Pilot evaluation of a Lakota-centered lifespan mentoring program to reduce alcohol related problems and promote holistic wellbeing

对以拉科塔人为中心的寿命指导计划进行试点评估，以减少酒精相关问题并促进整体福祉

• 批准号: 10791021
• 负责人: Katie M Edwards
• 金额: $ 22.78万
• 依托单位: UNIVERSITY OF NEBRASKA LINCOLN
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-20 至 2026-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10791021
• 关键词: Accreditation; Address; Adolescent; Adult; Alcohol abuse; American Indians; Cessation of life; Communities; Coping Skills; Criminal Justice; Data; Decision Making; Distal; Documentation; Elderly; Emotional; Ethnic Population; Etiology; Evaluation; Evaluation Research; Fostering; Future; Generations; Goals; Health; Health Professional; Immersion; Individual; Injury; Interview; Knowledge; Lead; Legal; Life; Longevity; Manuals; Mental Health; Mentors; Mentorship; National Institute on Alcohol Abuse and Alcoholism; Native-Born; Outcome; Perception; Personal Satisfaction; Persons; Population; Populations at Risk; Preparation; Process; Professional counselor; Psyche structure; Recording of previous events; Recovery; Relapse; Reporting; Research; Research Personnel; Safety; Sampling; Self Efficacy; Social Problems; Social isolation; Source; South Dakota; Spirituality; Strategic Planning; Substance abuse problem; Surface; Surveys; System; Testing; Teton Sioux Indian; Therapeutic; Time; Trauma; Work; acceptability and feasibility; alcohol abstinence; alcohol prevention; alcohol related consequences; alcohol related problem; alcohol risk; alcohol use disorder; binge drinking; coping; design; experience; guidebooks; healing; indigenous community; innovation; interest; intergenerational; meetings; peer support; prevent; primary outcome; process evaluation; programs; psychoeducation; psychoeducational; public health research; racial population; recruit; response; skills; skills training; sobriety; social; stressor

Project Summary American Indians (AIs) experience disproportionately high rates of alcohol-related problems (ARPs) including hazardous alcohol use (e.g., HAU; heavy intensive or binge drinking) and alcohol-related consequences (ARC; health, safety, legal, and social problems including injury and death) as compared to any other racial/ethnic groups in the U.S.ARPs also hinder holistic well-being (HWB; mental, emotional, physical, and spiritual health) among AI peoples. ARPs among AI peoples is often intergenerational; rooted in social and structural conditions; and related to loss/lack of cultural identity, social isolation, and deficits in healthy coping and life skills. Despite an increasing understanding of etiological factors related to ARPs for AI peoples and a growing number of culturally tailored (often surface level), mostly individually-focused programs to prevent and treat ARPs among AIs, there is limited research evaluating AI-developed, culturally centered programs for AI people that focus on foundational factors (e.g., trauma, loss, isolation) underlying ARPs. A highly promising approach to reduce ARPs among AIs and promote holistic well-being is a culturally centered mentoring program that has been developed and is currently being implemented by a Lakota-led nonprofit, Oaye Luta Okolakiciye (OLO). The OLO mentoring program seeks to foster Lakota cultural identity, social connectedness, and healthy coping and like skills through peer support, cultural immersion, traditional healing and skills training. Despite its strong potential for reducing ARPs and promoting HWB among AI people, the culturally centered OLO mentoring program has not been formally evaluated. The proposed project seeks to address this gap in preparation for a fully powered R01. We have assembled an interdisciplinary team of Lakota stakeholders (e.g., Traditional Knowledge Keepers, Elders, and Lakota health professionals) and highly accomplished action-oriented researchers to lead this work. Aim 1 (Process Evaluation) includes documenting the OLO mentoring program processes, strengths, challenges, acceptability and feasibility via a review of all OLO documentation (e.g., operating manuals) (Aim 1a), interviews with OLO mentoring program stakeholders (Aim 1b), and mentor- mentee program engagement via weekly tracking logs (Aim 1c). Aim 2 (Outcome Evaluation) tests the hypothesis that the OLO mentoring program will positively impact intermediary outcomes (i.e., Lakota cultural identity, social connectedness, healthy life and coping skills) (Aim 2a). Given the lack of feasibility to recruit a large enough sample, information about primary outcomes (i.e., reductions in HAU/ARC, alcohol abstinence, and holistic well-being) will be collected primarily for descriptive purposes to inform a more rigorous R01 design (Aim 2b). Using matched mentor-mentee responses, we will examine how perceptions of the mentoring process impact intermediary outcomes (Aim 2c). Finally, we will examine how mentee program engagement impacts outcomes (Aim 2d). To complete these aims, mentees (n=50) will complete baseline, immediate-post- test, and six-month post program surveys. Mentors (n=10) will also complete an immediate post-test.

项目摘要 美洲印第安人（AIS）经历与酒精有关的问题（ARP）的比例过高 危险的酒精使用（例如Hau；大量强化或暴饮暴食）和与酒精有关的后果（ARC； 与任何其他种族/种族相比，健康，安全，法律和社会问题，包括伤害和死亡） 美国的团体也阻碍了整体福祉（HWB；精神，情感，身体和精神健康） 在人工智能中。人工智能中的arps通常是代际。植根于社会和结构 状况;与丧失/缺乏文化身份，社会隔离以及健康应对和生活中的缺陷有关 技能。尽管人们对与AI人的ARP相关的病因学因素有着越来越多的了解和不断增长的 文化量身定制的数量（通常是表面水平），主要是针对性的，以预防和治疗 AIS中的ARP，有限的研究评估AI开发的，以文化为中心的AI人 关注基础因素（例如，创伤，损失，隔离）的基础ARP。一种非常有前途的方法 为了减少AIS中的ARP并促进整体福祉是一个以文化为中心的指导计划 已开发并目前由Lakota领导的非营利组织Oaye Luta Okolakiciy​​e（Olo）实施。 OLO指导计划旨在促进Lakota文化身份，社会联系和健康应对 以及通过同伴支持，文化沉浸，传统的康复和技能培训的技能。尽管它很强 减少AI人中的ARP和促进HWB的潜力，以文化为中心的Olo指导 程序尚未正式评估。拟议的项目旨在解决这一差距，以准备 完全动力的R01。我们组建了一个跨学科的拉科塔利益相关者团队（例如，传统 知识饲养者，长者和Lakota卫生专业人员）和高度成就的以动作为导向 研究人员领导这项工作。 AIM 1（过程评估）包括记录OLO指导计划 通过对所有Olo文档进行审查（例如， 操作手册）（AIM 1A），OLO指导计划利益相关者的访谈（AIM 1B）以及导师 - 通过每周跟踪日志（AIM 1C）进行指导计划参与。 AIM 2（结果评估）测试 OLO指导计划将对中间成果产生积极影响的假设（即Lakota文化 身份，社会联系，健康的生活和应对技巧）（AIM 2A）。考虑到缺乏招募的可行性 足够大的样本，有关主要结果的信息（即减少Hau/arc，戒酒，戒酒， 和整体幸福感）将主要用于描述目的，以告知更严格的R01 设计（AIM 2B）。使用匹配的指导者回答，我们将研究对指导的看法 过程影响中间的结果（AIM 2C）。最后，我们将研究如何训练计划参与 影响结果（AIM 2D）。为了完成这些目标，受训者（n = 50）将立即完成基线 测试和六个月后的计划调查。导师（n = 10）也将立即完成后测试。