Finding Strength in Culture: A Video Series for American Indian Parents

描述(申请人提供)：500多年来与欧洲文化的接触对美国印第安人社区产生了深远的影响，实施了破坏性的政策，以服务于同化努力，拆散了大家庭和社区。压在美国印第安人家庭身上的历史压力反映在研究表明，家庭联系的削弱、失业、贫困、孤立和压迫，所有这些都可以作为儿童进入艰难生活轨迹的强大解释因素。他们的年轻人不成比例地经历了许多困难，特别是吸毒。尽管现代科学充斥着有效的以父母和家庭为基础的干预措施，可以预防或减少困扰美国印第安人家庭的疾病，但由于现代心理学和传统印第安人价值观之间的不相容，这些干预措施在美国印第安人社区的渗透率极其有限。至关重要的是，主流社区和美国印第安人社区合作，投入时间和资源，以确定有效的主流项目的核心优势是否实际上可能与美国印第安人的信仰和价值观一致。在目前的提案中，我们寻求开发和测试一种潜在的以媒体为基础的桥梁，以促进美洲印第安人和主流保护性干预方法之间的联系。我们第一阶段和第二阶段努力的成果将是一个视频系列，将美国印第安人社区历史悠久的育儿做法的讨论交织到有效育儿和家庭计划的干预过程中。该系列视频最终将包括：1)探索历史创伤的三个视频；2)8-10个视频，介绍嵌入泛部落家庭和社区价值观框架内的最有效、最具保护性的育儿做法；以及3)附带的系列指南，旨在帮助家庭干预者将视频作为文化能力护理的一个组成部分。在第一阶段，我们将：1)焦点小组和文化专家，以确定关于育儿的泛部落信仰和价值观；2)使用形成性评估过程来创建两个育儿视频和一个历史创伤视频的原型；以及3)评估视频的知识获取、动机和情感、消费者满意度和可用性/价值。结果评估样本将包括40名6-11岁儿童的美国印第安人父母，以及15名为美国印第安人家庭服务的机构的心理健康专业人员。完成的视频系列将反映跨部落、干预计划和发展水平的内容，并成为与预防相关的育儿计划和基于家庭的治疗计划的理想组成部分，适合为美国印第安人家庭服务的广泛的社会机构。公共卫生相关性：500多年来与欧洲/盎格鲁文化的接触对美洲印第安人社区产生了深远的影响，因为为同化努力而实施的破坏性政策破坏了大家庭和社区。尽管现代科学充斥着有效的以父母和家庭为基础的干预措施，可以预防或减少困扰美国印第安人家庭的疾病，但这些干预措施并没有在美国印第安人社区站稳脚跟，有理由相信，缺乏文化背景是造成这种脱节的主要原因。拟议的视频系列将成为促进美国印第安人和主流保护性干预方法之间联系的桥梁，特别是那些针对药物使用的方法，以便提供与预防相关的育儿计划和基于家庭的治疗的社会机构能够有效地将他们的材料与美国印第安人的优势和价值观联系起来。

DESCRIPTION (provided by applicant): Over five hundred years of contact with European culture has had a profound impact on American Indian communities, with destructive policies implemented in the service of assimilation efforts that broke up the extended family and community. The strains of history pressing on American Indian families are reflected in research indicating weakened family connections, unemployment, poverty, isolation, and oppression, all of which can serve as powerful explanatory factors for a child's entry into a difficult life trajectory. Their youth disproportionately experience many difficulties, particularly substance use. Though modern-day science is replete with evidence of effective parent- and family-based interventions for preventing or reducing the ills that afflict American Indian families, extremely-limited penetration of these interventions into American Indian communities has happened due to an incompatibility between modern psychology and traditional Indian values. It is critical that mainstream and American Indian communities partner in investing time and resources to determine whether the core strengths of effective mainstream programs may in fact be consonant with American Indian beliefs and values. In the current proposal, we seek to develop and test a potential media- based bridge to facilitate the connection among American Indian peoples and mainstream protective intervention approaches. The product of our Phase I and II efforts will be a video series that will interweave discussion of time-honored parenting practices in American Indian communities into the intervention process of effective parenting and family programs. The video series will ultimately consist of: 1) three videos exploring historical trauma; 2) 8-10 videos featuring the most effective, protective, parenting practices embedded within a framework of pan-tribal family and community values; and 3) an accompanying series guide designed to assist family interventionists to use the videos as a component of culturally competent care. In Phase I, we will: 1) focus groups and cultural experts to identify pan-tribal beliefs and values regarding parenting; 2) use a formative evaluation process to create prototypes of two parenting videos and one historical trauma video; and 3) evaluate the videos on knowledge acquisition, motivation and emotion, consumer satisfaction, and usability/value. The outcome evaluation sample will include 40 American Indian parents of children ages 6-11, and 15 mental health professionals in agencies serving American Indian families. The finished video series will reflect content that is cross-tribal, -intervention program, and -developmental level and be a desirable component of prevention-related parenting programs and family-based treatment programs appropriate to a broad range of social agencies which serve American Indian families. Public Health Relevance: Over five hundred years of contact with European/Anglo culture has had a profound impact on American Indian communities, as destructive policies implemented in the service of assimilation efforts have broken up the extended family and community. Though modern-day science is replete with evidence of effective parent- and family-based interventions for preventing or reducing the ills that afflict American Indian families, these interventions have not taken hold in American Indian communities, and there is reason to believe that the lack of cultural context is primarily responsible for this disconnect. The proposed video series will serve as a bridge to facilitate a connection among American Indian peoples and mainstream protective intervention approaches, particularly those geared towards substance use, so that social agencies offering prevention-related parenting programs and family-based treatments can effectively link their material to American Indian strengths and values.