Caring for Our Generations: Supporting Native Mothers and Their Families

西北部美洲印第安人是一个严重缺乏研究和服务的群体，在伊尔斯克有多种健康问题。 孕期和孕期后产妇健康状况差的问题。生活在美国的印第安人 西北地区的产妇不良和急躁的结局比率很高。此应用程序响应RFA HHS-2009-HIS-NARCHV-O001，涉及一个为期4年的探索女性健康的发展项目 行为、母亲使用药物、孕期和怀孕后使用药物的危险因素以及防护 支持健康的女性行为的因素。研究结果将有助于研究团队设计一种 为居住在西北部的美国印第安人母亲提供文化上合适和可行的干预计划。 这项研究以现有的初步流行病学和监测数据以及部落支助为基础 提出五个具有创新性和重大意义的目标。首先，我们将进行定性的形成性研究，涉及4个 焦点小组和对18-55岁的母亲、土著保健提供者、 老年/传统治疗师和土著青年(15-25岁)。第二，我们将进行结构化调查 采访了100名美国印第安人社区成员。有了这些输入/输出数据，我们将确定 初步基线数据与婚姻健康结果、保护性健康行为、 怀孕期间和怀孕后的药物使用，以及对母亲的社会支持。第三，发展和发展 针对西北部的成年美国印第安人母亲，实施基于文化的干预措施。第四, 我们将翻译并将调查结果传播给部落，并为社区准备翻译材料 会员和服务提供商。第五，在整个研究过程中，我们将努力扩大 Lummi部落保健诊所的研究基础设施，并增加部落的研究能力 社区。

Northwest American Indians are a drastically understudied and underserved group, at ilsk for multiple health problems induding poor maternal health during and after pregnancy. American Indians living in the Northwest have very high rates of poor maternal and irtfant outcomes. This application, in response to RFA HHS-2009-HIS-NARCHV-O001, involves a 4-year developmental project to explore matemal health behaviors, maternal substance use, risk factors for substance use during and after pregnancy, and protective factors that support healthy matemal behaviors. Findings will assist the research team in designing a culturally appropriate and feasible intervention program for American Indian mothers living in the Northwest. Building upon existing preliminary epidemiological and surveillance data as well as tribal support, this study proposes five innovative and significant aims. First, we will conduct qualitative formative research involving 4 focus groups and 25 key infomiant interviews with mothers aged 18-55, Native health providers, elder/traditional healers, and Native youth (aged 15-25). Second, we will conduct structured survey interviews with 100 American Indian community members. With these inten/iew data, we will establish preliminary baseline data related to matemal health outcomes, protective health tjehaviors, risk factors for substance use during and after pregnancy, and social support for mothers. Third, we will develop and manualize a culturally-based intervention targeting adult American Indian mothers in the Northwest. Fourth, we will translate and disseminate the findings to the tribe and prepare translational materials for community members and service providers. Fifth, throughout the course ofthe study, we will work to expand the research infrastructure at Lummi Tribal Health Clinic and to increase research capacity in the tribal community.