Dissemination, Implementation, and Evaluation of Native STAND in AI Communities

描述（由申请人提供）：我们的预防研究中心的使命是通过社区参与的研究、培训、传播和评估活动，解决部落和其他服务不足的地区社区的健康促进和慢性疾病预防需求。我们的六个目标是：利用与社区、志愿组织和政府组织以及本地区姊妹大学的合作研究伙伴关系，加强研究伙伴关系；2. 通过培训项目、对研究人员进行指导以及向社区和研究伙伴提供技术援助，加强研究能力，建设慢性病预防基础设施；3. 开展高质量、社区驱动的预防研究，为将研究成果转化为目标社区的政策或实践提供信息；4. 减轻我们的伙伴社区确定为最优先事项的慢性病负担；5. 维持我们的中心作为部落、州、县和地方各级公共卫生机构进行预防研究的区域资源；6. 通过举办以社区卫生为重点的研讨会、讲座和会议，将人口健康科学和预防科学作为OHSU的主要研究议程。研究重点：我们将与西北波特兰地区印第安人健康委员会（NPAIHB）合作，传播、实施和评估一项基于“土著立场”（“学生共同反对消极决定”）的学校和社区青年发展方案。该中心和NPAIHB在提供和评估这种经过验证的全面健康决策课程方面拥有丰富的经验。此外，该计划还解决了CDC的几个“可打赢的战斗”。我们的核心研究项目以传播与实施研究为重点，具体目标包括：1。培训和支持人工智能/人工智能健康教育工作者在其家乡社区和组织中使用和实施Native STAND方案；2. 衡量和评估人工智能/人工智能组织在被动和主动技术援助水平上的采用率、保真度和项目影响；和3。采用集群随机对照试验评估干预措施的有效性，以比较接受主动和被动技术援助水平的部落青年在关键健康行为指标（避孕套使用、性传播感染检测、欺凌和人际暴力）方面的变化。我们很高兴能继续并扩大与NPAIHB及其成员部落以及全国其他部落社区的长期合作。

DESCRIPTION (provided by applicant): The mission of our Prevention Research Center is to address health promotion and chronic disease prevention needs of tribal and other underserved regional communities through community-engaged research, and through training, dissemination, and evaluation activities. Our six goals are: 1. Leverage collaborative research partnerships with community, voluntary, and government organizations, as well as with sister universities in the region to strengthen research partnerships; 2. Enhance research capacity and build infrastructure for chronic disease prevention through training programs, mentoring of researchers, and provision of technical assistance to communities and research partners; 3. Conduct high-quality, community-driven prevention research that will inform translation of research into policy or practice in the target communities; 4. Reduce the burden of chronic diseases determined by our partner communities to be of highest priority; 5. Maintain our Center as a regional resource for prevention research conducted by public health agencies at the tribal, state, county, and local levels; 6. Foster population health sciences and prevention sciences within OHSU as a major research agenda through offering seminars, lectures, and conferences focused on community health. Research thrust: We will collaborate with the Northwest Portland Area Indian Health Board (NPAIHB) to disseminate, implement and evaluate a school- and community-based youth development program based on "Native STAND" ("Students Together Against Negative Decisions").The Center and NPAIHB have extensive experience in the delivery and evaluation of this validated and comprehensive healthy decision-making curriculum. Furthermore, the program addresses several of CDC's 'winnable battles'. The specific aims for our core research project, focused on dissemination and implementation research, include: 1. Train and support AI/AN health educators in the use and delivery of the Native STAND program to their home communities and organizations; 2. Measure and evaluate the adoption, fidelity, and impact of the program in AI/AN organizations, at passive and active levels of technical assistance; and 3. Evaluate effectiveness of the intervention using a cluster-randomized controlled trial to compare changes in key healthy behavior indicators (condom use, STI testing, bullying and interpersonal violence) between youth in tribes who receive the active vs. passive levels of technical assistance. We are excited to continue and expand upon our long-term collaborations with the NPAIHB and its member tribes, as well as with other tribal communities nationwide.