Development and Pilot Test of Indigenist Relapse Prevention for American Indians

针对美洲印第安人的原住民复吸预防方案的开发和试点测试

• 批准号: 10000170
• 负责人: MONICA C SKEWES
• 金额: $ 19.72万
• 依托单位: MONTANA STATE UNIVERSITY - BOZEMAN
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-09-15 至 2024-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10000170
• 关键词: Abstinence; Accidents; Address; Affect; Alcohol or Other Drugs use; American Indians; Applications Grants; Area; Attention; Behavior; Behavior Therapy; Behavioral; Centers of Research Excellence; Cognitive Therapy; Communities; Community Health; County; Data; Depression and Suicide; Development; Discrimination; Disease remission; Ensure; Epidemic; Evidence based treatment; Fostering; Future; General Population; Goals; Health; Health Personnel; Indian reservation; Injury; Interpersonal Violence; Intervention; Intervention Trial; Lateral; Measures; Methamphetamine; Methods; Mission; Modeling; Montana; Morbidity - disease rate; Motivation; Participant; Personal Satisfaction; Pharmacotherapy; Phase; Pilot Projects; Population; Prevalence; Prevention strategy; Preventive Intervention; Process; Property; Psychometrics; Randomized; Recovery; Relapse; Research; Research Design; Research Project Grants; Reservations; Risk; Risk Factors; Rural; Rural Community; Rural Health; Self-control as a personality trait; Sioux Indians; Site; Spirituality; Substance Use Disorder; Substance of Abuse; Terminology; Test Result; Testing; Training; Trauma; Treatment Protocols; Tribes; United States; Violence; Waiting Lists; Work; alcohol and other drug; alcohol use disorder; base; commune; community based participatory research; community partnership; design; disorder later incidence prevention; efficacy testing; efficacy trial; evidence base; experience; group intervention; health disparity; health equity; high risk; improved; informant; innovation; instrument; member; mortality; novel; power analysis; preference; prescription drug abuse; primary outcome; protective factors; psychologic; racial discrimination; recruit; response; rural Americans; social; social determinants; social norm; treatment program; tribal community; tribal leader; tribal member

The purpose of this project is to culturally adapt an established evidence-based treatment, Relapse Prevention (RP), and pilot-test the resulting Indigenist Relapse Prevention (IRP) intervention on the Fort Peck Indian Reservation in rural Montana. The research team will work with its existing community partners from the Assiniboine and Sioux Tribes within a community-based participatory research (CBPR) framework to carry out the study aims. The team will collaboratively modify existing RP strategies using an iterative cultural adaptation process to address specific cultural factors identified by previous research and enhance social validity. These efforts will result in a culturally appropriate intervention for American Indians (AIs) with substance use disorder that is practical, easily replicable, and acceptable to the community. This work is necessary before the team can successfully implement the adapted IRP intervention and test its efficacy on a broader scale, which is the intended goal of a future R01 grant proposal. The proposed pilot study will be conducted with Fort Peck tribal members with substance use disorder who are motivated to change and have an abstinence goal (n = 40). The research team will use a randomized block design with assignment to a treatment condition or a wait-list control condition and repeated assessments of substance use behavior. The pilot study will allow the team to identify barriers to successful implementation of the intervention as well as threats to internal validity that it must account for in future research. The research team also will gain 1) experience training paraprofessionals to administer the intervention with fidelity, 2) increased understanding of effective and culturally appropriate study methods, and 3) crucial preliminary data on the psychometric properties of the team's instruments and estimates of effect size for power calculations. The research team will use this information to support a future R01 grant application to test the efficacy of the culturally adapted IRP intervention for rural AIs with substance use disorder. The short-term goal of this research is to develop a successful relapse prevention intervention for AIs that is practical, easily replicated, and administered by trained lay community health advisors. The long- term goal is to disseminate the intervention by incorporating it into existing treatment programs to ensure local sustainability and broader utilization by other tribal communities nationwide.

该项目的目的是在文化上适应一种既定的循证治疗方法，即预防复发 (RP)，并对由此产生的土著复发预防（IRP）干预进行试点测试 在蒙大拿州乡下的保留地。该研究小组将与现有的社区合作伙伴， 阿西尼博因和苏族部落在基于社区的参与性研究框架内开展 研究的目的。团队将使用迭代的文化适应来协作修改现有的RP策略 这一过程旨在解决先前研究确定的特定文化因素，并提高社会有效性。这些 这些努力将导致对患有物质使用障碍的美洲印第安人（AI）进行文化上适当的干预 这是切实可行，容易仿效，并为社会所接受的。这项工作是必要的， 可以成功实施适应性IRP干预并在更广泛的范围内测试其功效，这就是 未来R 01赠款提案的预期目标。拟议的试点研究将与佩克堡部落进行 有动机改变并有禁欲目标的物质使用障碍成员（n = 40）。的 研究小组将采用随机区组设计，分配给治疗条件或等待名单 控制条件和物质使用行为的重复评估。试点研究将使该小组能够 确定成功实施干预的障碍以及对内部有效性的威胁， 在未来的研究中必须考虑到。研究小组还将获得培训准专业人员的经验 2）提高对有效和文化上适当的干预措施的理解 研究方法，以及3）关于团队仪器的心理测量特性的重要初步数据， 功效计算的效应量估计值。研究小组将利用这些信息来支持未来的 R 01拨款申请，以测试文化适应的IRP干预措施对农村药物滥用者的有效性 使用障碍。这项研究的短期目标是开发一种成功的复发预防干预措施， 人工智能是实用的，容易复制，并由训练有素的外行社区卫生顾问管理。很长的- 长期目标是通过将其纳入现有的治疗计划来传播干预措施，以确保当地 可持续性和全国其他部落社区更广泛的利用。