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.

西北美洲印第安人在ILSK上是一个大量研究和服务欠缺的群体在怀孕期间和怀孕后孕产妇健康不良的问题。美国印第安人居住在西北的母亲和irtfant结局的比率很高。此应用程序，响应RFA HHS-2009-HIS-NARCHV-O001，涉及一个为期4年的发展项目，以探索Matemal Health 行为，产妇使用，怀孕期间和后的危险因素以及保护性支持健康的临时行为的因素。调查结果将帮助研究团队设计对西北地区的美洲印度母亲的文化适当和可行的干预计划。基于现有的初步流行病学和监视数据以及部落支持，本研究提出了五个创新和重要的目标。首先，我们将进行涉及4的定性形成性研究焦点小组和对18-55岁的母亲健康提供者的母亲进行25次关键信息访谈，长老/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对100名美洲印第安人社区成员的访谈。使用这些Inten/IEW数据，我们将建立初步基线数据与临时健康结果，保护性健康tjehaviors，风险因素有关怀孕期间和之后的药物使用，以及母亲的社会支持。第三，我们将发展和手动对西北的成年美洲印第安母亲的基于文化的干预进行手动。第四，我们将把发现并将其传播给部落，并为社区准备翻译材料会员和服务提供商。第五，在整个研究过程中，我们将努力扩展 Lummi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。