Culturally Adapted Pain Management for Indigenous Peoples in the Pacific Northwest (CAP-I)

太平洋西北地区原住民文化适应型疼痛管理 (CAP-I)

• 批准号: 10424738
• 负责人: Andrea K Newman
• 金额: $ 13.12万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-01 至 2025-03-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10424738
• 关键词: Adult; Affect; Aftercare; Alabama; Alaska Native; American; American Indians; Anxiety; Area; Award; Behavioral; Belief; Caring; Clinical; Clinical Trials; Cognitive; Cognitive Therapy; Communities; Country; Dancing; Data; Development; Education; Educational process of instructing; Environment; Evaluation; Feedback; Focus Groups; Fostering; Future; Goals; Guidelines; Health Personnel; Indigenous; Individual; Inequality; Institutional Racism; Intervention; Intervention Studies; Knowledge; Learning; Longitudinal Studies; Low income; Manuals; Measures; Medical; Medicine; Mental Depression; Mentors; Music; Native-Born; Nurses; Operative Surgical Procedures; Opiate Addiction; Pacific Northwest; Pain; Pain intensity; Pain interference; Pain management; Participant; Pathway interactions; Persons; Phase; Population; Prevalence; Procedures; Process; Psychologist; Public Health; Quality of life; Randomized; Randomized Controlled Trials; Reporting; Research; Research Activity; Research Methodology; Resources; Risk; Sampling; Scientist; Sedation procedure; Series; Services; Social Workers; Spirituality; Suicide; Surveys; Techniques; Testing; Training; Training Activity; Trauma; Unemployment; United States; United States Indian Health Service; United States National Institutes of Health; Universities; Washington; Yakama Indian; adherence rate; base; chronic pain; chronic pain management; community based participatory research; community based research; community setting; cost; cultural competence; disability; efficacy evaluation; evidence base; feasibility testing; follow-up; health training; improved; interest; medical specialties; member; mindfulness; mindfulness-based stress reduction; neglect; pain reduction; peer; perceived discrimination; pilot trial; preference; programs; prototype; psychosocial; recruit; satisfaction; side effect; skill acquisition; skills; standard of care; telehealth; therapy development; treatment adherence; treatment as usual; tribal community

PROJECT SUMMARY/ABSTRACT The prevalence of chronic pain is higher among American Indian/Alaskan Native (AI/AN) people than any other group in the United States. Although a number of psychosocial interventions for chronic pain are well-established as effective, there are no culturally adapted interventions for AI/AN individuals. This proposed study aims to begin the process of developing a culturally-adapted psychosocial pain intervention for AI/AN individuals at the Portland Area Indian Health Service – Yakama Service Unit. The K99 phase will focus on the development of the intervention and the R00 will entail a feasibility randomized pilot trial. During the K99 phase, focus groups will aid the in the development of a treatment manual, workbooks, and procedures for a culturally appropriate psychosocial pain intervention (Specific Aim 1). After developing a prototype intervention, focus groups will then provide feedback to improve the intervention (Specific Aim 2). Specific Aim 3 is to assess the feasibility of conducting a future randomized controlled trial with the developed intervention from the K99 phase. This research will provide pilot data for an NIH R01 proposal which will be prepared and submitted towards the end of the R00 phase. The long-term objective of the proposed Pathway to Independence Award is to support the applicant in transitioning into an independent research scientist who studies chronic pain disparities and conducts intervention research in AI/AN communities. The candidate's prior research in chronic pain disparities in low-income communities in Alabama, community-based participatory research, and chronic pain trials are a strong match for this current proposed project. With the current project, she will expand her knowledge and expertise into an important new area of research that has largely been neglected by the research community. With this project, the candidate will have the mentoring and training necessary for enhancing cultural competency in working with AI/AN individuals (Training Goal 1), gaining skills in conducting community-based participatory research with AI/AN communities (Training Goal 2), and fostering skills in the development, adaptation, implementation, and dissemination in clinical trials (Training Goal 3). Drs. Jensen, Walters, Rhudy, and Fuentes will serve as mentors and offer expertise in the areas of chronic pain intervention research, cultural adaptations for psychosocial interventions for AI/AN individuals, tribal based research, and community-based research methods with AI/AN communities. The University of Washington training environment provides significant resources and support that would facilitate the development of skills and expertise needed for the applicant to transition into an independent research scientist. The Yakama Service Unit is strongly committed to this proposed study and will provide critical support in recruitment, retention, and space for focus groups and treatment. Because each tribal community has their own values, traditions, and culture, the proposed study will offer a step-by-step process for culturally adapting chronic pain interventions that may extend to tribal communities across the country.

项目摘要/摘要 美洲印第安/阿拉斯加本地人（AI/AN）的慢性疼痛的患病率比任何其他人都要高 在美国。尽管许多慢性疼痛的社会心理干预措施是完善的 同时，没有针对AI/A的个人进行文化改编的干预措施。这项拟议的研究旨在 开始为AI/一个个体开发具有文化适应的社会心理疼痛干预的过程 波特兰地区印度卫生服务部 - Yakama服务部门。 K99阶段将着重于 干预措施和R00将需要随机试点试验。在K99阶段，焦点小组 将有助于制定治疗手册，工作簿和程序，以使文化适当 心理疼痛干预（特定目标1）。开发了原型干预后，焦点小组将 提供反馈以改善干预措施（特定目标2）。特定目标3是评估 通过K99阶段的开发干预进行未来的随机对照试验。这 研究将为NIH R01提案提供试点数据，该提案将在最后准备并提交 R00阶段。拟议的独立奖项奖的长期目标是支持 申请人过渡到一个独立的研究科学家，他研究了慢性疼痛差异和 对AI/A/A社区进行干预研究。候选人在慢性疼痛分布方面的先前研究 在阿拉巴马州的低收入社区中，基于社区的参与研究和慢性疼痛试验是一个 当前建议的项目的强大匹配。通过当前项目，她将扩大自己的知识， 研究社区在很大程度上忽略了一个重要的新研究领域的专业知识。 有了这个项目，候选人将拥有增强文化能力的必要心理和培训 在与AI/A/A个人（培训目标1）合作时，获得了基于社区参与的技能 使用AI/A/A社区（培训目标2）进行研究，并促进了发展，适应的技能 实施和临床试验中的传播（培训目标3）。博士。詹森，沃尔特斯，罗迪和富恩特斯 将在慢性疼痛干预研究，文化适应方面充当导师，并提供专业知识 用于对AI/A的社会心理干预措施，基于部落的研究和基于社区的研究 AI/A/A社区的方法。华盛顿大学培训环境提供了重要的 资源和支持将促进申请人所需的技能和专业知识的发展 过渡到独立的研究科学家。 Yakama服务部门强烈致力于此 拟议的研究，并将为焦点小组的招聘，保留和空间提供关键支持 治疗。由于每个部落社区都有自己的价值观，传统和文化，因此拟议的研究将 提供一个逐步的过程，用于在文化上适应可能扩展到部落的慢性疼痛干预措施 全国各地的社区。