Native American Research Centers For Health (NARCH XII)

项目摘要 CA-NCED行政核心的总体目标是支持以下方面的研究工作： 第十二个项目，并提供关键的持续社区参与性部落 方向这些项目旨在通过创新的方法解决当地部落社区的关键问题， 及时的战略。他们的目标是将AIAN社区利益相关者的观点纳入 实践的核心要素，从而使基于证据的方法本土化， 在创伤知情护理、癌症预防、阿片类药物护理和人口健康等领域， 为人工智能服务国家协调委员会的行政结构是通过以下方面的供资而演变的： 印度卫生理事会执行小组、科学委员会、卫生部、卫生部 咨询委员会，CA-NNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNN 第十二届全国妇女大会的具体目标是：具体目标1。提供行政、财政和 管理指导和监督;协调沟通;并指导CA-NIGHTXII 研究项目评估规划。具体目标2。帮助评估社区的准备情况 实施创伤知情护理，通过临床完善创伤知情护理 和社区参与的方法。具体目标3。为了帮助评估和表征HPV- 在患者中进行宫颈癌筛查和HPV疫苗接种; 筛查和疫苗接种的促进因素和障碍;实施多层次干预措施， 加强筛查和疫苗接种。具体目标4。为了帮助确定艾滋病的流行情况， 面临阿片类药物滥用和阿片类药物过量风险的个人;检查社区资产， 解决预防和治疗类阿片使用/滥用问题的能力; 监测工具，为减少阿片类药物过量死亡的社区行动提供信息。 具体目标5.提高机构能力，优化电子健康数据的使用， 制定方法，据以确定研究问题并确定分析的优先次序; 并训练原住民学生进行研究。 上述具体目标将支持“仙女”倡议和“非洲联盟-仙女”使命的努力 进行高度相关的，美国印第安人/阿拉斯加原住民（AI/AN）社区为基础的 研究也支持职业发展机会。这项工作是一个模式， 部落国家和学术组织进行合作研究。

PROJECT SUMMARY The overall goals of the CA-NARCH Administrative Core are to support the research efforts of the NARCH XII projects and to provide critical ongoing community-based participatory tribal direction. Projects aim to address critical issues in the local tribal communities with innovative and timely strategies. They aim to incorporate AIAN community stakeholder perspectives into core elements of practice, thus indigenizing evidence-based approaches that can move the fields of trauma informed care, cancer prevention, opioid care and population health to better serve AIANs. The administrative structure of the CA-NARCH has evolved through funding from NARCH III, V, VII, and X and consists of the Indian Health Council Executive Team, Scientific Advisory Board, CA-NARCH Tribal IRB, and a Research and Student Development Director. The specific aims of the CA-NARCH XII are: Specific Aim 1. Provide administrative, fiscal, and management direction and oversight; coordinate communication; and guide the CA-NARCH XII research projects in evaluation planning. Specific Aim 2. To help gauge community readiness to implement trauma informed care; and refine trauma informed care in the clinic through clinic and community engaged methods. Specific Aim 3. To help assess and characterize HPV- associated cancers, cervical cancer screening and HPV vaccination among patients; identify facilitators and barriers to screening and vaccination; and implement multi-level interventions to increase screening and vaccination. Specific Aim 4. To help identify the epidemic profile of individuals at risk for opioid misuse and opioid overdose; examine community assets and capacity to address prevention and treatment of opioid use/misuse; develop community-based surveillance tool to inform community action towards reducing opioid overdose fatalities. Specific Aim 5. To increase institutional capacity to optimize the use of electronic health data, establish methods by which research questions may be identified and prioritized for analysis; and train Native students in research. The above specific aims will support the efforts of the NARCH initiative and CA-NARCH mission of conducting highly relevant, American Indian/Alaskan Native (AI/AN) community-based research that also supports career enhancement opportunities. This work serves as a model for tribal nations and academic organizations doing collaborative research.