Native Pathways tp Sobriety: Pacific Northwest Oral Life Histories

这个拟议项目的具体目标是收集美国印第安人和阿拉斯加的口述生活史。 太平洋西北部(PNW)的原住民(AI/AN)开始更好地了解戒酒过程，两者 保护和康复，以便更好地预防和治疗AIAN部落成员的信息感染 和社区。严重缺乏描述AI/AN如何从酒精和其他疾病中恢复的文献 药物滥用问题。文献中还缺少关于有多少人，如果不是大多数人，人工智能/人工智能从不 出现药物滥用问题。坊间传闻，传统文化信仰和习俗似乎 促进和支持戒酒进程；这需要进一步研究，也是 建议进行定性研究。这项研究的具体目的是(1)与部落社区合作 太平洋西北地区开发和实施口腔生活史调查问卷，以更好地了解 PNW的AI/AN的清醒过程；(2)与PNW的部落社区合作开发或 调整与物质使用相关的负面后果的文化上适当的清单，以限制 (3)培训土著学生和专业人员进行道德的、尊重的、 印度国家的科学研究；以及(4)使用数字讲故事来创造视觉和口头 在土著社区使用的清醒和健康的故事。由社区咨询委员会指导，并 使用基于社区的参与式研究方法，参与社区的60个人 要么从未出现过酒精或毒品问题，要么过去有过问题，但 不喝酒或不吸毒的学生将接受训练有素的NWIC学生研究助理的采访 半结构口腔生活史问卷。故事将通过Digital以视觉和口头方式捕捉 讲故事和口头故事将被转录并进入质量数据程序Atlas.ti，以及 使用扎根的理论分析来确定个人和社区因素的主题 在抵抗药物使用障碍或从药物使用障碍中恢复方面起到了重要作用。这些信息将被用于 指导制定具有文化相关性和以社区为基础的预防和治疗战略。 相关性(请参阅实例)： 酒精和药物滥用和依赖是AI/AN个人和他们的主要问题 社区。虽然许多研究都集中在物质使用障碍的性质和范围上， AI/AN个人，对有助于成功恢复或从未发生过的因素知之甚少 在这群人中出现了酒精或毒品的问题。本研究将提供有关以下信息 研究恢复因素，并为制定预防和治疗策略提供信息。^

The specific aim of this proposed project is to collect oral life histories from American Indian and Alaska Natives (AI/AN) in ttie Pacific Northwest (PNW) to begin to better understand sobriety processes, both protective and recovery, in order to better infomi prevention and treatment efforts for AIAN tribal members and communities. There is a critical lack of literature describing how AI/AN's recover from alcohol and other drug abuse problems. Also missing from the literature is infomiation on how many, If not most, AI/AN's never develop a substance abuse problem. Anecdotally, it appears that traditional cultural beliefs and practices contribute to and support the sobriety process; this wan-ants further study and is the primary focus ofthe proposed qualitative study. The specific aims of the study are to (1) Collaborate with Tribal communities in the Pacific Northwest to develop and implement oral life history questionnaires for better understanding the sobriety processes of AI/AN's in the PNW; (2) collaborate with Tribal communities in the PNW to develop or adapt a culturally appropriate inventory of negative consequences associated with substance use to confinn sobriety category of participants; (3) train Native students and professionals to conduct ethical, respectful, scientifically sound research in Indian Country; and (4) use Digital Storytelling to create visual and oral stories of sobriety and wellness for use in Native communities. Guided by a Community Advisory Board and using community-based participatory research methods, 60 individuals in participating communities who either never have developed problems with alcohol or drugs or who have had problems in the past but have been alcohol or drug free will be interviewed by trained NWIC student research assistants using semistructured oral life history questionnaires. The stories will be captured visually and orally via Digital Storytelling and the oral stories will be transcribed and entered into Atlas.ti, a qualitative data program, and analyzed using grounded theory analysis to identify themes of personal and community factors that have been instrumental in resisting or recovering from substance use disorders. This information will be used to guide the development of culturally relevant and community-based prevention and treatment strategies. RELEVANCE (See instnjctions): Alcohol and drug abuse and dependence represent major problems for AI/AN individuals and their communities. While much research has focused on the nature and scope of substance use disorders among AI/AN individuals, much less is known about factors that contribute to successful recovery or never having developed problems withnalcohot or drugs among this population. The present study will information about reslliencv anri recovery factors and inform development of orevention and treatment strategies. ^