Community-Driven Indigenous Research, Cultural Strengths & Leadership to Advance Equity in Drug Use Outcomes (CIRCLE)

社区驱动的本土研究、文化优势

• 批准号: 10713129
• 负责人: Mary Allison Barlow
• 金额: $ 234.72万
• 依托单位: JOHNS HOPKINS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-01 至 2028-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10713129
• 关键词: Acceleration; Address; Alaska Native; Alcohol abuse; Alcohol consumption; Ally; American Indians; Area; Attention; COVID-19 pandemic; Centers of Research Excellence; Cessation of life; Collaborations; Communities; Community Services; Data; Development; Drug abuse; Drug usage; Education; Equity; Family; Fostering; Goals; Harm Reduction; Health; Heterogeneity; Indigenous; Inequity; Intervention; Leadership; Life; Longevity; Measures; Methodology; Methods; National Institute of Drug Abuse; Native-Born; Outcome; Pathway interactions; Pattern; Personal Satisfaction; Persons; Pharmaceutical Preparations; Pilot Projects; Policies; Policy Maker; Population; Premature Mortality; Prevalence; Prevention; Public Health; Racial Equity; Recovery; Research; Research Personnel; Research Priority; Research Project Grants; Research Support; Resources; Risk Factors; Science; Scientific Advances and Accomplishments; Services; Shapes; Source; Structure; System; Time; Training; Training Activity; Translating; Tribes; Work; Workforce Development; alcohol-related death; burden of illness; combat; community based participatory research; coping; drug abuse prevention; evidence base; experience; health equity; indigenous community; innovation; intervention effect; multidisciplinary; novel; outreach; overdose death; personalized approach; programs; promote resilience; protective factors; response; social health determinants; socioeconomics; stressor; substance misuse; substance misuse prevention; substance use; trend; uptake

PROJECT SUMMARY Drug and alcohol use related health problems and overdose deaths disproportionately impact quality and longevity of life for many American Indian and Alaska Native (Indigenous) communities. The proposed Community-Driven Indigenous Research, Cultural Strengths & Leadership to Advance Equity in Substance Use Outcomes (CIRCLE) Center of Excellence (P50) aims to address drug use related health problems in collaboration with diverse Indigenous communities. Through research, training, and outreach, we will respond to calls from Indigenous Peoples for enhanced focus on recovery and prevention, sources of strength, culture and family-based approaches to wellness, and policy solutions. The P50 projects and cores will operate with emphasis on four cross-cutting domains, all centered on a bedrock of promoting Indigenous Health Equity: 1) Indigenous & Allied Leadership; 2) Community/Tribally Based Participatory Research (C/TBPR); 3) Addressing Heterogeneity via Precision Public Health; and 4) Centering Strengths, including Assessing Indigenous Cultural Frameworks of Health. Reflecting these thematic approaches, the Center's overarching aims include conducting impact-focused, C/TBPR to identify heterogeneity in substance use risk and protective factors and intervention effects. We will also foster the development of Indigenous scholars to expand Indigenous autonomy, capacity and innovation in research, practice, and policy surrounding alcohol and drug use. We further aim to expand and deepen our engagement with educational facilities, researchers, Tribal and Urban Native communities, policy makers, and the public to serve as a national resource for more rapid uptake and sharing of novel methods, measures, and programs in service to Indigenous health equity. To achieve these goals, the Center will house the following: 1) Administrative Core to oversee governance, administrative structures, scientific priorities, and training activities; 2) Research Core to provide methodological expertise to support the research of the Center; 3) Pilot Project Core to support innovation in Indigenous drug use research, and 4) Three Research Projects that will conduct multidisciplinary and synergistic science focused on drug use prevention, intervention, and policy. The proposed work aligns with NIDA's Racial Equity Initiative action steps, including increased CBPR and equity- driven partnerships to combat drug use inequities.

项目总结 与药物和酒精使用有关的健康问题和过量死亡不成比例地影响质量和 许多美国印第安人和阿拉斯加原住民(土著)社区的长寿。建议数 社区驱动的本土研究、文化力量和领导，以促进物质使用的公平 结果(圈子)卓越中心(P50)旨在解决与药物使用有关的健康问题 与不同的土著社区合作。通过研究、培训和推广，我们将回应 土著人民呼吁加强对恢复和预防、力量来源、文化和 以家庭为基础的健康方法和政策解决方案。P50项目和核心将与 强调四个交叉领域，所有领域都以促进土著健康公平的基石为中心：1) 土著和联盟领导；2)基于社区/部落的参与性研究(C/TBPR)；3)解决 通过精确的公共卫生实现异质性；以及4)集中优势，包括评估土著文化 健康框架。为了体现这些主题方针，中心的总体目标包括 以影响为重点，C/TBPR，以确定物质使用风险和保护因素的异质性和干预 效果。我们还将促进土著学者的发展，以扩大土著自治、能力 以及围绕酒精和毒品使用的研究、实践和政策创新。我们的进一步目标是扩大和 深化我们与教育机构、研究人员、部落和城市原住民社区、政策的接触 作为更迅速地采用和分享新方法的国家资源， 为土著健康公平服务的措施和方案。为了实现这些目标，该中心将提供 以下：1)行政核心，监督治理、行政结构、科学优先事项和 培训活动；2)研究核心，提供方法学专门知识，支持中心的研究； 3)支持本土药物使用研究创新的试点项目核心，以及4)三个研究项目 将开展以药物使用预防、干预和政策为重点的多学科和协同科学。 拟议的工作与NIDA的种族平等倡议行动步骤相一致，包括增加CBPR和公平- 推动建立伙伴关系，打击毒品使用不平等现象。