Qasgiq: Dissemination Using Yup'k Indigenous Implementation Strategies

描述（由申请人提供）：Qasgiq，除了是阿拉斯加原住民Yup'ik （AN）的社区生活结构外，还描述了聚集在一起组织社区完成重要任务的传统方式。Qasgiq为阿拉斯加西南部当地Yup'ik文化和背景下的干预实施策略提供了一个本土逻辑模型。Qasgiq（公共住宅）项目将通过制定实施战略，加强地方控制，丰富CBPR过程和社区指导能力，并随着时间的推移提高干预的持久性和可持续性，从而维持以文化为基础的Yup’ik AN过程干预方法。其目的是为青年制定以证据为基础的预防做法的传播和实施战略，以减少非洲人民所经历的最严重的健康差距。具体目标1：通过使用Qasgiq土著实施战略，传播从Ellangneq干预发展和Elluam Tungiinun预防试验项目中获得的知识，加强和扩展我们与Yup'ik社区和部落合作伙伴的CBPR方法。具体目标2：让社区成员干预工作人员和部落领导参与组织证书课程，提供土著领导能力发展和有效的州和联邦宣传；研究、拨款写作和信息技术技能；Qasgiq实施策略和Qungasvik干预过程方法的培训。具体目标3：对Qasgiq理论驱动的干预实施策略和CBPR传播方法在一个新的Yup'ik社区实施的过程进行评估，并通过Qasgiq实施部门在项目现有的随机分配、交错基线、动态等待名单控制预防试验设计的扩展中测试这些策略的有效性。

DESCRIPTION (provided by applicant): Qasgiq, in addition to being a Yup'ik Alaska Native (AN) communal living structure, also describes traditional ways of coming together to organize as a community to accomplish important tasks. Qasgiq provides an Indigenous logic model for an intervention Implementation strategy grounded in local Yup'ik culture and context in southwest Alaska. The Qasgiq (communal house) project will sustain a culturally-based Yup'ik AN process approach to intervention by developing implementation strategies that enhance local control, enrich the CBPR process and community capacity to direct it, and increase intervention durability and sustainability over time. Its purpose is to develop dissemination and implementation strategies for evidence-based prevention practice for youth to reduce the most significant health disparity experienced by AN people. Specific Aim 1: Enhance and extend our CBPR approach with Yup'ik community and tribal partners by using a Qasgiq Indigenous implementation strategy to disseminate knowledge derived from the Ellangneq intervention development and Elluam Tungiinun prevention trial projects. Specific Aim 2: Engage community member intervention staff and tribal leadership in an organizational certificate curriculum that provides Indigenous leadership development and effective state and federal advocacy; research, grant writing, and information technology skills; and training in the Qasgiq implementation strategy and Qungasvik intervention process approach. Specific Aim 3: Conduct a process evaluation of the Qasgiq theory-driven intervention implementation strategy and CBPR dissemination approach as implemented with a new Yup'ik community, and test the effectiveness of these strategies through a Qasgiq implementation arm in an extension of the project's existing randomly assigned, staggered baseline, dynamic wait list control prevention trial design.