Native Pathways tp Sobriety: Pacific Northwest Oral Life Histories

这个项目的具体目标是收集美洲印第安人和阿拉斯加人的口述生活史 太平洋西北部（PNW）的当地人（AI/AN）开始更好地了解清醒过程， 保护和恢复，以便更好地为AIAN部落成员提供预防和治疗工作的信息 和社区。严重缺乏描述AI/AN如何从酒精和其他疾病中恢复的文献。 药物滥用问题文献中还缺少关于有多少（如果不是大多数）AI/AN从未 发展成滥用药物的问题有趣的是，传统的文化信仰和习俗 有助于和支持清醒过程;这需要进一步研究，是主要的重点 提出了质的研究。这项研究的具体目标是：（1）与部落社区合作， 太平洋西北部开发和实施口头生活史问卷，以更好地了解 （2）与西北太平洋沿岸的部落社区合作， 采用文化上适当的与物质使用有关的负面后果清单， （3）培训原住民学生和专业人员， 科学合理的研究在印度的国家;和（4）使用数字讲故事，创造视觉和口头 在原住民社区使用的清醒和健康的故事。由社区咨询委员会指导， 使用基于社区的参与性研究方法，参与社区的60名个人， 要么从未出现过酒精或毒品问题，要么过去有过问题，但 被酒精或药物免费将采访由训练有素的NWIC学生研究助理使用 半结构化口述生活史问卷。这些故事将通过数字媒体以视觉和口头方式捕捉 讲故事和口头故事将被转录并输入到定性数据程序Atlas.ti中， 分析使用扎根理论分析，以确定个人和社区因素的主题， 有助于抵抗或从物质使用障碍中恢复。此信息将用于 指导制定具有文化相关性和以社区为基础的预防和治疗战略。 相关性（参见说明）： 酒精和药物滥用和依赖是AI/AN个体及其 社区.虽然许多研究都集中在物质使用障碍的性质和范围， AI/AN个体，对有助于成功康复或从未康复的因素知之甚少。 在这些人群中出现了酒精或毒品问题。本研究将提供关于 reslliencv ANRI恢复因子和通知预防和治疗策略的发展。^

The specific aim of this proposed project is to collect oral life histories from American Indian and Alaska Natives (AI/AN) in ttie Pacific Northwest (PNW) to begin to better understand sobriety processes, both protective and recovery, in order to better infomi prevention and treatment efforts for AIAN tribal members and communities. There is a critical lack of literature describing how AI/AN's recover from alcohol and other drug abuse problems. Also missing from the literature is infomiation on how many, If not most, AI/AN's never develop a substance abuse problem. Anecdotally, it appears that traditional cultural beliefs and practices contribute to and support the sobriety process; this wan-ants further study and is the primary focus ofthe proposed qualitative study. The specific aims of the study are to (1) Collaborate with Tribal communities in the Pacific Northwest to develop and implement oral life history questionnaires for better understanding the sobriety processes of AI/AN's in the PNW; (2) collaborate with Tribal communities in the PNW to develop or adapt a culturally appropriate inventory of negative consequences associated with substance use to confinn sobriety category of participants; (3) train Native students and professionals to conduct ethical, respectful, scientifically sound research in Indian Country; and (4) use Digital Storytelling to create visual and oral stories of sobriety and wellness for use in Native communities. Guided by a Community Advisory Board and using community-based participatory research methods, 60 individuals in participating communities who either never have developed problems with alcohol or drugs or who have had problems in the past but have been alcohol or drug free will be interviewed by trained NWIC student research assistants using semistructured oral life history questionnaires. The stories will be captured visually and orally via Digital Storytelling and the oral stories will be transcribed and entered into Atlas.ti, a qualitative data program, and analyzed using grounded theory analysis to identify themes of personal and community factors that have been instrumental in resisting or recovering from substance use disorders. This information will be used to guide the development of culturally relevant and community-based prevention and treatment strategies. RELEVANCE (See instnjctions): Alcohol and drug abuse and dependence represent major problems for AI/AN individuals and their communities. While much research has focused on the nature and scope of substance use disorders among AI/AN individuals, much less is known about factors that contribute to successful recovery or never having developed problems withnalcohot or drugs among this population. The present study will information about reslliencv anri recovery factors and inform development of orevention and treatment strategies. ^