Native Spirit: Culturally-grounded substance use prevention for Indigenous adolescents

土著精神：基于文化的土著青少年药物使用预防

• 批准号: 10515814
• 负责人: Amanda M Hunter
• 金额: $ 11.76万
• 依托单位: NORTHERN ARIZONA UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-01 至 2024-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10515814
• 关键词: 16 year old; Adolescent; Adolescent Development; Advocate; Age; Age-Years; Alaska Native; Alcohol consumption; American Indians; Arizona; Attenuated; Cause of Death; Collaborations; Communities; Coping Behavior; Country; Data; Data Collection; Development; Early Intervention; Effectiveness; Elderly; Elements; Evaluation; Evidence based intervention; Exposure to; Faculty; Feeling suicidal; Goals; Ground Substance; Health; Health Promotion; High Prevalence; Indian reservation; Indigenous; Individual; Intervention; Interview; Knowledge; Life; Measurement; Measures; Mental Depression; Methods; Morbidity - disease rate; National Institute of Drug Abuse; Participant; Patient Self-Report; Phase; Plant Roots; Positioning Attribute; Prevalence; Prevention; Prevention program; Primary Prevention; Public Health; Qualitative Evaluations; Quantitative Evaluations; Race; Research; Research Personnel; Reservations; Resources; Risk Behaviors; Rural; Sample Size; Structure; Substance Use Disorder; Substance abuse problem; Suicide; Surveys; Time; Training; Update; Waiting Lists; Youth; adolescent substance use; after-school program; base; behavior change; behavioral health; boys; community based participatory research; cultural values; design; disorder prevention; drug abuse prevention; early onset drug use; effectiveness evaluation; experience; girls; improved; innovation; member; mortality; native youth; prevent; preventive intervention; programs; protective factors; racial and ethnic; recruit; reduced substance use; resilience; self esteem; self-reported depression; skills; social; substance use; substance use prevention; success; tenure track; theories; tribal community

PROJECT SUMMARY/ABSTRACT American Indian and Alaska Natives (AIANs) experience disproportionately high rates of lifetime substance use disorder with peak past-year prevalence rates at 16 years of age. AIAN adolescents ages 17 and younger have a higher prevalence and earlier initiation of drug and alcohol use compared with all other ethnic/racial groups in the US. Compared to other ethnic/racial groups, AIAN youth have the highest self-reported depression rates, and in 2014, suicide was the second leading cause of death for AIANs between the ages 10 and 34 years of age. These data demonstrate the need for early intervention to prevent substance use in AIAN adolescents. Cultural connectedness has been identified as a protective factor against substance use and depression for AIAN youth while promoting positive self-esteem and healthy identity formation. Culturally- grounded after-school programs (ASPs) use cultural values and practices as a basis for health promotion and disease prevention, a form of AIAN prevention. Culturally-grounded program differ from other cultural programs (culturally-based or culturally-adapted) because the development is guided or led by the local community, for the local community and are rooted in specific social and cultural contexts. This study builds on a 6-year partnership with ASPs serving AI adolescents to assess the impact of a 13-session culturally-grounded intervention, called Native Spirit (NS). NS is an ASP that is led by traditional knowledge holders with each session focusing on a community-specific cultural value and activity. NS aims to decrease and prevent substance use by enhancing protective factors, including strengthening cultural identity, self-esteem, and resilience. The goals of the proposed (R00) study are to: 1) strengthen self-esteem, resilience, and cultural identity, and 2) attenuate substance use among AI youth (ages 12-17) through participation in NS. This study will use a mixed methods waitlist control design to evaluate the impact of participation in the NS program. The study will measure changes to participant self-esteem, cultural identity, resilience, and substance use with a self-report survey at three timepoints and semi-structured interviews. This study provides an innovative connection between cultural engagement and substance use prevention for AI adolescents and also highlights unique opportunities for health promotion with collaborations with ASPs that serve AI communities. Through the MOSAIC K99/R00, I will gain training in qualitative and quantitative analysis, culturally-appropriate measurement of adolescent substance use, and the development and implementation of prevention interventions while transitioning to an independent investigator in a tenure-track faculty position. The resulting R00 phase research aligns with NIDA Strategic Goal 2 to “develop new and improved strategies to prevent drug use and its consequences” with AI communities in the Southwest.

项目总结/摘要 美国印第安人和阿拉斯加原住民（AIAN）经历了不成比例的高比例的终身物质 使用障碍，过去一年的发病率在16岁时达到高峰。17岁及以下青少年 与所有其他族裔/种族相比， 在美国的团体。与其他族裔/种族群体相比，AIAN青年自我报告的 2014年，自杀是10岁以下AIAN的第二大死亡原因 34岁这些数据表明需要早期干预以防止AIAN中的药物使用 青少年。文化联系已被确定为防止吸毒的一个保护因素， 在促进积极自尊和健康身份形成的同时，文化上- 扎根的课后计划（ASP）使用文化价值观和实践作为促进健康的基础， 疾病预防，一种AIAN预防形式。文化节目不同于其他文化节目 （基于文化或适应文化），因为发展由当地社区指导或领导， 它们是当地社区的一部分，植根于特定的社会和文化背景。这项研究建立在一项为期6年的 与服务于人工智能青少年的ASP合作，评估13次基于文化的会议的影响 这就是所谓的本土精神（NS）。NS是由传统知识持有者领导的ASP， 会议侧重于社区特有的文化价值和活动。NS旨在减少和预防 通过增强保护因素（包括加强文化认同、自尊和 resilience.建议的（R 00）研究的目标是：1）加强自尊，弹性和文化 身份，2）通过参与NS减少AI青少年（12-17岁）的物质使用。本研究 将使用混合方法的候补名单控制设计，以评估参与NS计划的影响。的 这项研究将测量参与者的自尊、文化认同、复原力和物质使用的变化， 三个时间点的自我报告调查和半结构化访谈。这项研究提供了一个创新的 文化参与与AI青少年预防药物使用之间的联系，并强调 与服务于AI社区的ASP合作，为健康促进提供独特的机会。通过 在MOSAIC K99/R 00中，我将获得定性和定量分析方面的培训， 衡量青少年药物使用情况，制定和实施预防措施， 干预，同时过渡到一个独立的调查员在终身教职的位置。所得 R 00阶段研究与NIDA战略目标2“制定新的和改进的战略， 毒品使用及其后果”与西南部的人工智能社区。