The Healing of the Canoe

描述（由申请人提供）：在国家少数民族健康和健康差距中心（NCMHD）的第一阶段发展/规划赠款期间，我们使用基于社区的参与式研究（CBPR）和部落参与式研究（TPR）方法，与苏夸米什部落合作。通过与部落长老、服务提供者、青年和社区成员进行一系列关键利益攸关方访谈和焦点小组讨论，社区确定了酗酒和吸毒以及青年需要加强文化和社区认同是两个主要和相关的关切领域。一个由大学和苏夸米什研究小组成员、长老和社区成员组成的工作组，在部落文化合作社（作为我们的社区咨询委员会）的指导下，制定了一项与文化相关的干预措施，以解决这些双重问题。干预措施及其附带的评估工具已经进行了初步的小规模试点测试，以确定可行性问题。拟议项目的总体目标是：(1)继续使用CBPR和TPR的原则和方法，进一步规划、完善、实施和更严格地评估这种基于社区和文化一致的苏夸米什部落青年药物滥用预防干预措施，以及(2)与Port Gable S'Klallam部落一起扩展、调整和评估这一模式。两个部落都是农村，联邦政府承认的美国印第安人/阿拉斯加原住民保留地社区，在同一个县和学区。

DESCRIPTION (provided by applicant): During the Phase I developmental/planning grant from the National Center on Minority Health and Health Disparities (NCMHD), using Community-Based Participatory Research (CBPR) and Tribal Participatory Research (TPR) methods, we worked in partnership with the Suquamish Tribe. Through a series of key stakeholder interviews and focus groups with tribal Elders, service providers, youth and community members, the community identified alcohol and drug abuse and a need for increased cultural and community identity by youth as the two primary, and related, areas of concern. A work group composed of members from the University and Suquamish research teams, Elders, and community members developed a culturally relevant intervention to address these dual concerns, with guidance from the Tribe's Cultural Cooperative (which serves as our Community Advisory Council). The intervention and its accompanying assessment instrument have undergone an initial small pilot testing to determine issues of feasibility. The overall goals of the proposed project are (1) to continue to use the principles and methods of CBPR and TPR to further plan, refine, implement, and more rigorously evaluate this community-based and culturally congruent substance abuse prevention intervention among Suquamish tribal youth, and (2) to extend, adapt, and evaluate this model with the Port Gable S'Klallam Tribe. Both Tribes are rural, federally recognized American Indian/Alaska Native reservation communities within the same county and school district.