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 美国印第安人和阿拉斯加原住民(AIAN)经历了不成比例的高终生物质比率 使用障碍，过去一年患病率最高的是16岁。17岁及以下的美国青少年 与所有其他族裔/种族相比，有更高的流行率和更早开始使用毒品和酒精 在美国的团体。与其他人种/种族群体相比，AIAN青年的自我报告最高 抑郁率，在2014年，自杀是10岁以下老人的第二大死因 现年34岁。这些数据表明，有必要进行早期干预，以防止AIAN患者使用药物 青少年。文化连通性已被确定为防止物质使用和 AIAN青年的抑郁，同时促进积极的自尊和健康的身份形成。从文化上讲- 扎根的课后计划(ASP)使用文化价值观和实践作为促进健康和 疾病预防，AIAN预防的一种形式。基于文化的节目不同于其他文化节目 (基于文化或适应文化)因为发展是由当地社区引导或领导的，例如 在当地社区，并植根于特定的社会和文化背景。这项研究建立在一个为期6年的研究基础上 与为人工智能青少年提供服务的ASP合作，评估以文化为基础的13次会议的影响 干预，称为土著精神(NS)。NS是由传统知识持有者领导的ASP，每个 会议的重点是社区特有的文化价值和活动。NS旨在减少和预防 通过加强保护性因素，包括加强文化认同、自尊和 恢复力。建议的(R00)研究的目标是：1)增强自尊、韧性和文化修养 2)通过参加NS减少人工智能青年(12-17岁)的物质使用。本研究 将采用混合方法进行候补对照设计，以评估参与NS方案的影响。这个 这项研究将测量参与者的自尊、文化认同、韧性和物质使用的变化 三个时间点的自我报告调查和半结构化访谈。这项研究提供了一种创新的 人工智能青少年的文化参与和预防药物使用之间的联系 与服务于人工智能社区的ASP合作，提供独特的健康促进机会。穿过 马赛克K99/R00，我将接受定性和定量分析方面的培训，适合文化 青少年药物使用的衡量以及预防措施的制定和实施 在过渡到终身教职的独立调查员的同时进行干预。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，以防止 毒品使用及其后果“与西南部的人工智能社区有关。