Qasgiq: Dissemination Using Yup'k Indigenous Implementation Strategies

描述(由申请人提供)：Qasgiq，除了是Yup‘ik阿拉斯加原住民(一种)社区生活结构外，还描述了聚集在一起作为一个社区完成重要任务的传统方式。卡斯吉克为基于阿拉斯加西南部尤皮克文化和背景的干预实施战略提供了一个土著逻辑模型。Qasgiq(社区之家)项目将通过制定实施战略，加强地方控制，丰富社区改革进程和指导其工作的能力，并随着时间的推移增加干预的持久性和可持续性，从而维持一种以文化为基础的Yup‘ik过程干预办法。其目的是为青年循证预防实践制定传播和实施战略，以减少一国人民所经历的最严重的健康差距。具体目标1：利用卡斯吉克土著执行战略，传播从Ellangneq干预发展和Elluam Tungiinun预防试验项目中获得的知识，从而加强和推广我们与Yup‘ik社区和部落伙伴的CBPR办法。具体目标2：让社区成员干预工作人员和部落领导人参加组织证书课程，提供土著领导能力发展和有效的州和联邦宣传；研究、赠款编写和信息技术技能；以及Qasgiq执行战略和昆加斯维克干预进程方法方面的培训。具体目标3：对一个新的Yup‘ik社区实施的Qasgiq理论驱动的干预实施战略和CBPR传播方法进行过程评估，并通过Qasgiq实施臂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战略的有效性。

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.