Native American Research Centers For Health (NARCH XII)

项目总结 CA-NARCH行政核心的总体目标是支持 NARCH XII项目，并提供关键的、持续不断的社区参与性部落 方向。项目旨在通过创新的方式解决当地部落社区的关键问题 和及时的策略。他们的目标是将AIAN社区利益相关者的观点纳入 实践的核心要素，从而本地化以证据为基础的方法，可以推动 创伤知情护理、癌症预防、阿片类药物护理和人口健康领域的改善 为艾伦服务。CA-NARCH的行政结构是通过从 NARCH III、V、VII和X，由印度卫生委员会执行团队、科学 顾问委员会，CA-NARCH部落IRB，以及研究和学生发展主任。 CA-NARCH第十二届会议的具体目标是：具体目标1.提供行政、财政和 管理指导和监督；协调沟通；并指导CANARCH XII 评估规划中的研究项目。具体目标2.帮助评估社区准备情况 实施创伤知情关怀，通过临床细化创伤知情关怀 和社区参与的方法。具体目标3.帮助评估和描述HPV-- 患者的相关癌症、宫颈癌筛查和HPV疫苗接种；确定 筛查和接种的促进者和障碍；并实施多层次干预措施以 增加筛查和疫苗接种。具体目标4.帮助查明艾滋病的流行概况 面临阿片类药物滥用和阿片类药物过量风险的个人；检查社区资产和 解决预防和治疗阿片类药物使用/滥用的能力；以社区为基础 监测工具，告知社区为减少阿片类药物过量死亡而采取的行动。 具体目标5.为提高机构能力，以优化电子健康数据的使用， 建立可用来确定研究问题并确定分析优先次序的方法； 并培训原住民学生进行研究。 上述具体目标将支持国家发援会倡议和国家发援会特派团的努力 开展高度相关的美国印第安人/阿拉斯加原住民(AI/AN)社区 也支持职业提升机会的研究。这项工作为……树立了榜样 部落国家和学术组织开展合作研究。

PROJECT SUMMARY The overall goals of the CA-NARCH Administrative Core are to support the research efforts of the NARCH XII projects and to provide critical ongoing community-based participatory tribal direction. Projects aim to address critical issues in the local tribal communities with innovative and timely strategies. They aim to incorporate AIAN community stakeholder perspectives into core elements of practice, thus indigenizing evidence-based approaches that can move the fields of trauma informed care, cancer prevention, opioid care and population health to better serve AIANs. The administrative structure of the CA-NARCH has evolved through funding from NARCH III, V, VII, and X and consists of the Indian Health Council Executive Team, Scientific Advisory Board, CA-NARCH Tribal IRB, and a Research and Student Development Director. The specific aims of the CA-NARCH XII are: Specific Aim 1. Provide administrative, fiscal, and management direction and oversight; coordinate communication; and guide the CA-NARCH XII research projects in evaluation planning. Specific Aim 2. To help gauge community readiness to implement trauma informed care; and refine trauma informed care in the clinic through clinic and community engaged methods. Specific Aim 3. To help assess and characterize HPV- associated cancers, cervical cancer screening and HPV vaccination among patients; identify facilitators and barriers to screening and vaccination; and implement multi-level interventions to increase screening and vaccination. Specific Aim 4. To help identify the epidemic profile of individuals at risk for opioid misuse and opioid overdose; examine community assets and capacity to address prevention and treatment of opioid use/misuse; develop community-based surveillance tool to inform community action towards reducing opioid overdose fatalities. Specific Aim 5. To increase institutional capacity to optimize the use of electronic health data, establish methods by which research questions may be identified and prioritized for analysis; and train Native students in research. The above specific aims will support the efforts of the NARCH initiative and CA-NARCH mission of conducting highly relevant, American Indian/Alaskan Native (AI/AN) community-based research that also supports career enhancement opportunities. This work serves as a model for tribal nations and academic organizations doing collaborative research.