AI Reservation-based FASD Prevention

基于AI预约的FASD预防

基本信息

批准号：
7499203
负责人：
Michelle C Sarche
金额：
$ 22.91万
依托单位：
UNIVERSITY OF COLORADO DENVER
依托单位国家：
美国
项目类别：
财政年份：
2008
资助国家：
美国
起止时间：
2008-09-30 至 2010-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7499203
关键词：
Address Advocacy Alaska Native Alaska Native reservation Alcohol consumption Alcohol-Related Neurodevelopmental Disorder Alcohol-related birth defects Alcohols American Indians Area Attention Attenuated Authorship Awareness Child Chippewa Clinical Communities Community Practice Complement component C1s Congenital Abnormality Faculty Family Female of child bearing age Fetal Alcohol Spectrum Disorder Fetal Alcohol Syndrome Fetal alcohol effects Focus Groups Friends Goals Indian reservation Infant Development Intervention Knowledge Light Literature Maternal and Child Health Ojibwe Patient currently pregnant Pattern Population Pregnant Women Preparation Prevention Prevention intervention Preventive Intervention Psychologist Public Health Purpose Race Randomized Controlled Trials Rate Relative (related person)Reporting Research Research Methodology Reservations Resources Sampling Services Substance abuse problem Testing Tribes Wisconsin Woman Work alcohol related problem base burden of illness community based participatory research disorder prevention drinking early childhood expectation experience health disparity mortality programs reservation-based response skills success tribal community tribal member

项目摘要

DESCRIPTION (provided by applicant): The purpose of this project is to reduce drinking among pregnant AI/AN women and women of childbearing age in a reservation community, in an effort to reduce the rate of Fetal Alcohol Spectrum Disorders (FASD), which occurs more frequently in AI/AN populations. Three specific aims are proposed to achieve this goal: 1) to deepen our understanding of drinking among pregnant women/women of childbearing age and the implications of this understanding for prevention practices in a reservation community; 2) utilizing a CBPR approach, assess the relevance, feasibility, and sustainability of evidence-based FASD preventive interventions in this reservation community; and 3) select one preventive intervention for adaptation and pilot testing on a small scale in preparation for a larger randomized control trial involving multiple reservation communities of the same tribal population. The research group will partner with a local AI/AN reservation community to conduct this work, using Community-Based Participatory Research (CBPR) methods as a guide for all work to be completed, including the involvement of a Community Advisory Board (CAB). SA1 will involve the use of focus groups and a qualitative analysis of findings which will be reviewed with the CAB, as well as a group of national experts on FASD prevention, in the service of selecting a promising existing evidence-based preventive intervention. Adaptations will be made to the chosen preventive intervention to make it relevant (e.g. culturally), feasible, and sustainable within this tribal community. The adapted intervention will be piloted with a small sample of women (n=10-20). Following the pilot, and any additional adaptations based on this pilot work, the team will work with this community and other tribally related communities to expand this work to a full-scale trial of the preventive intervention. This project promises to address an important health disparity (FASD) in an underserved group (AI/AN) that experiences multiple health disparities relative to the general U.S. and other racial group populations. If successful, this project will reduce the burden of disease borne by AI/AN populations with respect to FASD. PUBLIC HEALTH RELEVANCE: This project promises to address an important health disparity (Fetal Alcohol Spectrum Disorders; FASD) in an underserved group (American Indian and Alaska Natives; AI/AN) that experiences multiple health disparities relative to the general U.S. and other racial group populations. If successful, this project will reduce the burden of disease borne by AI/AN populations with respect to FASD.

描述（由申请人提供）：该项目的目的是减少保留社区中怀孕的 AI/AN 妇女和育龄妇女的饮酒，以降低胎儿酒精谱系障碍 (FASD) 的发生率。在 AI/AN 人群中更常见。为了实现这一目标，提出了三个具体目标：1）加深我们对孕妇/育龄妇女饮酒的理解，以及这种理解对保留社区预防实践的影响； 2) 利用 CBPR 方法，评估该保留社区中基于证据的 FASD 预防干预措施的相关性、可行性和可持续性； 3) 选择一项预防性干预措施，进行小规模的适应和试点测试，为涉及同一部落人口的多个保留社区的更大规模的随机对照试验做准备。研究小组将与当地的 AI/AN 预订社区合作开展这项工作，使用基于社区的参与性研究 (CBPR) 方法作为所有待完成工作的指导，包括社区咨询委员会 (CAB) 的参与。 SA1 将涉及焦点小组的使用以及对结果的定性分析，这些结果将由 CAB 以及 FASD 预防方面的国家专家组进行审查，以服务于选择有前景的现有循证预防干预措施。我们将对所选择的预防性干预措施进行调整，使其在该部落社区内具有相关性（例如文化上）、可行和可持续。调整后的干预措施将在一小部分女性样本中进行试点（n=10-20）。在试点以及基于该试点工作的任何其他调整之后，该团队将与该社区和其他部落相关社区合作，将这项工作扩展到预防性干预的全面试验。该项目承诺解决服务不足群体 (AI/AN) 中的重要健康差异 (FASD)，该群体相对于美国普通人群和其他种族群体人口经历着多种健康差异。如果成功，该项目将减轻 AI/AN 人群所承受的 FASD 疾病负担。公共健康相关性：该项目承诺解决服务不足的群体（美洲印第安人和阿拉斯加原住民；AI/AN）中的一个重要的健康差异（胎儿酒精谱系障碍；FASD），该群体相对于一般美国和其他种族群体经历着多种健康差异人口。如果成功，该项目将减轻 AI/AN 人群所承受的 FASD 疾病负担。