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Trauma Screening, brief intervention and referral among AI/AN adults

AI/AN 成人的创伤筛查、简短干预和转诊

基本信息

批准号：
8667331
负责人：
SPERO MARTIN MANSON
金额：
$ 13.7万
依托单位：
UNIVERSITY OF COLORADO DENVER
依托单位国家：
美国
项目类别：
财政年份：
资助国家：
美国
起止时间：
至
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/8667331
关键词：
ARHGEF5 gene Accounting Address Adult Affect Alaska Native American Indian and Alaska Native American Indians Behavioral Cherokee Indian Clinical Clinical Trials Colorado Communities Comorbidity Companions Dependence Detection Development Diagnosis Disease Drug abuse Event Family Foundations Future Grant Health Health Services Healthcare Healthcare Systems High Prevalence Impairment Individual Injury Intervention Leadership Life Literature Mental Depression Modeling Native-Born Outcome Patient Outcomes Assessments Patients Performance Population Post-Traumatic Stress Disorders Primary Health Care Process Recording of previous events Research Research Project Grants Resources Sampling Services Site Specialist Substance abuse problem System Testing Trauma United States Universities Work alcohol screening alcohol screening and brief intervention base behavioral health brief intervention community based participatory research depressive symptoms design experience health care service organization health disparity interest meetings multidisciplinary physical conditioning population based primary care setting primary outcome programs screening screening and brief intervention screening, brief intervention, referral, and treatment service utilization substance abuse treatment suicidal risk

项目摘要

Traumatic events are common occurrences in the lives of adults living in the United States. Roughly one quarter of those who experience a traumatic event will subsequently meet full criteria for posttraumatic stress disorder (PTSD); another quarter will experience partial PTSD with significant levels of Impairment. PTSD is related to adverse health outcomes. Including significant comorbidity with other behavioral health disorders, physical health disorders, and increased service utilization. Significantly less is known about trauma and trauma-related disorders including PTSD in American Indian and Alaska Native people (AI/ANs). Evidence suggests higher rates of trauma exposure and trauma-related disorders in AI/AN community and clinical samples than the general United States population. The health care setting offers a rich opportunity for the detection of trauma-related disorders. A high proportion of those experiencing a traumatic event receive health care services for injuries sustained or present for trauma-related sequelae even years after the event. The concept proposed is one of two related research projects within a renewal of the American Indian and ALaska Native Health Disparities center (P60) grant of the University of Colorado Denver. This research project builds upon existing studies examing behavioral health screening and detection in primary care settings for AI/AN people. Using a community based participatory approach, the proposed research project will engage key stakeholders In the consideration, development, and piloting of systematic screening for trauma among AI/AN adults at sites serving two unique AI/AN groups through the following specific alms: 1) Work with key stakeholders to consider and develop means to systematically screen for trauma then refer affected Individuals for intervention in two AI/AN health care settings; and 2) Pilot trauma screening and referral then assess the acceptability and feasibility of a future large scale trial in both settings.

创伤事件在美国成年人的生活中很常见。大约四分之一经历过创伤事件的人随后将满足创伤后应激障碍（PTSD）的全部标准；另外四分之一的人将经历部分创伤后应激障碍 (PTSD)，并出现严重程度的损害。创伤后应激障碍（PTSD）与不良健康结果有关。包括与其他行为健康障碍、身体健康障碍的严重合并症以及服务利用率的提高。对于美洲印第安人和阿拉斯加原住民 (AI/AN) 的创伤和创伤相关疾病（包括创伤后应激障碍 (PTSD)）知之甚少。有证据表明，AI/AN 社区和临床样本中的创伤暴露和创伤相关疾病的发生率高于美国普通人群。医疗保健环境为检测创伤相关疾病提供了丰富的机会。经历创伤事件的人中，很大一部分甚至在事件发生数年后仍因遭受创伤或出现创伤相关后遗症而接受医疗保健服务。所提出的概念是科罗拉多大学丹佛分校美洲印第安人和阿拉斯加原住民健康差异中心 (P60) 资助范围内的两个相关研究项目之一。该研究项目建立在现有研究的基础上，该研究检查了初级保健机构中 AI/AN 人群的行为健康筛查和检测。拟议的研究项目将采用基于社区的参与方法，让主要利益相关者参与考虑、开发和试点在为两个独特的 AI/AN 群体提供服务的地点对 AI/AN 成年人进行系统性创伤筛查，通过以下具体施舍： 1) 与主要利益相关者合作，考虑和开发系统性筛查创伤的方法，然后将受影响的个人转介到两个 AI/AN 医疗机构进行干预； 2) 试点创伤筛查和转诊，然后评估未来在这两种情况下进行大规模试验的可接受性和可行性。