Improving the Health of Cambodian American Women: A CBPR Approach

描述（由申请人提供）： 作为对RFA-MD-09-006（NCMHD社区参与健康差异干预研究规划阶段）的回应，本申请详细介绍了一项为期两年的试点干预项目，旨在规划和实施一项以社区为基础的参与性研究（CBPR）计划，旨在减少加利福尼亚州奥克兰市东旧金山弗朗西斯科湾区的柬埔寨裔美国妇女的药物滥用和相关问题。PI是一位人类学家，PI RE伯克利办事处的同事正在与亚裔美国人社区健康（CHAA）合作制定这一提案，CHAA是一个以社区为基础的组织，他们已经与之合作了几年，以及两个为奥克兰柬埔寨裔美国人服务的社区组织，合作伙伴以前也曾与之合作。当地的柬埔寨裔美国人社区有以下代表：1）一个社区工作组，由有滥用药物风险或亲身经历的柬埔寨裔美国人妇女组成，她们将选择优先问题，设计、指导和开展所有研究和干预活动; 2）根据本RFA的要求，成立社区咨询委员会，以提供社区领导，为工作组招募妇女，然后支持和监督项目; 3）两个社区接待组织，提供设施和文化方面的服务，支持工作组和理事会的活动。在RFA规定的紧迫时间框架和结构内，该提案的具体目标是：1）就柬埔寨裔美国妇女使用和滥用药物问题开展合作研究，选择一个优先领域，并在东湾地区柬埔寨裔美国妇女的领导下设计一项试点干预措施。虽然物质使用将提供一个起点，共同研究可能会直接干预活动对物质滥用的根本原因（6个月的规划阶段）。2)开展试点干预研究，通过持续合作解决优先问题，并评估这些努力（18个月的干预阶段）。3)建设柬埔寨裔美国人社区的能力，以评估影响成员的健康问题并积极应对，并建设科学研究人员与社区合作的能力（正在进行）。 相关性（见说明）：传统的精神卫生服务方法可能无法满足柬埔寨裔美国人的需求。对柬埔寨裔美国人药物滥用治疗和预防的研究特别推荐了CBPR方法的许多要素。利用参与者的生活经验以及现有的研究和理论，拟议的项目可能会解决未满足的需求，潜在的心理健康和药物使用和滥用的柬埔寨美国妇女，以及加强他们的能力，以解决这些条件和执行干预活动，以影响其社区的积极变化。

DESCRIPTION (provided by applicant): In response to RFA-MD-09-006 (NCMHD Community Participation in Health Disparities Intervention Research Planning Phase), this application details a two-year pilot intervention project to plan and implement a community-based participatory research (CBPR) program aimed at reducing substance abuse and related issues among Cambodian American women in the East San Francisco Bay Area city of Oakland, CA. The PI, an anthropologist, and colleagues at the Berkeley office of PI RE are developing this proposal in partnership with Community Health for Asian Americans (CHAA), a community-based organization with whom they have been working for several years, as well as with two community-based organizations serving Oakland Cambodian Americans with whom the partners have also previously collaborated. The local Cambodian American community is represented by: 1) a Community Work Group of Cambodian American women who are at risk for or have personal experience with substance abuse, and who will select the priority issue and design, direct and conduct all research and intervention activities; 2) a Community Advisory Board, as required by this RFA, to provide community leadership, recruit women for the work group and thereafter support and oversee the project; and 3) two Community Host organizations who will provide the facilities and culturally-competent services in support of the group and board activities. Within the tight timeframe and structure specified in the RFA, the specific aims of the proposal are: 1) Conduct collaborative research on substance use and misuse among Cambodian American women, select a priority area, and design a pilot intervention with leadership from Cambodian American women of the East Bay Area. While substance use will provide a starting place, the co-research may direct intervention activities toward underlying causes of substance abuse (6-month planning phase). 2) Carry out a pilot intervention study to address the priority issue through continued collaboration, as well as evaluate these efforts (18-month intervention phase). 3) Build the capacities of the Cambodian American community to assess health issues affecting members and respond proactively, and of scientific researchers to partner with communities (on- going). RELEVANCE (See instructions): Traditional approaches to mental health services may not meet the needs of Cambodian Americans. Research on substance abuse treatment and prevention for Cambodian Americans has specifically recommended many elements of the CBPR approach. Utilizing participants' life experiences together with existing research and theory, the proposed project may address unmet needs underlying mental health and substance use and misuse of Cambodian American women as well as strengthen their capacities to address these conditions and execute intervention activities to effect positive change in their community.