Intertribal Talking Circle for the Prevention of Substance Abuse in Native Youth

预防土著青少年药物滥用的部落间讨论圈

• 批准号: 9057015
• 负责人: Julie Ann Baldwin
• 金额: $ 61.03万
• 依托单位: FLORIDA ATLANTIC UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-05-01 至 2016-10-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9057015
• 关键词: Accidents; Accounting; Address; Adolescent; Adoption; Adult; Age; Alcohol abuse; Alcohol consumption; Alcohol or Other Drugs use; American Indians; Cherokee Indian; Chippewa; Cirrhosis; Communities; Conduct Disorder; Controlled Study; Data; Data Collection; Drug abuse; Education; Effectiveness; Ensure; Ethnic group; Evaluation; Family; Family history of; Future; Genetic Crossing Over; Health; Homicide; Human Resources; Individual; Information Dissemination; Intervention; Intervention Studies; Life; Lumbee tribe; Maps; Mental disorders; Mentors; Minnesota; North Carolina; Ojibwe; Oklahoma; Outcome; Participant; Poverty; Prevention program; Preventive Intervention; Process; Professional counselor; Program Development; Race; Recommendation; Research Methodology; Research Personnel; Resources; Role; Sampling; Schools; Self Efficacy; Stress; Substance Use Disorder; Substance abuse problem; Suicide; Time; Training; Training Programs; Trauma; Tribes; Waiting Lists; Work; Youth; adolescent substance abuse; adolescent substance use; alcohol use initiation; antisocial behavior; base; chronic liver disease; community based participatory research; community partnership; design; early onset substance use; experience; health disparity; innovation; native youth; pressure; programs; randomized trial; research study; self reliance; sixth grade; skills; standard care; substance abuse prevention; trial comparing; tribal community; tribal member

DESCRIPTION (provided by applicant): Substance abuse among American Indians (AI) is a critical health disparity and accounts for many life- threatening and deadly problems such as accidents, chronic liver disease, cirrhosis, homicide, and suicide. The high rate of substance abuse found among AI adolescents is believed to be associated with a variety of environmental and historical factors. These include poverty, historical trauma, bi-cultural stress, and changing tribal and family roles. There are few evaluated programs addressing early adolescent AI substance abuse. Tribal communities must be actively engaged in program development and implementation to ensure cultural relevance and sustainability of prevention programs. This project proposes to evaluate an after-school substance abuse prevention intervention, the Intertribal Talking Circle (ITC), targeting 6th grade AI youth in three AI communities: Ojibwe/Chippewa in Minnesota, Choctaw in Oklahoma, and Lumbee in North Carolina. A community-based participatory research approach will be used to culturally and technologically adapt the ITC. A two-condition controlled study will evaluate the efficacy of the ITC to increase AI youth Native self- reliance while decreasing AI youth substance use involvement. An adult training program second level intervention study is also proposed to train tribal personnel from the three regional tribes on how to implement the Intertribal Talking Circle intervention as a tribl program beyond the study period. Effectiveness will be determined by a small partial cross-over randomized trial comparing ITC intervention to a Wait-List Control (WLC) condition. Process evaluations will focus on the future adoption and implementation of the ITC, and recommendations for sustainable adaptations. The project will also build AI capacity to address health disparities, as experienced Native investigators will mentor three Junior Native Investigators.

描述（由申请人提供）：美洲印第安人 (AI) 中的药物滥用是一个严重的健康差异，导致许多危及生命和致命的问题，如事故、慢性肝病、肝硬化、他杀和自杀。人工智能青少年中药物滥用率高被认为与多种环境和历史因素有关。其中包括贫困、历史创伤、双文化压力以及不断变化的部落和家庭角色。很少有针对青少年早期人工智能药物滥用问题的评估项目。部落社区必须积极参与计划的制定和实施，以确保预防计划的文化相关性和可持续性。该项目提议评估课后药物滥用预防干预措施，即部落间谈话圈 (ITC)，针对三个人工智能社区的六年级人工智能青少年：明尼苏达州的 Ojibwe/Chippewa、俄克拉荷马州的 Choctaw 和北卡罗来纳州的 Lumbee。将采用基于社区的参与性研究方法来在文化和技术上适应 ITC。一项两个条件对照研究将评估 ITC 在增加人工智能青少年本土自力更生同时减少人工智能青少年物质使用参与方面的功效。还提出了一项成人培训计划二级干预研究，以培训来自三个地区部落的部落人员如何在研究期之外将部落间谈话圈干预作为一项部落计划实施。有效性将通过一项小型部分交叉随机试验来确定，该试验将 ITC 干预与等待名单控制 (WLC) 条件进行比较。流程评估将重点关注 ITC 的未来采用和实施，以及可持续适应的建议。该项目还将建设人工智能能力来解决健康差异，经验丰富的本土调查员将指导三名初级本土调查员。