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Talking Circle for Native American Youth Living Well (A Yo Li)

美国原住民青年美好生活谈话圈（A Yo Li）

基本信息

批准号：
10739361
负责人：
John R., RN, PHD, FAAN Lowe
金额：
$ 76.45万
依托单位：
UNIVERSITY OF TEXAS AT AUSTIN
依托单位国家：
美国
项目类别：
财政年份：
2023
资助国家：
美国
起止时间：
2023-08-17 至 2024-08-16
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10739361
关键词：
12 year old Age Alabama Alcohol consumption Alcohols Anxiety Apache Area Attention Award Awareness COVID-19 COVID-19 pandemic Caddo Cause of Death Cherokee Indian Cities Cluster randomized trial Comanche Communities Control Groups County Coupled Coushatta Crime Disease Education Effectiveness Effectiveness of Interventions Elderly Emotional Ensure Ethics Ethnic Population Feeling suicidal Future Generations Geographic Locations Geography Health Hour Intervention Kickapoo Language Life Location Maps Measurement Mental Depression Mental Health Mental disorders Native Americans Needs Assessment Not Hispanic or Latino Oklahoma Outcome Parents Persons Pharmaceutical Preparations Phase Population Process Program Effectiveness Psyche structure Pueblo Race Recording of previous events Reporting Resources Rural Schools Spirituality Stress Structure Students Suicide Testing Texas Tobacco Tobacco use Training Training Programs Tribal Elders Tribes Universities Virulence Waiting Lists Work Youth after-school program alcohol use initiation anxiety reduction austin behavioral health community based participatory research community partnership coping design effectiveness testing evidence base experience group intervention healing high risk improved member mental state mindfulness native elder pandemic disease post intervention preference primary outcome programs psychological distress racial population racism secondary outcome single episode major depressive disorder stressor substance use suicidal risk teacher tribal community tribal member urban Native American

项目摘要

Abstract/Summary The ongoing mental health crisis among Native Americans manifests in extraordinarily high rates mental, emotional, and behavioral health disorders such as anxiety, stress, depression, substance use, and suicide in Native American youth as young as 10. The virulence of COVID-19 for older people has hit Native American communities particularly hard, and the loss of Tribal Elders and Native speakers has taken an incalculable toll on the cultural ties of language and tradition that flow from Elder Native American generations to the young. The COVID-19 pandemic has exacerbated the suffering of Native American people of all ages, who reported some of the highest rates of psychological distress that include depression, anxiety, life stressors, substance use (alcohol, drugs, commercial tobacco use), and suicide long before the pandemic. The devastation of Native American communities from COVID-19, coupled with both a recent and long history of racism and crimes against Native American people, has had an alarming effect on the mental health of Native American youth. Even before the pandemic, suicide fatalities for Native American youth between the ages of 15–19 was more than double that of non-Hispanic whites. For some Native American communities, suicide is the leading cause of death for youth ages 10-14. Moreover, Native American youth begin to use alcohol, other substances and commercial tobacco at younger ages (around the age of 11), and at higher rates, than all other ethnic groups. For a population already struggling, the COVID-19 pandemic is calamitous, increasing the already high risk for suicide and other mental health disorders of Native American youth. Thus, interventions to improve Native American youth mental, emotional, and behavioral health outcomes are urgently needed. To meet this urgent need, our overarching objective is to leverage the empirically proven, highly effective, school based, Talking Circle Intervention to promote the mental, emotional, and behavioral health of geographically diverse (rural vs. urban) Native American youth. This study, “Talking Circle for Native American Youth Living Well (A Yo Li)” uses a Community Based Participatory Research (CBPR) approach to evaluate Talking Circle effectiveness, partnering with the United Keetoowah Band (UKB) of Cherokee Tribe in Oklahoma, with members living in two geographically diverse areas, rural and urban. “A Yo Li” in the UKB tribal language means “youth”. The Talking Circle Intervention will be implemented as an after-school program in each of the participating schools. After-school programs are an ideal setting for the Talking Circle intervention. After-school programs are preferred by parents, students, and teachers in many Native American communities, as they provide structured, educational opportunities and activities for youth after regular school hours, while parents/guardians are still busy with work or other responsibilities. Based upon the preference of our UKB tribal partners, and ethical considerations, all students will eventually receive the intervention, thus the control condition is waitlist-control.

摘要/总结美洲原住民持续的心理健康危机表现在非常严重的高比率的精神，情绪和行为健康障碍，如焦虑，压力，抑郁，物质使用和自杀在美国土著青年年轻的10。COVID-19对老年人的毒性已经达到美国原住民社区尤其困难，部落长老和母语使用者的损失已经造成了严重的影响。对美洲原住民世代相传的语言和传统的文化纽带造成了无法估量的损失给年轻人。COVID-19大流行加剧了所有年龄段的美洲原住民的痛苦，他们报告了一些最高比例的心理困扰，包括抑郁，焦虑，生活压力源、物质使用（酒精、毒品、商业烟草使用）和自杀早在大流行之前。的 2019冠状病毒病对美洲原住民社区的破坏，加上最近和长期的种族主义和对美洲土著人的犯罪，对土著人的心理健康产生了令人震惊的影响。美国青年即使在大流行之前，美国土著青年的自杀死亡人数也在30岁至40岁之间。 15 - 19岁是非西班牙裔白人的两倍多。对于一些美洲原住民社区来说，自杀是是10 - 14岁青少年的主要死因。此外，美洲原住民青年开始饮酒，在较年轻的年龄（约11岁），并在较高的比率比所有其他物质和商业烟草，种族群体。对于已经在挣扎的人口来说，COVID-19大流行是灾难性的，增加了美国原住民青年自杀和其他心理健康疾病的风险已经很高。因此，迫切需要改善美国土著青年心理、情感和行为健康结果。到为了满足这一紧迫需求，我们的首要目标是利用经过经验验证的、高效的学校基于，谈话圈干预，以促进心理，情绪，和行为健康的地理不同的（农村与城市）美国土著青年。这项研究，"美国土著青年生活谈话圈" Well（A Yo Li）”采用基于社区的调查研究（CBPR）的方法来评估谈话圈有效性，与俄克拉荷马州的切罗基部落的联合基托瓦乐队（UKB）合作，成员生活在两个不同的地理区域，农村和城市。UKB部落语言中的"A Yo Li" 意思是"青春"谈话圈干预将作为课后计划在每个学校实施，参与学校。课外活动是谈话圈干预的理想场所。课后在许多美国原住民社区，家长、学生和教师都喜欢这些项目，因为它们为青少年在正常放学后提供结构化的教育机会和活动，同时父母/监护人仍然忙碌工作或其他责任。根据我们KB部落的偏好合作伙伴，道德考虑，所有的学生最终都会接受干预，从而控制条件是waitlist-control。