Family Listening Program: Multi-Tribal Implementation and Evaluation

描述（由申请人提供）：由于药物滥用问题困扰着部落社区，美国印第安人（AI）儿童的健康预防方法需要紧急关注。主流节目的不足之处在于未能以人工智能儿童自己的方式与他们交谈。家庭倾听/圈子计划（FL/CP）则不是这样，该计划将以证据为基础的家庭强化核心与四年级学生，他们的父母和长辈的文化价值观和实践相结合。通过以前的印第安人卫生研究中心资助（印第安人卫生服务与国家卫生研究所伙伴关系），FL/CP是由新墨西哥大学参与研究中心与三个部落社区（杰梅斯的普韦布洛、纳瓦霍的拉玛部落和梅斯卡莱罗阿帕奇民族）之间的社区参与性研究伙伴关系创建和试点的。FL/CP填补了预防药物滥用方面的空白，恢复了文化传播的历史传统，例如在家庭晚餐上讲故事，让老人与儿童联系起来，通过传统对话、土著语言和赋权，让儿童和家庭创建解决社区药物滥用问题的社区行动项目，支持加强儿童-家庭沟通和心理-社会应对。随着最初的FL/CP试点和可行性研究的完成，来自Jemez的Pueblo、Navajo的Ramah部落和Mescalero Apache Nation的部落研究小组（trt）现在已经到位，通过纵向准实验设计，包括长期的、多部落/学术研究合作伙伴关系，进行全面的项目实施和有效性测试。在这项为期五年的R01有效性试验中，部落合作伙伴致力于评估该方案的有效性，并在印第安国内传播该方法和干预措施，将其作为减少药物滥用健康差距的最佳做法，trt在所有研究活动、实施、解释/分析和传播计划方面进行合作。具体目标有三个：1)严格检验FLCP的有效性；在部落内部和部落之间进行纵向比较设计，让四年级学生防止吸毒，加强家庭；2)通过CBPR，支持trt将其研究能力转化为地方预防研究基础设施和伙伴关系；3)评估其他项目对部落内其他健康/教育项目和领导力的影响。总而言之，这种多部落/学术伙伴关系建立在测试创新干预措施有效性的成就之上。这笔赠款提供了一个无与伦比的机会，通过说明CBPR过程如何将循证和以文化为中心的实践结合起来，创建有效的项目，产生社区所有权和可持续性，减少三个部落社区的药物滥用，加强部落研究能力，并影响全国的药物滥用预防研究设计。

DESCRIPTION (provided by applicant): With substance abuse concerns plaguing tribal communities, health preventive approaches for American Indian (AI) children need urgent attention. Mainstream programs fall short by failing to speak to AI children on their own terms. Not so with the Family Listening/Circle Program (FL/CP) which integrates an evidence-based family-strengthening core, with cultural values and practices for 4th graders, their parents and elders? Through previous Native American Research Centers for Health funding (Indian Health Service & National Institutes of Health partnership) the FL/CP was created and piloted by community-based participatory research (CBPR) partnerships between the University of New Mexico Center for Participatory Research and three tribal communities: Pueblo of Jemez, Ramah Band of Navajo and Mescalero Apache Nation. FL/CP fills a gap in substance abuse prevention by recapturing historic traditions of cultural transmission, such as family dinner story telling where elders connect with children, supporting enhanced child-family communication and psycho-social coping through traditional dialogue, indigenous languages and empowerment where children and families create community action projects addressing community substance abuse. With initial FL/CP pilot and feasibility research completed, Tribal Research Teams (TRTs) from the Pueblo of Jemez, Ramah Band of Navajo and Mescalero Apache Nation are now in place for full program implementation and effectiveness testing through a longitudinal quasi-experimental design involving a long-term, multi-tribal/academic research partnership. Under this five-year R01 effectiveness trial, tribal partners are committed to assessing the program's effectiveness and disseminating the approach and intervention within Indian Country as a best practice in reducing substance abuse health disparities, with TRTs collaborating on all research activities, implementation, interpretation/analysis, and dissemination plans. Three specific aims are 1) To rigorously test effectiveness of FLCP; with a comparative longitudinal design within and across the tribes, with 4th graders to prevent substance initiation/use and strengthen families; 2) Through CBPR, support TRTs to transform their research capacities into local prevention research infrastructures and partnering; 3) To assess additional program effects on other health/education programs and leadership within the tribes. In sum, this multi-tribal/academic partnership builds on accomplishments to test the effectiveness of an innovative intervention. This grant provides an unparalleled opportunity to reduce substance abuse in three tribal communities, strengthen tribal research capacities, and impact substance abuse prevention research designs nationally, by illustrating how CBPR processes can integrate evidence-based and cultural-centered practices to create effective programs that generate community ownership and sustainability.