ELEVATE Training Integration Core

ELEVATE培训集成核心摘要 物质使用障碍（SUD）是迄今为止导致我们社区妊娠相关死亡的主要原因， 它不成比例地影响美国印第安人和阿拉斯加原住民（AI/AN）和农村人口。成功 应对这一孕产妇死亡危机需要社区伙伴关系和跨学科合作， 临床和研究工作。为了实现这一范式转变，来自不同领域的早期研究者（ESI） 背景必须接受培训，以认识到SUD是一种处于生物行为交叉点的状况， 社会政治和公共卫生因素。我们使用扩展的ESI定义，包括调查人员沿着 从学生到初级教师的职业道路。ELEVATE培训集成核心将使用 结合学术机构资源和社区伙伴关系，为ESIs创造机会。 这个多元化的学员群体将作为我们培训计划的顶点：ELEVATE学者， 导师的教师研究职位，75%的全职员工来自犹他州大学（U of U）副校长的支持 为了研究。U of U学术资源包括正式的研究培训机会 通过物质使用和怀孕-恢复，成瘾，依赖（SUPeRAD）诊所;副 总统的临床和转化研究学者计划（VPCAT），成瘾计划 研究，临床护理，知识和宣传（PARCKA）;和犹他州临床和转化中心 科学研究所（CTSI）。社区伙伴关系包括犹他州支持复苏倡导者 意识（USARA）和来自神圣圈诊所的合作者。与Elevate中心的 该中心专注于传播和实施科学，支持Elevate学者将报名参加 山区各州社区宣传和执行科学培训研究所。所有 ELEVATE中心的研究人员将担任研究导师。医学博士大卫图罗克将领导该项目， 与Jasmin E.查尔斯，PA-C，SUPeRAD的联合创始人和临床主任，他将 协调研究中心所有项目的ESI研究机会。Elevate研究项目提供 为有抱负的研究人员提供基础和重点，以1）支持文化融合的发展， 通过采用成功的SUPeRAD模式，对城市土著母亲进行围产期SUD干预，2）帮助 制定和执行培训包，以减轻对SUD患者的偏见和污名，以及3） 与犹他州孕产妇死亡率审查委员会合作进行并评估知情人访谈 为了了解家庭、制度和社区一级的贡献者以及歧视在家庭中的作用， 妊娠相关死亡ELEVATE培训整合核心将在犹他州培养一批未来的领导者 具有识别和调查复杂问题的最有效解决方案所需的技能 围绕产妇SUD，以及广泛传播这些发现。

ELEVATE Training Integration Core Abstract Substance use disorder (SUD) is by far the leading cause of pregnancy-associated death in our community, and it disproportionately affects American Indian and Alaska Native (AI/AN) and rural populations. Successful response to this maternal death crisis demands community partnerships and transdisciplinary collaborations in both clinical and research efforts. To achieve this paradigm shift, early-stage investigators (ESIs) from diverse backgrounds must be trained to recognize SUD as a condition that lies at the intersection of bio-behavioral, sociopolitical, and public health factors. We use an expansive definition of ESI to include investigators along career pathways from students to junior faculty. The ELEVATE Training Integration Core will use a combination of academic institutional resources and community partnerships to create opportunities for ESIs. This diverse group of trainees will serve as a pool for our Training Program capstone: the ELEVATE scholar, a mentored faculty research position with 75% FTE support from the University of Utah (U of U) Vice-President for Research. The U of U academic resources include formalized research training opportunities available through the Substance Use & Pregnancy – Recovery, Addiction, Dependence (SUPeRAD) Clinic; the Vice President’s Clinical and Translational Research Scholar Program (VPCAT), the Program for Addiction Research, Clinical Care, Knowledge and Advocacy (PARCKA); and Utah Center for Clinical and Translational Science Institute (CTSI). The community partnerships include Utah Support Advocates for Recovery Awareness (USARA) and collaborators from the Sacred Circle Clinic. Consistent with the ELEVATE Center’s focus on dissemination and implementation science, the Center supported ELEVATE Scholar will enroll in the Mountain States Community-Engaged Dissemination and Implementation Science Training Institute. All ELEVATE Center investigators will serve as research mentors. David Turok, MD will lead the Program, working in collaboration with Jasmin E. Charles, PA-C, co-founder and clinical director of SUPeRAD who will coordinate research opportunities for ESIs across all Center projects. The ELEVATE research projects provide a foundation and focus for aspiring researchers to 1) support the development of a culturally-integrated perinatal SUD intervention for urban Native mothers by adapting the successful SUPeRAD model, 2) help develop and execute a training package to mitigate bias and stigma against individuals with SUD, and 3) to conduct and evaluate informant interviews in collaboration with the Utah Maternal Mortality Review Committee in order to understand the family, systems and community-level contributors and the role of discrimination in pregnancy related death. The ELEVATE Training Integration Core will grow a cadre of future leaders in Utah with the skillsets needed to identify and investigate the most functional solutions to the complicated problems around maternal SUD, as well as to disseminate these findings broadly.