Population-based Interventions to Improve Behavioral Health in a Tribal Healthcare System

摘要/摘要 整体 在中南部基金会（SCF）提议的题为“基于人口的干预措施， 改善部落医疗保健系统中的行为健康”，建立在与大学的现有关系之上 华盛顿（UW）和新的伙伴关系与亨利福特卫生系统（HFHS）在五个 三个研究项目（RP）和两个核心的独立但相关的工作。因为井- 阿拉斯加原住民和美洲印第安人（ANAI）之间的行为健康差异 有限的医疗资源，RP将检查行为健康干预措施的有效性 在给定潜在范围和有限资源要求的情况下具有大规模的前景。“预测算法 在阿拉斯加土著健康组织中识别自杀风险“（RP 1）将开发一个预测 使用现成的健康记录信息建立自杀前的临床因素模型， 对被确定有潜在自杀风险的个人进行外展的做法。“文化创新， 在社区为基础的学习环境恢复”（RP 2）将进行一项务实的临床试验， 一个在线学习社区，其中患有酒精使用障碍的ANAIs可以与每个人交流 其他和临床医生，以及访问教育和自我管理材料。“基因 维生素D的贡献者，对阿拉斯加原住民行为健康的影响”（RP 3）将测试一个 维生素D缺乏与抑郁症之间的联系，并探讨维生素D的潜在益处 抑郁症管理的补充。RP将由两个核心提供支持，一个是“行政核心”， 核心”和“教师发展核心”，将建立在SCF研究部门的基础设施， 支持培养新的调查人员，加强研究人员和工作人员的技能组合， 部门这些核心能力建设工作对于使拟议的联络点取得最大成功至关重要， 未来的应用研究在一个部落的医疗保健设置。 这个拟议中的中心是创新的，因为它将扩大能力内建立的ANAI拥有和 运营的研究部门，以解决ANAI确定的健康差距，并更好地定位部落 参与的医疗保健组织和ANAI将领导未来改善ANAI的研究工作 提供保健和医疗服务。

Summary/Abstract Overall In the Southcentral Foundation (SCF) proposed center grant entitled “Population-based Interventions to Improve Behavioral Health in a Tribal Healthcare System”, builds on existing relationships with University of Washington (UW) and new partnerships with the Henry Ford Health System (HFHS) in five independent yet related efforts across three research projects (RPs) and 2 cores. Given the well- documented behavioral health disparities among Alaska Native and American Indian (ANAI) people yet limited healthcare resources, the RPs will examine the effectiveness of behavioral health interventions with large scale promise given potential reach and limited resource requirements. “Predictive Algorithms for Identifying Risk for Suicide in an Alaska Native Health Organization ”(RP1) will develop a prediction model of clinical factors prior to suicide using readily available health record information, then identify best practices for outreach to individuals identified to have potential suicide risk. “Cultural Innovations for Recovery in Community-Based Learning Environments” (RP2) will conduct a pragmatic clinical trial of an online learning community in which ANAIs with alcohol use disorders can communicate with each other and clinicians, as well as access educational and self-management materials. “Genetic contributors to Vitamin D, Impact on Behavioral Health in Alaska Native People” (RP3) will test for an association between vitamin D deficiency and depression and explore the potential benefit of vitamin D supplementation in depression management. The RPs will be supported by two cores, an “Administrative Core” and “Faculty Development Core” which will build upon SCF Research Departmental infrastructure, support development of new investigators, and strengthen skills sets of researchers and staff within the department. These core capacity building efforts are critical to optimize success of the proposed RPs and future applied research within a tribal healthcare setting. This proposed Center is innovative in that it will expand capacity within an established ANAI owned and operated Research Department to address ANAI identified health disparities and better position the tribal healthcare organization and ANAIs involved to lead future research efforts in the betterment of ANAI health and healthcare provision.