Family Spirit Strengths: A home visiting strategy to support parents and caregivers with mental distress and substance misuse
Family Spirit Strengths: A home visiting strategy to support parents and caregivers with mental distress and substance misuse
批准号:
10622234
负责人:
Emily Haroz
金额:
$64.34万
依托单位:
依托单位国家:
美国
项目类别:
财政年份:
2023
资助国家:
美国
项目状态:
未结题
起止时间:
2023-08-15 至 2028-06-30
关键词:
AddressAgeAlaska NativeAllyAmerican IndiansAnxietyAreaCOVID-19 pandemicCaregiversCaringCessation of lifeChildChild RearingChronicCommunitiesCommunity ParticipationCountryDevelopmentDiagnosticDiscriminationDisparityDistressEducationEducational CurriculumEffectivenessElementsEmotionalEnrollmentEvidence based practiceFamilyFeedbackFoundationsFundingGenocidesGoalsGrowthHealthHealth ServicesHeterogeneityHomeHome visitationHybridsIndigenousIndividualInequityInstitutional RacismInterventionKinship NetworksMaternal HealthMeasuresMediatorMental DepressionMental HealthModelingMorbidity - disease rateMothersNIH Program AnnouncementsNutritionalNutritional SupportOutcomeParentsParticipantPersonal SatisfactionPremature MortalityPreventionPrevention approachPrevention programPrevention strategyPrimary PreventionProcessPsyche structureRandomizedResearchResearch PersonnelRiskRoleSecondary PreventionServicesSourceSpiritualitySubstance Use DisorderSuicideSupervisionSymptomsSystemTestingTherapeuticTrainingTraumaTribesUnited StatesViolenceWomanWorkactive controlage groupanxiety symptomsbehavioral healthbudget impactcommunity settingcostcost effectivenesscost estimatecultural competencedepressive symptomsdesignearly childhoodeffectiveness evaluationeffectiveness testingeffectiveness/implementation designevidence baseexperiencefamily supporthigh riskimplementation barriersimplementation designimplementation facilitatorsimplementation strategyimplementation/effectivenessincremental cost-effectivenessindigenous communityinterestintergenerationalmembermortalitynovelperinatal mental healthpreventive interventionprimary caregiverprimary outcomeprogramsprotective factorsreduce symptomsreduced substance useresilienceresponsescale upskillssubstance misusesubstance usetheoriestherapy designtribal community
中文摘要
项目总结/文摘
英文摘要
PROJECT SUMMARY/ABSTRACT
Mental health and substance misuse pose some of the greatest risks to the health and wellbeing of American
Indian and Alaska Native (AI/AN) communities and result in intergenerational morbidity and mortality. These
risks are the legacy of historical trauma, ongoing discrimination, and chronic underfunding of mental health and
substance use care, resulting in massive care and treatment gaps. Simultaneously, many AI/AN communities
emphasize a holistic view of wellbeing centered around family and community, and prefer upstream
preventative and family-based interventions with potential to disrupt intergenerational cycles of trauma and
adversity. Our team of Indigenous and allied researchers has worked closely with participating communities to
design and pilot the Family Spirit Strengths (FSS) intervention, designed to provide transdiagnostic skills-
based preventive strategies to mothers and primary caregivers at elevated risk for mental health and
substance use disorders. We propose a Hybrid Type I Effectiveness-Implementation design with the primary
goal of testing FSS effectiveness at reducing symptoms of depression, anxiety, and substance use, among N =
188 primary caregivers across three diverse Tribal settings and contexts. Participants will be randomized to
receive FSS or a beneficial control, which is an evidence-based nutritional support program called Family Spirit
Nurture. Primary outcomes will be measured at 6 months post-enrollment. We will also seek to characterize
heterogeneity in and mechanisms of FSS effects by exploring moderators and mediators, respectively, guided
by both Western and Indigenous theories of action. As part of our Hybrid approach, we will estimate FSS
costs, cost-effectiveness, and budget impact. Finally, we will undertake a process with National stakeholders to
understand barriers to and facilitators of FSS implementation across the country, including co-design of
implementation strategies to support FSS at scale across diverse AI/AN communities. This study is responsive
to Program Announcement PAR-20-238 and focuses on key areas of interest including the testing of evidence-
based practices in community settings (MH-22-170) and expanding perinatal mental health interventions (MH-
21-215, MH-21-270). Our overall objective is to rigorously test a secondary preventative intervention designed
to be embedded in home visiting programs so that we can extend the reach of mental and behavioral health
services in AI/AN communities across the country.
期刊论文(0)
专著(0)
科研奖励(0)
会议论文
NATIVE RISE-Risk Identification for Suicide and Enhanced care for Native Americans
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批准号:10643067
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项目类别:
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资助金额:$65.87万
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财政年份:2023
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负责人:Emily Haroz
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依托单位:
Research Core
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SuSt-AInS: Sustainment of suicide prevention programs in American Indian Settings
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SuSt-AInS: Sustainment of suicide prevention programs in American Indian Settings
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SuSt-AInS: Sustainment of suicide prevention programs in American Indian Settings
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财政年份:2018
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