IMPACT OF YOUTH DEVELOPMENT ON AMERICAN INDIAN HEALTH

青年发展对美洲印第安人健康的影响

• 批准号: 2257470
• 负责人: LINDA H. BEARINGER
• 金额: $ 32.61万
• 依托单位: UNIVERSITY OF MINNESOTA
• 依托单位国家: 美国
• 财政年份: 1995
• 资助国家: 美国
• 起止时间: 1995-02-01 至 1998-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2257470
• 关键词: adolescence (12-20); cognition; community health services; coping; culture; data collection; functional ability; growth /development; health behavior; high risk behavior /lifestyle; human subject; longitudinal human study; model; prognosis; psychological values; social behavior; training

The intent of the proposed research is to examine the impact of a community-based comprehensive youth development program on risk behaviors and protective factors among American Indians, age 10-18. The Ginew/Golden Eagle Program, of the Minneapolis American Indian Center, provides all youth participants with an intensive weekly health promotion program combined with meals, access to primary health care services, academic tutoring, and cultural/spiritual programming. Using a resiliency-based theoretical framework, this longitudinal study will examine interrelationships among organizational, familial and individual characteristics which promote protective factors that enhance well-being and buffer against adverse or health-compromising physical, social and psychological outcomes. The use of a panel design with 3 waves of data collection at one year intervals for control (N=250) and an index or program participant groups (N=250) will enable the examination of cohort effects as well as intervention effects on the health and well-being of urban American Indian youths from early to late adolescence. To examine cohort and longitudinal patterns of health and risk behaviors and health status for both index and control groups, we will utilize the Indian Adolescent Health Survey (Blum, Harmon, Harris, Resnick, et al., 1992), a comprehensive health assessment instrument used, to date, with over 14,000 American Indian older children and adolescents. In addition to self-reported health status and risk behavior indicators, this instrument taps into multiple variables in the resiliency paradigm including a variety of protective factors that mitigate against adverse social and psychological outcomes for young people. The second component of the study involves an evaluation of critical characteristics of the youth development program as predictors of positive social-behavioral and psychological outcomes for American Indian youth. An integrative group process involving key American Indian community and program leaders will be utilized to develop a youth self-report instrument that qualitatively taps program characteristics which are theoretically linked to positive outcome indicators among young people. Data will also be derived from existing program records on participants' use of services, in order to monitor intensity and duration of service utilization concurrent with the aforementioned qualitative program assessment. Together, the assessment instrument and service use records will permit an examination of relationships between the intensity of service utilization and youth perceptions' of the quality of services with changes in individual health status, risky behaviors, and protective factors over time. Within the context of a resiliency framework, the findings are expected to guide the future development and dissemination of culturally-sensitive youth-serving programs, while the evaluation process itself is anticipated to provide a model of capacity-building within the host organization for purposes of ongoing evaluation, feedback, program modification, and continuous programmatic self-monitoring.

拟议研究的目的是检查 基于社区的综合风险行为青年发展计划 美国印第安人的保护因素，10-18岁。 Ginew/Golden 明尼阿波利斯美洲印第安中心的鹰计划提供了所有人 青年参与者通过每周大量的健康促进计划 结合餐点，获得初级卫生保健服务，学术 辅导和文化/精神编程。使用基于弹性的 理论框架，这项纵向研究将检查 组织，家庭和个人之间的相互关系 促进保护因素的特征，以增强幸福感 并防止不利或侵略性的身体，社会和 心理结果。使用带有3浪数据的面板设计的使用 以对照的间隔（n = 250）和索引或索引或 计划参与者组（n = 250）将使队列检查 影响以及干预对健康和福祉的影响 从青春期早期至后期，都市美洲印第安人青年。 研究健康和风险行为的队列和纵向模式 索引和对照组的健康状况，我们将利用 印度青少年健康调查（Blum，Harmon，Harris，Resnick等 1992年），迄今为止使用的全面健康评估工具， 超过14,000名美洲印第安人年龄较大的儿童和青少年。此外 自我报告的健康状况和风险行为指标，该工具 在弹性范式中的多个变量，包括 减轻不利社会和的各种保护因素 年轻人的心理成果。研究的第二部分 涉及对青年关键特征的评估 开发计划是积极社会行为和 美洲印第安人青年的心理成果。一个综合组 涉及美洲印第安人社区和计划领导者的过程将 被用来开发一种定性的青年自我报告工具 TAPS程序特征在理论上与正相关 年轻人的结果指标。数据也将从 有关参与者使用服务的现有程序记录，以便 监视强度和服务利用的持续时间与 上述定性计划评估。一起评估 仪器和服务使用记录将允许检查 服务利用的强度与青年之间的关系 对服务质量的看法随着个人健康的变化 随着时间的流逝，状态，冒险行为和保护因素。 在弹性框架的背景下，发现这些发现将为 指导对文化敏感的未来发展和传播 青年服务计划，而评估过程本身就会预计 为主机组织内提供能力建设模型 持续评估，反馈，计划修改和 连续编程的自我监控。