Assessing Cultures of Recovery in Tribal Communities - Pilot Project 1: Understanding Relapse among Tribal Youth

评估部落社区的康复文化 - 试点项目 1：了解部落青年的旧病复发

• 批准号: 10707002
• 负责人: Timothy C Edson
• 金额: $ 6.41万
• 依托单位: HEALING LODGE OF THE SEVEN NATIONS
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-20 至 2026-07-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10707002
• 关键词: Active Learning; Admission activity; Adolescent; Affect; Aftercare; Age; Alaska Native; American Indians; Authorization documentation; Award; Characteristics; Charge; Clinical; Clinical Research; Clinical Services; Collaborations; Communities; Community Healthcare; Consultations; Coping Skills; Data; Emotional; Ensure; Environmental Risk Factor; Exposure to; Feedback; Foundations; Funding; Future; Gender; Goals; Health Status; Home; Indian reservation; Indigenous; Institution; Intake; Intervention; Knowledge; Leadership; Learning; Life; Measures; Mental disorders; Native American Research Center for Health; Native-Born; Patient Self-Report; Persons; Pilot Projects; Prevalence; Recording of previous events; Records; Recovery; Relapse; Research; Reservations; Residential Treatment; Resource Development; Risk Factors; Source; Specialist; Subgroup; Substance Use Disorder; Surveys; Time; Training; Tribal Council; Tribes; United States Indian Health Service; Walking; Work; Youth; addiction; clinically relevant; cohort; demographics; design; early onset substance use; experience; healing; health disparity; innovation; instrumentation; interest; knowledge translation; learning strategy; meetings; member; multiple drug use; native youth; pressure; protective factors; psychiatric comorbidity; relapse prevention; research and development; research data dissemination; research study; residence; social; substance misuse; substance use; substance use treatment; tribal Nation; tribal community; working group

PROJECT SUMMARY/ABSTRACT Understanding common risk and protective factors for relapse among American Indian/Alaskan Native (AI/AN) adolescents in recovery from substance use disorders is essential for ensuring that relapse prevention programming is authentic, relevant, culturally appropriate, and effective. The overall goals for this Pilot Project are to (1) gain an in-depth understanding of the intrapersonal and interpersonal determinants of relapse among AI/AN youth in recovery from addiction by surveying consecutively-admitted AI/AN adolescent residents of the Healing Lodge of the Seven Nations (HL); (2) for the first time at the HL, integrate information collected as part of routine clinical services with original survey data to advance clinical research; and (3) engage in a variety of knowledge translation/research dissemination activities designed to return knowledge gained to AI/AN adolescents’ care communities. We will invite three cohorts of approximately 15 AI/AN HL residents to take part in a survey that assesses key demographics (i.e., age, gender, tribal reservation residence status), situational precursors to relapse (i.e., trigger experiences, crisis experiences, other potential missed intervention points), social community supports/networks, and intrapersonal characteristics (i.e., coping skills). We will follow a Tribal Participatory Research approach, whereby we will solicit the feedback regarding the research plan and instrumentation from a Working Group composed of representatives from seven surrounding tribal nations. Therefore, the final form of the survey will reflect the interests and perceived needs of tribal partners. We will combine survey information with relevant clinical information about HL residents, particularly comorbid psychiatric conditions and relapse history, collected at intake. We will describe the prevalence of risk and protective factors shared by AI/AN youth in the aggregate and supplement these descriptive analyses with subgroup analyses designed to explore potential interactions among measured variables, to advance tailored aftercare approaches designed to support AI/AN adolescents after they return to their home communities and work to maintain their recovery. We will employ best practices for conveying and disseminating research findings to a broad audience, which will include the Working Group, tribal councils, HL residents, and, perhaps most importantly, key HL staff including aftercare specialists. This Pilot Project will provide the foundation for a set of guided research experiences that will build professional clinical research capacity at the newly established Healing Lodge Research and Training Unit.

项目概要/摘要 了解美洲印第安人/阿拉斯加原住民复发的常见风险和保护因素 (AI/AN) 青少年从物质使用障碍中恢复对于确保预防复发至关重要 该试点项目的总体目标是真实、相关、适合文化且有效。 (1) 深入了解个人内部和人际关系中旧病复发的决定因素 通过对连续录取的 AI/AN 青少年居民进行调查，AI/AN 青少年从成瘾中恢复过来 七国疗愈小屋 (HL)；(2) 首次在 HL 中整合收集到的信息作为一部分 利用原始调查数据提供常规临床服务以推进临床研究；以及 (3) 从事各种活动 旨在将获得的知识返回给 AI/AN 的知识翻译/研究传播活动 我们将邀请三批约 15 名 AI/AN HL 居民参加。 参与评估关键人口统计数据（即年龄、性别、部落保留地居住状况）的调查， 复发的情境前兆（即触发经历、危机经历、其他潜在的错过） 干预点）、社会社区支持/网络以及个人特征（即应对技能）。 我们将遵循部落参与式研究方法，因此我们将征求有关 由来自七个地区的代表组成的工作组的研究计划和仪器 因此，调查的最终形式将反映部落的利益和感知需求。 我们将把调查信息与 HL 居民的相关临床信息结合起来，特别是。 我们将描述风险的患病率。 和 AI/AN 青年共有的保护因素，并补充这些描述性分析 亚组分析旨在探索测量变量之间的潜在相互作用，以推进定制化 旨在支持 AI/AN 青少年返回家乡社区后的善后护理方法 我们将采用最佳实践来传达和传播研究成果。 向广大受众公布调查结果，其中包括工作组、部落理事会、HL 居民，也许还有 最重要的是，包括善后护理专家在内的 HL 关键员工将为此试点项目奠定基础。 一套指导性研究经验，将在新的实验室建立专业的临床研究能力 成立疗愈小屋研究与培训单位。