YUP'IK EXPERIENCES OF STRESS AND COPING; INTERVENTION VIA CULTURAL UNDERSTANDING

这个子项目是许多研究子项目中利用 资源由NIH/NCRR资助的中心拨款提供。子项目和 调查员(PI)可能从NIH的另一个来源获得了主要资金， 并因此可以在其他清晰的条目中表示。列出的机构是 该中心不一定是调查人员的机构。 目前正在考虑对美国印第安人和阿拉斯加原住民(AI/AN)的压力性生活事件的性质进行显著的经验和理论描述，这些事件损害了美国印第安人和阿拉斯加原住民(AI/AN)的身体、心理和行为健康结果。然而，我们对一套有效的应对策略的科学理解是非常有限的，无论是对人工智能/人工智能还是对其他群体。这项拟议的研究通过深入分析特定压力源和特定应对反应之间的关系来解决这一缺陷。CANHR研究人员在尤皮克社区收集的初步数据为感知的心理社会压力和不利的心理和生理状态之间的直接联系提供了相当多的证据。此外，Yup‘ik社区对生活中普遍存在的困难和创伤事件及其对健康的负面影响表示关切。这项研究的长期目标是收集和分析未来规划和实施有效的压力管理干预所需的数据。 这一过程的第一阶段是对两个较低的48个美国印第安人社区使用的关于压力和创伤生活事件的半结构化访谈方案的改编。进行了焦点小组，并对数据进行了编码和分析。 第二阶段将使用调整后的访谈方案来确定Yup‘ik社区成员经历的压力源和应对机制。参与者将提供反映他们的压力源和应对策略的每日音频日记。将进行关键的线人访谈，以更好地了解社区中的压力和应对方式。这些数据将被用来制定一个具有文化基础的压力管理计划，并在多个村庄进行测试。

This subproject is one of many research subprojects utilizing the resources provided by a Center grant funded by NIH/NCRR. The subproject and investigator (PI) may have received primary funding from another NIH source, and thus could be represented in other CRISP entries. The institution listed is for the Center, which is not necessarily the institution for the investigator. Notable increases in empirical and theoretical accounts of the nature of stressful life events that compromise physical, mental, and behavioral health outcomes among American Indians and Alaska Natives (AI/AN) are now being considered. However, our scientific understanding of what constitutes an effective set of coping strategies is very limited, for both AI/ANs as well as for other groups. The proposed research addresses this shortcoming by engaging in an in-depth analysis of the relationships between specific stressors and specific coping responses. Preliminary data gathered by CANHR researchers in Yup'ik communities provides considerable evidence for direct links between perceived psychosocial stress and adverse psychological and physiological states. Furthermore, Yup'ik communities have voiced concern about the prevalence of difficult and traumatic life events and their negative impact on health. The long-term objective of this study is to collect and analyze the data necessary for the future planning and implementation of an effective stress management intervention. Phase I of this process was the adaptation of a semi-structured interview protocol on stressful and traumatic life events used with two lower 48 American Indian communities. Focus groups have been conducted and the data were coded and analyzed. Phase II will use the adapted interview protocol to identify the stressors and coping mechanisms Yup'ik community members experience. Participants will provide daily audio diaries reflecting on their stressors and coping strategies. Key informant interviews will be conducted to better understand stress and coping in the communities. These data will be used to develop a culturally grounded stress management program to be tested in multiple villages.