Caring for Our Generations: Supporting Native Mothers and Their Families

关爱我们的世代：支持本土母亲及其家人

基本信息

批准号：
8327314
负责人：
Teresa A Evans-Campbell
金额：
$ 8.81万
依托单位：
NORTHWEST INDIAN COLLEGE
依托单位国家：
美国
项目类别：
财政年份：
2009
资助国家：
美国
起止时间：
2009-09-30 至 2014-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8327314
关键词：
Address Adult Alcohol abuse Alcohol or Other Drugs use Ally American Indian and Alaska Native American Indians Area Attitude Behavior Belief Caring Clinic Communities Community Actions Data Development Diet Effectiveness Elderly Epidemiology Faculty Family Focus Groups Foundations Funding Generations Goals Health Health Personnel Health Services Accessibility Health behavior Healthcare Ice Indigenous Individual Intervention Interview Knowledge Life Maternal Health Mothers Native Americans Native-Born Outcome Pathway interactions Perception Pregnancy Pregnant Women Principal Investigator Provider Research Research Infrastructure Research Methodology Research Personnel Research Priority Research Project Grants Research Proposals Reservations Risk Factors Sampling Services Social support Structure Students Substance abuse problem Surveys Translating Tribes Trust United States National Center for Health Statistics United States National Institutes of Health Universities Washington Weight Woman Women&apos s Health Work aged base care seeking college control trial design experience health disparity infant death innovation intervention program member native youth prevent programs response role model surveillance data tribal community tribal health

项目摘要

Northwest American Indians are a drastically understudied and underserved group, at ilsk for multiple health problems induding poor maternal health during and after pregnancy. American Indians living in the Northwest have very high rates of poor maternal and irtfant outcomes. This application, in response to RFA HHS-2009-HIS-NARCHV-O001, involves a 4-year developmental project to explore matemal health behaviors, maternal substance use, risk factors for substance use during and after pregnancy, and protective factors that support healthy matemal behaviors. Findings will assist the research team in designing a culturally appropriate and feasible intervention program for American Indian mothers living in the Northwest. Building upon existing preliminary epidemiological and surveillance data as well as tribal support, this study proposes five innovative and significant aims. First, we will conduct qualitative formative research involving 4 focus groups and 25 key infomiant interviews with mothers aged 18-55, Native health providers, elder/traditional healers, and Native youth (aged 15-25). Second, we will conduct structured survey interviews with 100 American Indian community members. With these inten/iew data, we will establish preliminary baseline data related to matemal health outcomes, protective health tjehaviors, risk factors for substance use during and after pregnancy, and social support for mothers. Third, we will develop and manualize a culturally-based intervention targeting adult American Indian mothers in the Northwest. Fourth, we will translate and disseminate the findings to the tribe and prepare translational materials for community members and service providers. Fifth, throughout the course ofthe study, we will work to expand the research infrastructure at Lummi Tribal Health Clinic and to increase research capacity in the tribal community.

西北美洲印第安人是一个严重缺乏研究和服务的群体，在伊尔斯克的多种健康状况怀孕期间和怀孕后孕产妇健康状况不佳的问题。美洲印第安人生活在西北地区孕产妇和婴儿结局不佳的比例非常高。此申请是为了回应 RFA HHS-2009-HIS-NARCHV-O001，涉及一个为期 4 年的探索母亲健康的开发项目行为、母亲物质使用、怀孕期间和怀孕后物质使用的危险因素以及保护性支持健康的物质行为的因素。研究结果将帮助研究团队设计一个针对生活在西北地区的美国印第安母亲的文化上适当且可行的干预计划。本研究以现有的初步流行病学和监测数据以及部落支持为基础提出了五个创新且重要的目标。首先，我们将进行定性形成性研究，涉及 4 焦点小组和 25 次对 18-55 岁母亲、原住民医疗服务提供者的关键信息访谈，老年人/传统治疗师和土著青年（15-25 岁）。其次，我们将进行结构化调查采访了 100 名美国印第安人社区成员。有了这些 inten/iew 数据，我们将建立与母亲健康结果、保护性健康行为、健康风险因素相关的初步基线数据怀孕期间和怀孕后的物质使用以及对母亲的社会支持。第三，我们将开发和针对西北地区成年美洲印第安人母亲进行基于文化的手动干预。第四，我们将向部落翻译和传播研究结果，并为社区准备翻译材料会员和服务提供商。第五，在整个学习过程中，我们将努力扩大卢米部落健康诊所的研究基础设施，并提高部落的研究能力社区。