Caring for Our Generations: Supporting Native Mothers and Their Families

西北美洲印第安人是一个严重的研究不足和服务不足的群体，在伊尔斯克为多种健康 问题包括怀孕期间和怀孕后的产妇健康状况不佳。美国印第安人生活在 西北地区的孕产妇和婴儿结局不良率非常高。本申请是对RFA的回应 HHS-2009-HIS-NARCHV-O 001，涉及一个为期4年的发展项目，以探索产妇健康 行为，母体物质使用，怀孕期间和怀孕后物质使用的危险因素， 支持健康母亲行为的因素。调查结果将有助于研究小组设计一个 为生活在西北部的美洲印第安母亲提供文化上适当和可行的干预方案。 根据现有的初步流行病学和监测数据以及部落的支持，这项研究 提出了五个具有创新意义的目标。首先，我们将进行定性的形成性研究，涉及4 重点小组和25个关键的信息访谈，采访了18-55岁的母亲，土著保健提供者， 老年/传统治疗师和土著青年（15-25岁）。第二，我们会进行有系统的调查 采访了100名美国印第安人社区成员。有了这些新的数据，我们将建立 与产妇健康结果、保护性健康措施、 怀孕期间和怀孕后的药物使用以及对母亲的社会支持。第三，我们将发展和 针对西北部的成年美洲印第安母亲进行基于文化的干预。第四， 我们将翻译并向部落传播调查结果，并为社区准备翻译材料。 会员和服务提供商。第五，在整个研究过程中，我们将努力扩大 在Lummi部落保健诊所建立研究基础设施，并提高部落的研究能力 社区

Northwest American Indians are a drastically understudied and underserved group, at ilsk for multiple health problems induding poor maternal health during and after pregnancy. American Indians living in the Northwest have very high rates of poor maternal and irtfant outcomes. This application, in response to RFA HHS-2009-HIS-NARCHV-O001, involves a 4-year developmental project to explore matemal health behaviors, maternal substance use, risk factors for substance use during and after pregnancy, and protective factors that support healthy matemal behaviors. Findings will assist the research team in designing a culturally appropriate and feasible intervention program for American Indian mothers living in the Northwest. Building upon existing preliminary epidemiological and surveillance data as well as tribal support, this study proposes five innovative and significant aims. First, we will conduct qualitative formative research involving 4 focus groups and 25 key infomiant interviews with mothers aged 18-55, Native health providers, elder/traditional healers, and Native youth (aged 15-25). Second, we will conduct structured survey interviews with 100 American Indian community members. With these inten/iew data, we will establish preliminary baseline data related to matemal health outcomes, protective health tjehaviors, risk factors for substance use during and after pregnancy, and social support for mothers. Third, we will develop and manualize a culturally-based intervention targeting adult American Indian mothers in the Northwest. Fourth, we will translate and disseminate the findings to the tribe and prepare translational materials for community members and service providers. Fifth, throughout the course ofthe study, we will work to expand the research infrastructure at Lummi Tribal Health Clinic and to increase research capacity in the tribal community.