The Healing of the Canoe

描述（由申请人提供）：在由国家少数民族健康和健康差异研究所（NIMHD）资助的这项以社区为基础的参与性研究（CBPR）项目的拟议第三阶段中，我们将继续与Suquamish部落（ST）和Port Gamble S 'Klallam部落（POST）以及当地和国家的其他部落实体合作。在第一阶段和第二阶段，采用了社区和部落复原研究方法，在传统独木舟之旅的基础上，制定了适合文化和部落的、基于力量的预防干预措施，以解决社区确定的两个主要相关领域：预防酗酒和吸毒以及需要提高青年的文化和社区认同感。该干预措施最初是由大学和Suquamish研究小组成员、长老和社区成员组成的工作组在Suquamish制定的，随后采用类似的实施方法在甘布尔港进行了调整和采用。这些课程已经在初中和高中青年中进行了试点测试，以确定可行性和可接受性问题。一个准实验的非等效组转换重复设计被用来评估他们的交付在一系列密集的，小组研讨会/务虚会的格式。结果表明，乐观/希望/功效显著增加，药物使用减少，文化认同和做法以及对滥用药物的了解增加。目前第一阶段项目的目标是：（1）通过各种机制，向一般和特定目标AOAN受众传播有关干预措施以及发展和适应进程的信息;（0）延伸、适应、并评估干预发展模式/与PGST和ST内部的不同机构（而不是最初制定这些机构的机构）以及与未参与发展进程的新部落合作伙伴进行适应和实施;以及（3）为这三个伙伴计划以及要求参与我们传播工作的以太计划开展强化培训、持续辅导/咨询和技术援助。

DESCRIPTION (provided by applicant): In the proposed Phase III of this community-based participatory research (CBPR) project funded by the National Institute on Minority Health and Health Disparities (NIMHD), we will continue to work with the Suquamish Tribe (ST) and Port Gamble S'Klallam Tribe (POST), as well as other tribal entities both locally and nationally. In Phases I and II, CBPR and Tribal Participatory Research (TPR) approaches were used to develop culturally und tribally tailored, strengths-based prevention interventions based on the traditional Canoe Journey to address two primary, and related, areas of concern identified by the community: prevention of alcohol and drug abuse and a need for increased cultural and community identity by youth. The intervention was initially developed on Suquamish by work groups composed of members from the University and Suquamish research teams, Elders, and community members, and subsequently adapted and adopted in Port Gamble using a similar implementation approach. The curricula have undergone pilot testing with middle school and high school youth to determine issues of feasibility and acceptability. A quasi- experimental non-equivalent group switching replications design was used to evaluate their delivery in a series of intensive, small-group workshop/retreat formats. Results demonstrate significant increases in optimism/hope/efficacy and reductions in substance use, as well as increases in cultural identity and practices and knowledge about drugs of abuse. Using theory-informed approaches, the goals of the current Phase 1 project are to: (1) disseminate information about the intervention as well as the process of development and adaptation through a variety of mechanisms to general and specifically targeted AOAN audiences; (0) extend, adapt, and evaluate thus model of intervention development/adaptation and its implementation with different agencies within both PGST and ST than those in which they were initially developed, and to a new tribal partner that was not involved in the developmental process; and (3) develop intensive training, ongoing coaching/consultation, and technical assistance for these three partnering programs as well as for ether programs requesting involvement in response to our dissemination efforts.