Promoting AI/AN Health: NW NARCH program

促进 AI/AN 健康：NW NARCH 计划

• 批准号: 10015300
• 负责人: THOMAS MARK BECKER
• 金额: $ 70.34万
• 依托单位: NORTHWEST PORTLAND AREA INDIAN HLTH BD
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-09-15 至 2023-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10015300
• 关键词: AIDS prevention; Academia; Address; Adolescent and Young Adult; Advisory Committees; Affect; Alaska Native; American Indians; Area; Asthma; Cancer Control; Cancer Control Research; Child; Chronic Disease; Clinic; Collaborations; Communities; Consent; Country; Data; Development; Disease; Education; Effectiveness of Interventions; Emergency Care; Ensure; Faculty; Fright; Funding; Goals; Grant; HIV/STD; Health; Health Priorities; Health Sciences; Health Status; Healthcare; Home visitation; Human Resources; Infrastructure; Institution; Intervention; Knowledge; Leadership; Link; Mentors; Mentorship; Methods; Native American Research Center for Health; Native-Born; Oregon; Outcome; Patient-Focused Outcomes; Personal Satisfaction; Pharmacy facility; Prevalence; Prevention education; Prevention program; Process; Research; Research Personnel; STI prevention; Scientist; Self Management; Students; Testing; Training; Training Programs; Tribes; Trust; Universities; Visit; Vocational Guidance; base; behavior change; cancer prevention; career; career development; community partnership; condoms; design; effectiveness evaluation; effectiveness testing; experience; faculty research; health data; health disparity; improved; improved outcome; interest; member; native youth; novel strategies; programs; racial health disparity; resilience; response; self-management program; sexual assault; skills; success; tribal community; tribal leader

Overall NARCH Project summary Three premises underlie the development of our NW NARCH. First, despite longstanding efforts by tribal, federal, and state health care programs, the available data show substantial disparities in health for NW American Indians and Alaska Natives (AI/ANs) compared to non-AI/ANs (1–5). NW tribal leaders fear that their health status is getting worse instead of better; this fear unfortunately has been substantiated with health data that show increases in key chronic disease conditions instead of decreases over the past 20 years. Second, Indian communities distrust health research because of negative experiences with non-AI/AN researchers who did not respect tribal needs or sensitivities, even though carefully implemented health research has the potential to provide solutions to reduce, and ultimately eliminate, existing health disparities. Third, health research done by highly skilled AI/ANs who are sensitive to the culture and specific concerns of NW and other Indian communities can bridge the gap between academia and community, though currently we lack the critical mass of AI/AN researchers necessary to accomplish this task. In response to these three issues, Northwest Portland Area Indian Health Board (NPAIHB or ‘the board’) has established the NW NARCH to form a tribal-academic partnership for community-based health research focused on eliminating racial health disparities and will continue this partnership with this application. The NW Indian communities represented by NPAIHB have a long track record of coordinated efforts to improve their health status; our tribal-academic partnerships with Oregon Health & Science University and Portland State University will build a wide-reaching and multi-layered infrastructure to increase the skills of AI/AN researchers, and address health problems of critical importance to the tribes. Our Board delegates and Community and Scientific Board of Advisors have directed us to pursue three projects in this application: 1) cancer prevention and control training; 2) HIV/STD prevention for adolescents and young adults; and 3) asthma education and self-management. We trust that we will have substantial impact on AI/AN communities through increasing the number of rigorously trained tribal people in cancer prevention and control and mentoring them in their careers; in reaching an estimated 2,000,000 tribal people within two years with culturally-appropriate HIV/STD prevention messages than can affect behavior change; and in developing and testing new asthma self-management programs that can have wide applicability in Indian country. Our experienced evaluators will track process and outcomes for each project, in addition to their impact, as we address these important issues in AI/AN health.

总体NARCH项目摘要 三个前提是我们西北地区的发展。首先，努力由部落，联邦和 州医疗保健计划，可用的数据显示了西北美洲印第安人和阿拉斯加健康方面的大量分布 与非AI/ANS（1-5）相比，本地人（AI/ANS）。西北部落领导人担心他们的健康状况会恶化 更好不幸的是，这种恐惧已经证实了健康数据的增长 在过去的20年中，条件不是下降。第二，由于印度社区不信任健康研究 与不尊重部落需求或敏感性的非AI/非AI的负面经历，即使谨慎 实施的健康研究有可能提供解决方案，以减少并最终消除现有的健康 差异。第三，由高技能的AI/ANS进行的健康研究，他们对文化敏感和具体关注 西北和其他印度社区可以弥合学术界与社区之间的鸿沟，尽管目前我们缺乏 AI/一个研究人员的临界质量是完成这项任务所需的。 为了应对这三个问题，西北波特兰地区印度卫生委员会（NPAIHB或“董事会”）已建立 NW Narch组成基于社区健康研究的部落学术伙伴关系，重点是消除种族 健康差异，并将继续与此应用程序进行这种伙伴关系。西北印度社区代表 NPAIHB在改善其健康状况的协调努力方面有着悠久的记录；我们的部落学术伙伴关系 俄勒冈州健康与科学大学和波特兰州立大学将建造广泛的多层 提高AI/A/A研究人员技能的基础设施，并解决对部落至关重要的健康问题。 我们的董事会代表，社区和科学顾问委员会指示我们在此购买三个项目 应用：1）预防癌症和控制训练； 2）预防青少年和年轻人的HIV/STD； 3） 哮喘教育和自我管理。我们相信，我们将对AI/A社区产生重大影响 增加了在预防癌症和控制和心理方面受过严格训练的部落人数的数量 职业；在两年内估计达到2,000,000个部落人士，并具有适合文化的艾滋病毒/性病 预防信息比影响行为改变的信息；以及开发和测试新的哮喘自我管理 在印度国家中可能具有广泛适用性的计划。我们经验丰富的评估者将跟踪过程和结果 对于每个项目，除了其影响之外，我们还解决了AI/A AN健康中的这些重要问题。