Native Center for Alcohol Research and Education

概述摘要 国家酒精滥用和酒精中毒研究所所长乔治·库布博士最近呼吁 确定和促进针对土著人民量身定做的有效预防干预措施的方案。《原住民》 华盛顿州立大学酒精研究和教育中心(NCARE)与我们的合作伙伴在 科罗拉多大学丹佛分校和华盛顿大学，提供协调努力，以减轻和 最终消除美国印第安人和阿拉斯加原住民(AI/AN)经历的与酒精相关的破坏 通过以理论为基础的战略性和可持续干预措施的应用，提高人民的生活质量。实现这一目标将 减少这一未得到充分服务的人群所经历的与酒精有关的严重健康差距。我们的研究 《议程》阐明了一种以理论和土著人民日常生活为基础的土著健康实践模式 人民。我们的研究项目和试点项目将覆盖城市、农村和 边疆社区。尽管我们的视角很广，但我们在社会、经济和社会领域的务实基础 原住民社区体验的医疗保健系统对许多受众来说是可以理解和相关的， 包括部落社区、研究人员和临床医生。这种停飞也增加了我们的 研究结果将转化为公共健康利益。我们的努力将是预防和干预的前景，同时 为关于医疗费用的全国对话提供了经验证据。总体而言，这项工作具有 有潜力改善有酒精使用障碍的AI/AN以及他们的家人和 社区。NCARE提出了这些活动：1)研究项目1：从文化角度比较 针对日常护理的适应性干预，以减少危险饮酒和增加避孕用法，以预防 南方夏延河苏族妇女中酒精暴露的妊娠和胎儿酒精谱障碍 达科他州；2)研究项目2：比较谈话圈干预与常规护理的有效性 减少有害行为，提高城市原住民门诊患者的生活质量和医疗服务利用 华盛顿州西雅图的酒精问题；3)研究项目3：测试激励的有效性 访谈加患者导航，以增加酒精治疗计划的登记人数并防止再次 接受戒毒治疗的费尔班克斯土著协会出院患者 位于阿拉斯加费尔班克斯的一个单位。对于所有3个项目，我们将对干预措施进行经济评估。这些 3研究项目将由行政、信息传播、研究方法和 试点项目核心。值得注意的是，我们的研究团队包括11名参与不同角色的土著专业人员， 包括所有核心和研究项目的联合领导。我们调查人员之间的这种独特的联系 我们的研究人群为我们的工作注入了一种特殊的动力，支持推动本土酒精的努力 研究超越当前的、主要是描述性的状态，转变为有意义的行动。

OVERVIEW ABSTRACT Dr. George Koob, the Director of the National Institute on Alcohol Abuse and Alcoholism, recently called for programs that identify and promote effective preventive interventions tailored to Native people. The Native Center for Alcohol Research and Education (NCARE) at Washington State University, with our partners at the University of Colorado Denver and the University of Washington, offers coordinated efforts to mitigate and ultimately eliminate the alcohol-related devastation experienced by American Indian and Alaska Native (AI/AN) peoples through theory-based application of strategic and sustainable interventions. Achieving this goal will reduce the profound alcohol-related health disparities experienced by this underserved population. Our research agenda articulates a practical model of Native health that is grounded in theory and the daily lives of Native people. Our Research Projects and Pilot Projects will reach Native infants, youth, and adults in urban, rural, and frontier communities. Although our perspective is broad, our pragmatic grounding in the social, economic, and healthcare systems experienced by Native communities will be understandable and relevant to many audiences, including tribal communities, researchers, and clinicians. This grounding also increases the likelihood that our findings will translate into public health benefits. Our efforts will foreground prevention and intervention while contributing empirical evidence to the national conversation on healthcare costs. Collectively, this work has the potential to improve the quality of life for AI/AN with alcohol use disorders, as well as for their families and communities. NCARE proposes these activities: 1) Research Project 1: Compare the effectiveness a culturally adapted intervention against usual care for reducing risky drinking and increasing contraception use to prevent alcohol-exposed pregnancy and fetal alcohol spectrum disorders among Cheyenne River Sioux women in South Dakota; 2) Research Project 2: Compare the effectiveness of a talking circle intervention against usual care for reducing harmful behaviors and improving quality of life and healthcare use in urban Native clinic patients with alcohol problems in Seattle, Washington; and 3) Research Project 3: Test the effectiveness of motivational interviewing plus patient navigation for increasing enrollment in alcohol treatment programs and preventing re- admission to detoxification treatment for patients discharged from the Fairbanks Native Association detoxification unit in Fairbanks, Alaska. For all 3 Projects, we will conduct an economic evaluation of the interventions. These 3 Research Projects will be supported by the Administrative, Information Dissemination, Research Methods, and Pilot Project Cores. Notably, our research team includes 11 Native professionals participating in diverse roles, including Co-Leaders on all Cores and Research Projects. This unique connection between our investigators and our study population imbues our work with a special dynamic, supporting efforts to move Native alcohol research beyond a current, largely descriptive state into meaningful action.