People Awakening Resilience Program (PARP)

人们觉醒复原力计划（PARP）

• 批准号: 7126428
• 负责人: Gerald Mohatt
• 金额: $ 17.45万
• 依托单位: UNIVERSITY OF ALASKA FAIRBANKS
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-09-30 至 2009-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7126428
• 关键词: Alaskan Native American; adolescence (12-20); alcoholism /alcohol abuse prevention; behavioral /social science research tag; clinical research; culture; focus groups; health care service planning; health services research tag; human subject; rural health

DESCRIPTION (provided by applicant): Alcohol abuse constitutes a public health problem of immense proportions for Alaska Natives and is the highest ranked behavioral health problem in Alaska (Alaska Natives Commission; 1994). The primary goal of the People Awakening Resilience Project (PARP) is to develop a manual of culture-specific, multi-factorial, rural Alaska village-based alcohol abuse preventive interventions for Yup'ik Eskimo children ages 12 through 18 that have their theoretical basis in a heuristic model developed in previous research done with this tribal group and to pilot test them for feasibility, acceptability, and cultural compatibility. The project is the first stage of a long-term research agenda to develop a foundation for a later prevention trial to reduce underage drinking among Yup'ik Eskimo village youth. The specific aims of the R21 application are to complete manual development for interventions based upon the heuristic model and to pilot test them for feasibility, acceptability, cultural compatibility, and fidelity. Analysis of data related to each will allow for further refinement of modules. PARP will also administer intermediate outcome measures on family and individual level variables and complete an exploratory testing of intermediate outcomes in one Yup'ik Eskimo community in Southwestern Alaska. Interventions suggested by the model will take place at the family and the individual levels. The design of the manual development utilizes a key informant methodology through group planning sessions with cultural experts. Community members will review modules that are developed with input from focus groups. A planning group consisting of 7 key informants from Village A and other villages will serve as co-researchers to develop the manual. This will insure that local context is included and engagement and collaboration are developed. Focus groups with other village members will provide feedback on the feasibility and cultural appropriateness of the modules. The manual will be tested in Village A with a sample of parents (n=16) and youth who are from these families (n=16) matched with a control of equal numbers of parents and youth who do not take part in the interventions. Exploratory analyses of the effects on intermediate outcomes will be completed to determine ways that the manualized preventive intervention affects participants.

描述（由申请人提供）： 酒精滥用构成了对阿拉斯加土著人巨大比例的公共卫生问题，并且是阿拉斯加排名最高的行为健康问题（阿拉斯加土著人委员会； 1994年）。人们觉醒弹性项目（PARP）的主要目标是制定一份文化特定的，多因素的基于阿拉斯加乡村的基于阿拉斯加乡村的饮酒滥用预防性干预措施，Yup'ik Eskimo 12至18岁的儿童在以前的研究中具有启发式模型的理论基础，以实现这一分布组的启发式模型，以实现这一分布的模型，以使其对易于锻炼的能力和富有能力，并具有可持续性，并具有易于锻炼的能力。该项目是长期研究议程的第一阶段，旨在为后来的预防试验建立基础，以减少Yup'ik Eskimo村青年中的未成年饮酒。 R21应用的具体目的是根据启发式模型完成手动开发干预措施，并试行对其进行可行性，可接受性，文化兼容性和保真度的测试。分析与每个数据相关的数据将允许进一​​步完善模块。 PARP还将在阿拉斯加西南部的一个Yup'ik Eskimo社区中对家庭和个人级别变量进行中间结果指标，并完成对中级结果的探索性测试。该模型建议的干预措施将在家庭和个人层面上进行。手册开发的设计通过与文化专家的小组计划会议利用了关键的线人方法。社区成员将审查通过焦点小组的意见开发的模块。一个由来自A村和其他村庄的7位关键信息人员组成的计划小组将作为制定手册的共同研究者。这将确保包括本地环境，并开发参与和协作。与其他乡村成员的焦点小组将提供有关模块的可行性和文化适用性的反馈。该手册将在A村进行测试，其中包括父母的样本（n = 16）和来自这些家庭的青年（n = 16），并与不参加干预措施的父母和年轻人相匹配。将完成对中级结果影响的探索性分析，以确定手动预防干预会影响参与者的方式。