Consortium for Community-Based Research in Native American Health

描述（由申请人提供）：该项目旨在解决健康问题，扭转生活在蒙大拿州的美洲原住民所经历的健康差距。我们的经验是坚持认为，必要的方法，以科学探究和健康增强这一人群是以社区为基础的前瞻性研究（CBPR）。美国原住民健康社区研究联盟是由寻求复制成功的CBPR项目的美国原住民社区和寻求解决美国原住民健康问题和差异的研究人员提出的双重要求开发的。该提案的核心实际目的是发展该联盟，改变历史上与部落民族进行研究的方式，将研究人员和社区聚集在一起，建立信任，分享权力，促进共同学习，增强优势和资源，建设能力，并检查和解决社区确定的需求和健康问题。这些制度和行为的变化是实现通过该项目寻求的最终成果的关键：通过健康素养和疾病预防行为，卫生机构的变化，以及增加美洲原住民社区的社会资本，最终导致改善经济条件，改善美洲原住民的健康和减少健康差距。该项目的具体目标是：为蒙大拿州研究人员、医疗和公共卫生从业人员以及美洲土著社区成员建立一个持久、适应性强和有益的基础设施，以发展他们的能力，协调他们的努力，并合作解决蒙大拿州美洲土著人口面临的健康差距问题（行政核心）;在克罗部落社区开展一个全面的社区重建研究项目，并制定12-25个社区重建试点项目，以满足蒙大拿州美洲原住民社区确定的需求（研究核心）;扩大和提高学术为基础的健康研究人员和医疗和公共卫生从业人员在蒙大拿州的能力，有效地与美洲原住民社区合作伙伴，并为学生发展指导关系，积极参与研究处理蒙大拿州的美洲原住民的健康问题（培训核心）;并通过经验的熔炉发展对社区结构，流程和参与的理解。与美国原住民社区进行CBPR研究所需的大学政策，成功解决了美国原住民的健康问题和差异（社区参与核心）。

DESCRIPTION (provided by the applicant): This project aims to redress the health concerns and reverse the health disparities experienced by Native Americans living in Montana. Our experience is insistent that the necessary approach to scientific inquiry and health enhancement for this population is Community-Based Participatory Research (CBPR). The Consortium for Community-Based Research in Native American Health was developed out of a dual request by Native American communities seeking to replicate successful CBPR projects, and by researchers seeking an entree to address Native American health concerns and disparities. The central practical purpose of this proposal is to grow the Consortium and change the way that research historically has been conducted with tribal nations by bringing together researchers and communities to establish trust, share power, foster colearning, enhance strengths and resources, build capacity, and examine and address community-identified needs and health problems. These institutional and behavioral changes are critical to achieving the ultimate outcomes sought through this project: improvements in Native Americans' health and reduction of health disparities through health literacy and disease prevention behaviors, change in health institutions, and increasing social capital in Native American communities that ultimately leads to improved economic conditions. The project's specific aims are to: establish an enduring, adaptable and conducive infrastructure for Montana researchers, medical and public health practitioners, and Native American community members to develop their capacity, coordinate their efforts and cooperate to address the health disparities faced by Montana's Native American populations (Administrative Core); carry out one full CBPR research project in the Crow tribal community and develop 12-25 CBPR pilot projects that address needs identified by Native American communities in Montana (Research Core); expand and enhance the capabilities of academically-based health researchers and medical and public health practitioners in Montana to work effectively with Native American community partners, and develop mentoring relationships for students to actively engage in research dealing with health issues of Montana's Native Americans (Training Core); and develop through the crucible of experience an understanding of the community structures, processes and participation and the. university policies required to conduct CBPR research with Native American communities that successfully addresses Native American health concerns and disparities (Community Engagement Core).