the feasibility of conducting a future randomized controlled trial with the developed intervention from the K99 phase. This research will provide pilot data for an NIH R01 proposal which will be prepared and submitted towards the end of the R00 phase. The long-term objective of the proposed Pathway to Independence Award is to support the applicant in transitioning into an independent research scientist who studies chronic pain disparities and conducts intervention research in AI/AN communities. The candidate's prior research in chronic pain disparities in low-income communities in Alabama, community-based participatory research, and chronic pain trials are a strong match for this current proposed project. With the current project, she will expand her knowledge and expertise into an important new area of research that has largely been neglected by the research community. With this project, the candidate will have the mentoring and training necessary for enhancing cultural competency in working with AI/AN individuals (Training Goal 1), gaining skills in conducting community-based participatory research with AI/AN communities (Training Goal 2), and fostering skills in the development, adaptation, implementation, and dissemination in clinical trials (Training Goal 3). Drs. Jensen, Walters, Rhudy, and Fuentes will serve as mentors and offer expertise in the areas of chronic pain intervention research, cultural adaptations for psychosocial interventions for AI/AN individuals, tribal based research, and community-based research methods with AI/AN communities. The University of Washington training environment provides significant resources and support that would facilitate the development of skills and expertise needed for the applicant to transition into an independent research scientist. The Yakama Service Unit is strongly committed to this proposed study and will provide critical support in recruitment, retention, and space for focus groups and treatment. Because each tribal community has their own values, traditions, and culture, the proposed study will offer a step-by-step process for culturally adapting chronic pain interventions that may extend to tribal communities across the country.