Population-based Interventions to Improve Behavioral Health in a Tribal Healthcare System

以人群为基础的干预措施，以改善部落医疗保健系统中的行为健康

• 批准号: 9753264
• 负责人: Denise A Dillard
• 金额: $ 34.84万
• 依托单位: SOUTHCENTRAL FOUNDATION
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-09-15 至 2021-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9753264
• 关键词: Address; Affect; Alaska; Alaska Native; American Indians; Applied Research; Area; Attention; Behavioral; Clinical; Clinical Research; Communities; Country; Development; Diabetes Mellitus; E-learning; Effectiveness; Electronic Health Record; Environmental Risk Factor; Foundations; Funding; Future; Genetic; Goals; Grant; Health; Health Professional; Health Services; Health system; Healthcare; Healthcare Systems; Individual; Infrastructure; Injury; International; Intervention; Lead; Liver diseases; Malignant Neoplasms; Mental Depression; Mentorship; Native American Research Center for Health; Native-Born; Patients; Pharmacists; Pharmacogenomics; Pharmacy (field); Population; Positioning Attribute; Pragmatic clinical trial; Principal Investigator; Process; Provider; Public Health; Publications; Recovery; Research; Research Personnel; Research Project Grants; Resources; Role; Running; Seasonal Affective Disorder; Self Management; Services; Students; Suicide; Teacher Professional Development; Technology; Testing; Time; Training; Translational Research; Tribes; Uninsured; United States; United States Indian Health Service; Universities; Vitamin D; Vitamin D Deficiency; Vitamin D supplementation; Vitamins; Washington; Work; Writing; alcohol misuse; alcohol use disorder; anxiety treatment; base; behavioral health; behavioral health intervention; educational atmosphere; electronic data; evidence base; experience; health care service; health care service organization; health care settings; health disparity; health goals; health organization; health record; improved; innovation; learning community; outreach; physical conditioning; population based; pragmatic trial; prediction algorithm; predictive modeling; professor; skills; success; suicidal risk; tribal community; tribal healthcare

Summary/Abstract Overall In the Southcentral Foundation (SCF) proposed center grant entitled “Population-based Interventions to Improve Behavioral Health in a Tribal Healthcare System”, builds on existing relationships with University of Washington (UW) and new partnerships with the Henry Ford Health System (HFHS) in five independent yet related efforts across three research projects (RPs) and 2 cores. Given the well- documented behavioral health disparities among Alaska Native and American Indian (ANAI) people yet limited healthcare resources, the RPs will examine the effectiveness of behavioral health interventions with large scale promise given potential reach and limited resource requirements. “Predictive Algorithms for Identifying Risk for Suicide in an Alaska Native Health Organization ”(RP1) will develop a prediction model of clinical factors prior to suicide using readily available health record information, then identify best practices for outreach to individuals identified to have potential suicide risk. “Cultural Innovations for Recovery in Community-Based Learning Environments” (RP2) will conduct a pragmatic clinical trial of an online learning community in which ANAIs with alcohol use disorders can communicate with each other and clinicians, as well as access educational and self-management materials. “Genetic contributors to Vitamin D, Impact on Behavioral Health in Alaska Native People” (RP3) will test for an association between vitamin D deficiency and depression and explore the potential benefit of vitamin D supplementation in depression management. The RPs will be supported by two cores, an “Administrative Core” and “Faculty Development Core” which will build upon SCF Research Departmental infrastructure, support development of new investigators, and strengthen skills sets of researchers and staff within the department. These core capacity building efforts are critical to optimize success of the proposed RPs and future applied research within a tribal healthcare setting. This proposed Center is innovative in that it will expand capacity within an established ANAI owned and operated Research Department to address ANAI identified health disparities and better position the tribal healthcare organization and ANAIs involved to lead future research efforts in the betterment of ANAI health and healthcare provision.

摘要/摘要 全面的 在中南部基金会 (SCF) 提议的题为“基于人口的干预措施”的中心拨款中， “改善部落医疗保健系统中的行为健康”，建立在与大学的现有关系的基础上 华盛顿大学 (UW) 与亨利·福特医疗系统 (HFHS) 在五年内建立了新的合作伙伴关系 考虑到三个研究项目（RP）和两个核心的独立但相关的努力。 阿拉斯加原住民和美洲印第安人 (ANAI) 人之间的行为健康差异尚未有记录 由于医疗资源有限，RP 将检查行为健康干预措施的有效性 考虑到潜在的影响力和有限的资源需求，具有大规模的前景。 用于识别阿拉斯加原住民健康组织的自杀风险”（RP1）将做出预测 使用现成的健康记录信息建立自杀前的临床因素模型，然后确定最佳方法 向被确定具有潜在自杀风险的个人进行宣传的做法“文化创新”。 “基于社区的学习环境中的恢复”（RP2）将进行一项务实的临床试验 一个在线学习社区，患有酒精使用障碍的 ANAI 可以与每个人进行交流 “遗传 维生素 D 的贡献者，对阿拉斯加原住民行为健康的影响”(RP3) 将测试 维生素 D 缺乏与抑郁症之间的关联，并探讨维生素 D 的潜在益处 RP 将得到两个核心的支持，即“行政管理”。 核心”和“教师发展核心”将建立在 SCF 研究部门基础设施的基础上， 支持新研究人员的发展，并加强研究人员和工作人员的技能组合 这些核心能力建设工作对于优化拟议的 RP 和计划的成功至关重要。 未来在部落医疗保健环境中的应用研究。 该拟议中心的创新之处在于，它将扩大 ANAI 拥有和运营的现有中心的能力。 运营研究部门，以解决 ANAI 发现的健康差异并更好地定位部落 医疗保健组织和 ANAI 参与领导未来改进 ANAI 的研究工作 健康和医疗保健的提供。