Talking Circle for Native American Youth Living Well (A Yo Li)

美国原住民青年美好生活谈话圈（A Yo Li）

基本信息

批准号：
10739361
负责人：
John R., RN, PHD, FAAN Lowe
金额：
$ 76.45万
依托单位：
UNIVERSITY OF TEXAS AT AUSTIN
依托单位国家：
美国
项目类别：
财政年份：
2023
资助国家：
美国
起止时间：
2023-08-17 至 2024-08-16
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10739361
关键词：
12 year old Age Alabama Alcohol consumption Alcohols Anxiety Apache Area Attention Award Awareness COVID-19 COVID-19 pandemic Caddo Cause of Death Cherokee Indian Cities Cluster randomized trial Comanche Communities Control Groups County Coupled Coushatta Crime Disease Education Effectiveness Effectiveness of Interventions Elderly Emotional Ensure Ethics Ethnic Population Feeling suicidal Future Generations Geographic Locations Geography Health Hour Intervention Kickapoo Language Life Location Maps Measurement Mental Depression Mental Health Mental disorders Native Americans Needs Assessment Not Hispanic or Latino Oklahoma Outcome Parents Persons Pharmaceutical Preparations Phase Population Process Program Effectiveness Psyche structure Pueblo Race Recording of previous events Reporting Resources Rural Schools Spirituality Stress Structure Students Suicide Testing Texas Tobacco Tobacco use Training Training Programs Tribal Elders Tribes Universities Virulence Waiting Lists Work Youth after-school program alcohol use initiation anxiety reduction austin behavioral health community based participatory research community partnership coping design effectiveness testing evidence base experience group intervention healing high risk improved member mental state mindfulness native elder pandemic disease post intervention preference primary outcome programs psychological distress racial population racism secondary outcome single episode major depressive disorder stressor substance use suicidal risk teacher tribal community tribal member urban Native American

项目摘要

Abstract/Summary The ongoing mental health crisis among Native Americans manifests in extraordinarily high rates mental, emotional, and behavioral health disorders such as anxiety, stress, depression, substance use, and suicide in Native American youth as young as 10. The virulence of COVID-19 for older people has hit Native American communities particularly hard, and the loss of Tribal Elders and Native speakers has taken an incalculable toll on the cultural ties of language and tradition that flow from Elder Native American generations to the young. The COVID-19 pandemic has exacerbated the suffering of Native American people of all ages, who reported some of the highest rates of psychological distress that include depression, anxiety, life stressors, substance use (alcohol, drugs, commercial tobacco use), and suicide long before the pandemic. The devastation of Native American communities from COVID-19, coupled with both a recent and long history of racism and crimes against Native American people, has had an alarming effect on the mental health of Native American youth. Even before the pandemic, suicide fatalities for Native American youth between the ages of 15–19 was more than double that of non-Hispanic whites. For some Native American communities, suicide is the leading cause of death for youth ages 10-14. Moreover, Native American youth begin to use alcohol, other substances and commercial tobacco at younger ages (around the age of 11), and at higher rates, than all other ethnic groups. For a population already struggling, the COVID-19 pandemic is calamitous, increasing the already high risk for suicide and other mental health disorders of Native American youth. Thus, interventions to improve Native American youth mental, emotional, and behavioral health outcomes are urgently needed. To meet this urgent need, our overarching objective is to leverage the empirically proven, highly effective, school based, Talking Circle Intervention to promote the mental, emotional, and behavioral health of geographically diverse (rural vs. urban) Native American youth. This study, “Talking Circle for Native American Youth Living Well (A Yo Li)” uses a Community Based Participatory Research (CBPR) approach to evaluate Talking Circle effectiveness, partnering with the United Keetoowah Band (UKB) of Cherokee Tribe in Oklahoma, with members living in two geographically diverse areas, rural and urban. “A Yo Li” in the UKB tribal language means “youth”. The Talking Circle Intervention will be implemented as an after-school program in each of the participating schools. After-school programs are an ideal setting for the Talking Circle intervention. After-school programs are preferred by parents, students, and teachers in many Native American communities, as they provide structured, educational opportunities and activities for youth after regular school hours, while parents/guardians are still busy with work or other responsibilities. Based upon the preference of our UKB tribal partners, and ethical considerations, all students will eventually receive the intervention, thus the control condition is waitlist-control.

摘要/总结美洲原住民正在进行的心理健康危机表现出了非凡的表现高率的精神，情感和行为健康疾病，例如焦虑，压力，抑郁，底物使用和自杀是10岁的美国原住民青年。美洲原住民社区特别艰难，部落长老和以人的丧生已经采取了对语言和传统的文化联系的不可估量的损失，这些语言和传统流来自美国原住民的年龄给年轻人。 COVID-19的大流行加剧了各个年龄段的美国原住民的苦难，他报告了一些心理困扰的最高率，包括抑郁，焦虑，生活早在大流行之前，便于提高，饮酒，药物，商业烟草使用）和自杀。美国原住民社区的毁灭性灾难，加上最近的和悠久的历史种族主义和针对美国原住民的犯罪对土著人的心理健康产生了惊人的影响美国青年。甚至在大流行之前 15-19是非西班牙裔白人的两倍以上。对于某些美国原住民社区，自杀是 10-14岁青年死亡的主要原因。此外，美国原住民青年开始使用酒精年轻时（11岁左右）的物质和商业烟草，比所有其他族裔。对于已经苦苦挣扎的人群，共同的19个大流行是灾难性的，增加了已经自杀和其他美洲原住民青年心理健康障碍的风险已经很高。那是干预措施迫切需要改善美洲原住民青年的心理，情感和行为健康成果。到满足迫切需求，我们的总体目标是利用经验证明的，高效的学校基于讨论圈的干预以促进地理上的心理，情感和行为健康多元化（农村与城市）美国原住民青年。这项研究，“为生活的美国原住民青年说话好吧（yo li）”使用基于社区的参与研究（CBPR）方法来评估谈话圈有效性，与俄克拉荷马州切诺基部落的联合Keetoowah乐队（UKB）合作，居住在两个地理不同地区的成员，粗糙和城市。英国部落语言中的“ yo li” 意思是“青年”。会说话的圆圈干预将在每个中的课后计划中实施参与学校。课后课程是谈话圈干预的理想设置。课后计划受到许多美国原住民社区的父母，学生和老师的喜好定期上课后，为青年提供结构化的教育机会和活动父母/监护人仍在忙于工作或其他责任。基于我们UKB部落的偏爱合作伙伴和道德考虑，所有学生最终都将接受干预，因此控制条件是候补名单控制。