Assessing Cultures of Recovery in Tribal Communities - Pilot Project 1: Understanding Relapse among Tribal Youth

评估部落社区的康复文化 - 试点项目 1：了解部落青年的旧病复发

• 批准号: 10707002
• 负责人: Timothy C Edson
• 金额: $ 6.41万
• 依托单位: HEALING LODGE OF THE SEVEN NATIONS
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-20 至 2026-07-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10707002
• 关键词: Active Learning; Admission activity; Adolescent; Affect; Aftercare; Age; Alaska Native; American Indians; Authorization documentation; Award; Characteristics; Charge; Clinical; Clinical Research; Clinical Services; Collaborations; Communities; Community Healthcare; Consultations; Coping Skills; Data; Emotional; Ensure; Environmental Risk Factor; Exposure to; Feedback; Foundations; Funding; Future; Gender; Goals; Health Status; Home; Indian reservation; Indigenous; Institution; Intake; Intervention; Knowledge; Leadership; Learning; Life; Measures; Mental disorders; Native American Research Center for Health; Native-Born; Patient Self-Report; Persons; Pilot Projects; Prevalence; Recording of previous events; Records; Recovery; Relapse; Research; Reservations; Residential Treatment; Resource Development; Risk Factors; Source; Specialist; Subgroup; Substance Use Disorder; Surveys; Time; Training; Tribal Council; Tribes; United States Indian Health Service; Walking; Work; Youth; addiction; clinically relevant; cohort; demographics; design; early onset substance use; experience; healing; health disparity; innovation; instrumentation; interest; knowledge translation; learning strategy; meetings; member; multiple drug use; native youth; pressure; protective factors; psychiatric comorbidity; relapse prevention; research and development; research data dissemination; research study; residence; social; substance misuse; substance use; substance use treatment; tribal Nation; tribal community; working group

PROJECT SUMMARY/ABSTRACT Understanding common risk and protective factors for relapse among American Indian/Alaskan Native (AI/AN) adolescents in recovery from substance use disorders is essential for ensuring that relapse prevention programming is authentic, relevant, culturally appropriate, and effective. The overall goals for this Pilot Project are to (1) gain an in-depth understanding of the intrapersonal and interpersonal determinants of relapse among AI/AN youth in recovery from addiction by surveying consecutively-admitted AI/AN adolescent residents of the Healing Lodge of the Seven Nations (HL); (2) for the first time at the HL, integrate information collected as part of routine clinical services with original survey data to advance clinical research; and (3) engage in a variety of knowledge translation/research dissemination activities designed to return knowledge gained to AI/AN adolescents’ care communities. We will invite three cohorts of approximately 15 AI/AN HL residents to take part in a survey that assesses key demographics (i.e., age, gender, tribal reservation residence status), situational precursors to relapse (i.e., trigger experiences, crisis experiences, other potential missed intervention points), social community supports/networks, and intrapersonal characteristics (i.e., coping skills). We will follow a Tribal Participatory Research approach, whereby we will solicit the feedback regarding the research plan and instrumentation from a Working Group composed of representatives from seven surrounding tribal nations. Therefore, the final form of the survey will reflect the interests and perceived needs of tribal partners. We will combine survey information with relevant clinical information about HL residents, particularly comorbid psychiatric conditions and relapse history, collected at intake. We will describe the prevalence of risk and protective factors shared by AI/AN youth in the aggregate and supplement these descriptive analyses with subgroup analyses designed to explore potential interactions among measured variables, to advance tailored aftercare approaches designed to support AI/AN adolescents after they return to their home communities and work to maintain their recovery. We will employ best practices for conveying and disseminating research findings to a broad audience, which will include the Working Group, tribal councils, HL residents, and, perhaps most importantly, key HL staff including aftercare specialists. This Pilot Project will provide the foundation for a set of guided research experiences that will build professional clinical research capacity at the newly established Healing Lodge Research and Training Unit.

项目摘要/摘要 了解美洲印第安人/阿拉斯加本地人的共同风险和保护因素 （AI/AN）从物质使用障碍中恢复的青少年对于确保预防救济至关重要 编程是真实的，相关的，适当的和有效的。该试点项目的总体目标 是（1）深入了解人际关系和人际关系的救济者 AI/一个青年从成瘾中恢复成瘾，通过调查不断吸引AI/AI/AI/AI的青少年居民 七个国家（HL）的治疗小屋； （2）第一次在HL上，作为一部分收集的集成信息 具有原始调查数据的常规临床服务以推进临床研究； （3）参与各种 知识翻译/研究传播活动旨在归还获得的知识 青少年的护理社区。我们将邀请三个大约15个AI/HL居民的队列 一部分评估关键人口统计的调查（即年龄，性别，部落保留地地位）， 退休的情况前体（即触发经历，危机经历，其他潜在的错过 干预点），社会社区支持/网络和人际特征（即应对技能）。 我们将遵循一种部落参与研究方法，我们将征求有关 由七个周围环境组成的工作组的研究计划和仪器 部落国家。因此，调查的最终形式将反映部落的利益和感知需求 合作伙伴。我们将将调查信息与有关HL居民的相关临床信息相结合，特别是 摄入时收集的合并症精神病和中继历史。我们将描述风险的流行 AI/A AI/A ANCHEN中共有的保护因素，并补充了这些描述性分析 旨在探索测量变量之间潜在相互作用的亚组分析，以推动量身定制 旨在支持AI/A的青少年返回家庭社区和 努力维持他们的康复。我们将采用最佳实践来传达和传播研究 向广泛受众的调查结果，其中包括工作组，部落委员会，HL居民，也许包括 最重要的是，关键的HL员工在内，包括后期护理专家。该试点项目将为 一系列有指导的研究经验，将在新近建立专业的临床研究能力 建立的治疗小屋研究和培训部门。