Building Health Services Research Capacity for Tribes in Montana and Wyoming

描述（由申请人提供）：蒙大拿州-怀俄明州部落领袖理事会（TLC）为蒙大拿州和怀俄明州的10个部落提供服务，并且是其最初的AHRQ M-RISP拨款的最后一年，根据该拨款，它建立了共享资源数据，其他研究基础设施，并使其六个部落参与参与研究。 这种竞争性的更新M-RISP应用程序建立在这些成就的基础上，并支持TLC的改善蒙大拿州和怀俄明州印第安人健康的战略计划中确定的目标：1.继续在TLC及其部落中建立能力，通过精心设计的研究，产生可用于改善健康的研究结果，解决部落确定的优先健康问题; 2.在TLC和各个部落内，为部落参与性研究建立能力和基础设施，重点是健康促进、预防和慢性病管理; 3.在各个部落内建立能力和基础设施，以支持成功申请和管理赠款计划;增加对文化上适当的卫生方案的支持，并支持传统医学从业人员在这些方案中的作用。 根据M-RISP更新计划，基础设施发展将包括由著名的卫生服务研究人员举办研讨会，以扩大知识和技术专长，举办讲习班，在部落和TLC内部建立研究技能和能力;以及制定两项研究计划，为未来有关医疗融资、质量重点关注导致印度人意外伤害发生率高的因素以及减少伤害的战略。 此外，将根据M-RISP更新进行三项研究：研究1：评估印度妇女促进健康体重的干预措施;研究2：研究蒙大拿州印度妇女乳腺癌和宫颈癌结局的因素;研究3：设计和实施“健康保留地”示范方案，以改善全系统保留地的健康状况。 这三项研究中有两项的主要研究者是新的美洲印第安人研究人员;三项研究中有两项将在部落和部落工作人员的合作和参与下进行;所有这三项研究都建立在TLC在其最初的M-RISP资助下进行的研究的基础上，并将扩展该研究。

DESCRIPTION (Provided by the Applicant): The Montana-Wyoming Tribal Leaders Council (TLC) serves 10 Tribes in Montana and Wyoming and is in the last year of its initial AHRQ M-RISP grant, under which it has built a shared resource data, other infrastructure for research, and engaged six of its Tribes in participatory research. This Competing Renewal M-RISP Application builds on those accomplishments and supports the objectives that have been identified in the TLC's Strategic Plan for Improving Health of Indian People in Montana and Wyoming: 1. Continue to build capacity at TLC and among its Tribes to address priority health issues identified by Tribes through well-designed research that produces findings that can be used to improve health; 2. Build capacity and infrastructure for Tribal participatory research focused on health promotion, prevention, and management of chronic diseases, within TLC and individual Tribes; 3. Build capacity and infrastructure within individual Tribes to support success in applying for and managing grant programs; and 4. Increase support for culturally-appropriate health programs and for the role of traditional medicine practitioners within those programs. Infrastructure development under the M-RISP Renewal will include seminars by noted health services researchers to expand knowledge and technical expertise, workshops to build research skills and capacity within Tribes and the TLC; and development of two Research Plans that will provide the foundation for future research programs on health care financing, quality, and access to care and on research focused on the factors that contribute to the high rate of unintentional injuries among Indian people and strategies to reduce injuries. In addition, three Research Studies will be conducted under the M-RISP Renewal: Research Study # 1: Evaluation of Interventions to Promote Healthy Weight Among Indian Women; Research Study # 2: Research on Factors that Contribute to Breast and Cervical Cancer Outcomes Among Indian Women in Montana; and Research Study # 3: Design and Implement a "Healthy Reservations" Model Program for System-wide Health Improvement on Reservations. The Study Principal Investigators for two of these three studies are new American Indian researchers; two of the three studies will be conducted with collaboration and participation of Tribes and Tribal staff; all three of these Research Studies build on the research conducted by the TLC under its initial M-RISP grant and will extend that research.