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.

项目概要/摘要 美洲印第安人和阿拉斯加原住民 (AIAN) 的终生物质摄入率异常高 使用障碍的上一年患病率峰值出现在 16 岁。 AIAN 17 岁及以下青少年 与所有其他族裔/种族相比，吸毒和酗酒的患病率更高且更早开始使用 美国的团体。与其他民族/种族群体相比，AIAN 青年的自我报告率最高 抑郁症发病率，2014 年，自杀是 10 岁以下 AIAN 人的第二大死因 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物质使用和滥用的保护因素 帮助 AIAN 青少年缓解抑郁症，同时促进积极的自尊和健康的身份形成。文化上—— 扎根的课后计划 (ASP) 使用文化价值观和实践作为健康促进和 疾病预防，AIAN 预防的一种形式。具有文化基础的节目不同于其他文化节目 （基于文化或文化适应）因为开发是由当地社区指导或领导的， 当地社区，植根于特定的社会和文化背景。这项研究建立在 6 年的基础上 与服务 AI 青少年的 ASP 合作，评估为期 13 期的文化基础课程的影响 干预，称为本土精神（NS）。 NS 是一个 ASP，由传统知识持有者领导，每个人 会议重点关注社区特定的文化价值和活动。 NS 旨在减少和预防 通过增强保护因素来减少药物滥用，包括加强文化认同、自尊和 弹力。拟议 (R00) 研究的目标是： 1) 增强自尊、复原力和文化 身份，2) 通过参与 NS 减少 AI 青少年（12-17 岁）的药物使用。这项研究 将使用混合方法候补名单控制设计来评估参与 NS 计划的影响。这 研究将衡量参与者自尊、文化认同、复原力和药物使用的变化 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 AI 青少年的文化参与和药物使用预防之间的联系，还强调 通过与服务人工智能社区的 ASP 合作，获得促进健康的独特机会。通过 MOSAIC K99/R00，我将获得适合文化的定性和定量分析培训 青少年物质使用的测量以及预防措施的制定和实施 干预措施，同时过渡到终身教授职位的独立调查员。由此产生的 R00 阶段研究与 NIDA 战略目标 2 保持一致，即“制定新的和改进的战略，以预防 毒品使用及其后果”与西南部的人工智能社区。