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.

项目摘要/摘要 美洲印第安人和阿拉斯加土著人（AIAN）经历的终生物质率不成比例 在16岁时使用峰值过去年患病率的障碍。 Aian青少年17岁及以下 与所有其他种族/种族相比 在美国。与其他种族/种族群体相比，艾安青年自我报告最高 抑郁率率，2014年，自杀是10岁之间的AIAN的第二大死亡原因 和34岁。这些数据表明需要早期干预以防止Aian使用物质 青少年。文化连接已被确定为防止药物使用的受保护因素 亚洲青年的抑郁症，同时促进积极的自尊和健康的身份形成。在文化上 - 扎根的课后计划（ASP）使用文化价值和实践作为促进健康的基础 预防疾病，一种预防AIAN的形式。具有文化的计划与其他文化计划不同 （基于文化的或以文化为基础的），因为该发展是由当地社区指导或领导的，因为 当地社区，植根于特定的社会和文化背景。这项研究基于6年 与为AI青少年服务的ASPS合作，以评估13条经验的文化基础的影响 干预，称为本土精神（NS）。 NS是由传统知识持有者领导的ASP 会议侧重于社区特定的文化价值和活动。 NS旨在减少和防止 通过增强保护因素，包括加强文化身份，自尊和 弹力。拟议的（R00）研究的目标是：1）增强自尊，韧性和文化 身份和2）通过参与NS来减轻AI青年（12-17岁）的药物使用。这项研究 将使用混合方法等待列表控制设计来评估参与NS计划的影响。 研究将衡量参与自尊，文化认同，韧性和物质使用的变化 在三个时间点和半结构化访谈中进行的自我报告调查。这项研究提供了创新的 文化参与与预防AI青少年的毒品使用之间的联系，并突出显示 与为AI社区服务的ASP合作进行健康促进的独特机会。通过 Mosaic K99/R00，我将获得定性和定量分析的培训 青少年物质使用的测量以及预防的开发和实施 干预措施在过渡到终身教师职位的独立调查员时。结果 R00阶段研究与NIDA战略目标2保持一致，以“制定新的和改进的战略以防止 西南AI社区的吸毒及其后果”。