Native Center for Alcohol Research and Education

概述摘要 博士国家酒精滥用和酒精中毒研究所所长乔治库布最近呼吁， 确定和促进针对土著人民的有效预防干预措施的方案。天然 华盛顿州立大学的酒精研究和教育中心（NCARE）与我们在 科罗拉多丹佛大学和华盛顿大学提供协调一致的努力，以减轻和 最终消除美国印第安人和阿拉斯加原住民（AI/AN）所经历的与酒精有关的破坏 通过基于理论的战略和可持续干预措施的应用，实现这一目标将 减少这一得不到充分服务的人口所经历的与酒精有关的严重健康差距。我们的研究 议程阐明了一个以理论和土著人日常生活为基础的土著人健康的实用模式 人我们的研究项目和试点项目将覆盖城市，农村和农村的土著婴儿，青年和成年人。 边境社区。虽然我们的视野是广阔的，但我们在社会，经济和社会方面的务实基础， 土著社区所经历的医疗保健系统将是可以理解的，并与许多受众相关， 包括部落社区、研究人员和临床医生。这种接地也增加了我们的可能性， 研究结果将转化为公共卫生效益。我们的努力将突出预防和干预， 为全国医疗保健成本对话提供经验证据。总的来说，这项工作有 改善AI/AN酒精使用障碍患者及其家人生活质量的潜力， 社区. NCARE提出了这些活动：1）研究项目1：比较文化 针对常规护理的适应性干预，以减少危险饮酒和增加避孕药具的使用， 南部苏族夏延河流域妇女中酒精暴露妊娠和胎儿酒精谱系障碍 2）研究项目2：比较谈话圈干预与常规护理的有效性， 减少有害行为，改善城市土著诊所患者的生活质量和医疗保健使用， 华盛顿西雅图的酒精问题;和3）研究项目3：测试激励的有效性 访谈加患者导航，以增加酒精治疗计划的注册人数，并防止再 入院接受戒毒治疗的患者从费尔班克斯土著戒毒协会出院 在阿拉斯加州的费尔班克斯。对于所有3个项目，我们将对干预措施进行经济评估。这些 3研究项目将由行政，信息传播，研究方法和 试点项目核心。值得注意的是，我们的研究团队包括11名参与不同角色的本地专业人士， 包括所有核心和研究项目的共同领导人。我们调查员之间的这种独特联系 我们的研究人群为我们的工作注入了一种特殊的动力，支持将本土酒精 研究超越当前的，主要是描述性的状态，变成有意义的行动。

OVERVIEW ABSTRACT Dr. George Koob, the Director of the National Institute on Alcohol Abuse and Alcoholism, recently called for programs that identify and promote effective preventive interventions tailored to Native people. The Native Center for Alcohol Research and Education (NCARE) at Washington State University, with our partners at the University of Colorado Denver and the University of Washington, offers coordinated efforts to mitigate and ultimately eliminate the alcohol-related devastation experienced by American Indian and Alaska Native (AI/AN) peoples through theory-based application of strategic and sustainable interventions. Achieving this goal will reduce the profound alcohol-related health disparities experienced by this underserved population. Our research agenda articulates a practical model of Native health that is grounded in theory and the daily lives of Native people. Our Research Projects and Pilot Projects will reach Native infants, youth, and adults in urban, rural, and frontier communities. Although our perspective is broad, our pragmatic grounding in the social, economic, and healthcare systems experienced by Native communities will be understandable and relevant to many audiences, including tribal communities, researchers, and clinicians. This grounding also increases the likelihood that our findings will translate into public health benefits. Our efforts will foreground prevention and intervention while contributing empirical evidence to the national conversation on healthcare costs. Collectively, this work has the potential to improve the quality of life for AI/AN with alcohol use disorders, as well as for their families and communities. NCARE proposes these activities: 1) Research Project 1: Compare the effectiveness a culturally adapted intervention against usual care for reducing risky drinking and increasing contraception use to prevent alcohol-exposed pregnancy and fetal alcohol spectrum disorders among Cheyenne River Sioux women in South Dakota; 2) Research Project 2: Compare the effectiveness of a talking circle intervention against usual care for reducing harmful behaviors and improving quality of life and healthcare use in urban Native clinic patients with alcohol problems in Seattle, Washington; and 3) Research Project 3: Test the effectiveness of motivational interviewing plus patient navigation for increasing enrollment in alcohol treatment programs and preventing re- admission to detoxification treatment for patients discharged from the Fairbanks Native Association detoxification unit in Fairbanks, Alaska. For all 3 Projects, we will conduct an economic evaluation of the interventions. These 3 Research Projects will be supported by the Administrative, Information Dissemination, Research Methods, and Pilot Project Cores. Notably, our research team includes 11 Native professionals participating in diverse roles, including Co-Leaders on all Cores and Research Projects. This unique connection between our investigators and our study population imbues our work with a special dynamic, supporting efforts to move Native alcohol research beyond a current, largely descriptive state into meaningful action.