Documenting and Promoting Resilience in Urban American Indians

记录和促进美国城市印第安人的复原力

• 批准号: 8632857
• 负责人: Maria Glowacka
• 金额: $ 18.1万
• 依托单位: NORTHERN ARIZONA UNIVERSITY
• 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/8632857
• 关键词: Adoption; Alcohol abuse; Alcoholism; American Indians; Archives; Arizona; Attitude; Behavior; Cataloging; Catalogs; Characteristics; Collection; Communities; Coping Skills; Death Rate; Development; Diabetes Mellitus; Educational Curriculum; Educational workshop; Elderly; Evaluation; Excision; Exposure to; Fostering; Foundations; General Population; Generations; Goals; Health; Health Promotion; Heart; Housing; Human Development; Individual; Instruction; Interview; Investigation; Language; Life; Longevity; Measures; Mental Health; Modeling; Morbidity - disease rate; Multimedia; Outcome; Participant; Pathology; Phase; Pilot Projects; Process; Qualitative Research; Recruitment Activity; Religion; Research; Reservations; Resources; Schools; Series; Social support; Suicide; Surveys; System; Techniques; Training; Trauma; Tribes; United States Indian Health Service; Universities; Work; Writing; aged; base; community based participatory research; coping; design; digital; efficacy testing; experience; follow-up; hypertensive heart disease; mortality; programs; resilience; response; satisfaction; suicidal behavior; urban Native American

PROJECT SUMMARY (See instructions): To American Indians, resilience as a response to trauma is not new. They have survived forced removal from homelands, genocide, the imposition of a reservation system, mandated boarding schools, forced adoption programs, and discriminatory practices against their cultural traditions, religions, and languages. Such prolonged exposure to negative factors has resulted in a long-term cycle of historical trauma. Brave Heart (1999) describes historical trauma response as "a constellation of characteristics associated with massive cumulative group trauma across generations." These characteristics may include elevated mortality and morbidity associated with such health problems as heart disease, hypertension, diabetes, alcohol abuse, and suicidal behavior. The goal of this proposed pilot study is to document and disseminate resilience strategies to cope with historical trauma. This study differs from previous investigations of historical trauma among American Indians in that it: (1) focuses on resiliency and historical trauma from the perspective of elders. (2) views resiliency as a potential adaptive process rather than a set of fixed attributes and (3) focuses on protective factors and strengths of urban American Indian cultures rather than deficiencies in the context of historical trauma. The proposed community based participatory research (CBPR) will build on a five-year partnership with the Tucson Indian Center (TIC). The Center serves a culturally heterogeneous Native urban community and has actively participated in CBPR with the University of Arizona. We hypothesize that collecting and disseminating stories of resilience from American Indian elders is an effective way to promote health and protective factors over the lifespan. The aims of the proposed project are as follows: (1) To identify resilience strategies through gathering urban American Indian Elders' life narratives; (2) With elders, Advisory Board, and TIC staff, to collaboratively design a series of 12 bi-monthly workshops on historical trauma, resilience and adaptive strategies for urban American Indians; (3) To implement and evaluate the 12 bi-monthly workshop series. The expected outcome is a culturally appropriate health promotion model focused on resiliency and protective factors that can be tested for efficacy in the next.

项目摘要（参见说明）： 对于美洲印第安人来说，恢复力作为对创伤的反应并不新鲜。他们经历了被迫离开家园、种族灭绝、实行保留制度、强制寄宿学校、强制收养计划以及针对其文化传统、宗教和语言的歧视性做法而幸存下来。 长期暴露在负面因素下，造成了历史创伤的长期循环。 《勇敢的心》（Brave Heart，1999）将历史创伤反应描述为“与 代代相传的巨大累积群体创伤。”这些特征可能包括死亡率升高 以及与心脏病、高血压、糖尿病、酗酒等健康问题相关的发病率， 和自杀行为。这项拟议试点研究的目标是记录和传播复原力 应对历史创伤的策略。这项研究不同于以往对历史创伤的调查 在美洲印第安人中，它：（1）从以下角度关注弹性和历史创伤 长老们。 (2) 将弹性视为一种潜在的适应性过程，而不是一组固定属性；(3) 重点关注城市美洲印第安人文化的保护因素和优势，而不是城市美洲印第安人文化的缺陷 历史创伤的背景。拟议的基于社区的参与性研究（CBPR）将建立在 与图森印第安中心 (TIC) 建立了五年的合作关系。该中心服务于不同文化背景的人 本地城市社区，并积极参与亚利桑那大学的 CBPR。我们 假设收集和传播美洲印第安人长辈的坚韧故事是一种有效的方法 促进一生健康和保护因素的方法。拟议项目的目标是 具体如下：（1）通过收集城市美洲印第安人长者的生活叙述来确定复原力策略； (2) 与长老、顾问委员会及议会职员合作设计一系列12次双月工作坊 关于城市美洲印第安人的历史创伤、复原力和适应策略； (3) 实施和 评估 12 个双月研讨会系列。预期结果是文化上适当的健康 促销模式侧重于弹性和保护性因素，可以在接下来测试其有效性。