Tribal College and Universities Behavioral Wellness Project (TCU BeWell)

部落学院和大学行为健康项目 (TCU BeWell)

• 批准号: 8552069
• 负责人: BONNIE M DURAN
• 金额: $ 4.71万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 资助国家: 美国
• 起止时间: 至
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/8552069
• 关键词: Academic achievement; Accidental Injury; Address; Advisory Committees; Alcohol consumption; Alcohol or Other Drugs use; Alcohols; Ally; American Indian and Alaska Native; American Indians; Area; Behavior; Behavioral; Behavioral Model; Child Welfare; Communities; Consumption; Data; Data Analyses; Development; Drug abuse; Drug usage; Education; Ensure; Environment; Epidemiologic Studies; Epidemiology; Ethnography; Evaluation; Event; Exposure to; Faculty; Family history of; Focus Groups; Future; Goals; Homicide; Incidence; Indigenous; Individual; Informed Consent; Instruction; Intervention; Knowledge; Life; Literature; Mainstreaming; Mediator of activation protein; Mental Health; Mental disorders; Modeling; Online Systems; Outcome; Pattern; Pharmaceutical Preparations; Policies; Practice Guidelines; Prevalence; Prevention; Procedures; Process; Religion and Spirituality; Reproduction; Research; Research Design; Research Institute; Research Project Grants; Risk; Risk Factors; Sampling; Schools; Services; Shapes; Social support; Stress and Coping; Students; Subgroup; Substance abuse problem; Suicide; Surveys; System; Technology; Testing; Time; Translating; Trauma; Universities; Violence; Washington; Work; alcohol and other drug; base; college; college drinking; combat; community based participatory research; community organizations; coping; follow-up; health disparity; health equity; improved; innovation; intervention program; minority health; novel; population based; programs; social; social capital; stressor; therapy development; tribal college; tribal community; university student

PROJECT SUMMARY (See instructions): Alcohol and other drug (AOD) and related harm among college students is a major national and Tribal concern, and is associated with numerous American Indians/Alaska Natives (AIAN) health disparities: unintentional injuries (149% higher), homicide (92% higher) and suicide (72% higher). However, there is no available social epidemiological data on the prevalence and correlates of AOD or other mental health concerns among AIAN students attending Tribal Colleges and Universities (TCU). The present study is an expansion of a 3-year program of community-based participatory research (CBPR) focused on AOD issues in TCU. It is a partnership between the American Indian Higher Education Consortium, 31 TCUs, and 3 research centers at the University of Washington. Specific Aims are: (1) Survey a representative sample of TCU students (N=1200) to determine the prevalence of AOD and mental health disorders, and apply an Indigenous stress and coping model to examine how AIAN specific risk and protective factors influence AOD abuse and outcomes, (2) Obtain ethnographic data necessary to culturally contextualize the results of the previous aims, and (3) disseminate study findings broadly and work to eliminate health disparities by translating the findings into policy and practice guidelines for stakeholders. The study design consists of a simple random sample survey of 1,200 students at 31 TCUs with a 4-step process: 1) work with the partnership research team, finalize the survey instrument and the sampling frame; 2) pilot the survey in a small sample to catch potential problems, estimate time to complete the survey, ensure that the technology and informed consent procedures work, etc.; 3) conduct the Web-based survey; 4) convene a subgroup of the Scientific and Community Advisory Committees and research teams for data analysis, and review and plan the qualitative follow up for clarification of survey results, and conduct focus groups with TCU faculty, staff, and students to contextualize the finding. The results will shape and guide intervention development and adaptation to address the identified AOD issues of TCU students.

项目摘要（参见说明）： 大学生中的酒精和其他药物 (AOD) 及相关伤害是国家和部落的主要关注点，并且与许多美洲印第安人/阿拉斯加原住民 (AIAN) 的健康差异相关：意外伤害（高出 149%）、凶杀（高出 92%） ）和自杀（高 72%）。然而，目前还没有关于就读部落学院和大学 (TCU) 的 AIAN 学生中 AOD 或其他心理健康问题的患病率和相关性的可用社会流行病学数据。本研究是为期 3 年的社区参与性研究 (CBPR) 计划的扩展，重点关注 TCU 中的 AOD 问题。它是美洲印第安人高等教育联盟、31 个 TCU 和华盛顿大学 3 个研究中心之间的合作伙伴关系。 具体目标是： (1) 对 TCU 学生的代表性样本 (N=1200) 进行调查，以确定 AOD 和心理健康障碍的患病率，并应用土著压力和应对模型来研究 AIAN 特定风险和保护因素如何影响 AOD 滥用和结果，(2) 获取必要的人种学数据，以在文化背景下实现先前目标的结果，(3) 广泛传播研究结果，并通过将研究结果转化为政策和努力消除健康差距 利益相关者的实践指南。 研究设计包括对 31 个 TCU 的 1,200 名学生进行简单的随机抽样调查，过程分为 4 个步骤：1）与合作伙伴研究团队合作，最终确定调查工具和抽样框架； 2）小样本试点调查，捕捉潜在问题，预估完成调查的时间，确保技术和知情同意程序工作等； 3）进行网络调查； 4) 召集科学和社区咨询委员会和研究小组组成的小组进行数据分析，审查和计划定性后续行动以澄清调查结果，并与 TCU 教职员工和学生进行焦点小组讨论，以将调查结果结合起来。结果将形成并指导干预措施的制定和调整，以解决 TCU 学生已确定的 AOD 问题。