Native Pathways tp Sobriety: Pacific Northwest Oral Life Histories

清醒的原生途径：太平洋西北地区口述生活史

• 批准号: 7938727
• 负责人: Lisa Rey Thomas
• 金额: $ 15.97万
• 依托单位: NORTHWEST INDIAN COLLEGE
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-09-30 至 2013-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7938727
• 关键词: Address; Alaska; Alcohol abuse; Alcohol or Other Drugs use; Alcohols; American Indian and Alaska Native; American Indians; Ants; Area; Belief; Categories; Communities; Community based prevention; Country; Data; Dependence; Development; Drug abuse; Drug usage; Equipment and supply inventories; Ethics; Faculty; Family; Free Will; Goals; Health; Health Professional; Individual; Interview; Knowledge; Lead; Literature; Native Americans; Native-Born; Nature; Northwest Tribe; Oral; Outcome; Pacific Northwest; Participant; Pathway interactions; Pharmaceutical Preparations; Population; Prevention; Preventive; Process; Questionnaires; Recording of previous events; Recovery; Research; Research Methodology; Research Personnel; Research Priority; Research Project Grants; Resistance; Structure; Students; Substance Addiction; Substance Use Disorder; Substance abuse problem; Training; Tribes; United States National Institutes of Health; Universities; Visual; Washington; Work; alcohol and other drug; alcohol research; base; college; community based participatory research; digital; experience; health disparity; intervention program; life history; member; prevent; programs; resilience; role model; sobriety; sound; theories; treatment strategy; tribal community; tribal member; university student

The specific aim of this proposed project is to collect oral life histories from American Indian and Alaska Natives (AI/AN) in ttie Pacific Northwest (PNW) to begin to better understand sobriety processes, both protective and recovery, in order to better infomi prevention and treatment efforts for AIAN tribal members and communities. There is a critical lack of literature describing how AI/AN's recover from alcohol and other drug abuse problems. Also missing from the literature is infomiation on how many, If not most, AI/AN's never develop a substance abuse problem. Anecdotally, it appears that traditional cultural beliefs and practices contribute to and support the sobriety process; this wan-ants further study and is the primary focus ofthe proposed qualitative study. The specific aims of the study are to (1) Collaborate with Tribal communities in the Pacific Northwest to develop and implement oral life history questionnaires for better understanding the sobriety processes of AI/AN's in the PNW; (2) collaborate with Tribal communities in the PNW to develop or adapt a culturally appropriate inventory of negative consequences associated with substance use to confinn sobriety category of participants; (3) train Native students and professionals to conduct ethical, respectful, scientifically sound research in Indian Country; and (4) use Digital Storytelling to create visual and oral stories of sobriety and wellness for use in Native communities. Guided by a Community Advisory Board and using community-based participatory research methods, 60 individuals in participating communities who either never have developed problems with alcohol or drugs or who have had problems in the past but have been alcohol or drug free will be interviewed by trained NWIC student research assistants using semistructured oral life history questionnaires. The stories will be captured visually and orally via Digital Storytelling and the oral stories will be transcribed and entered into Atlas.ti, a qualitative data program, and analyzed using grounded theory analysis to identify themes of personal and community factors that have been instrumental in resisting or recovering from substance use disorders. This information will be used to guide the development of culturally relevant and community-based prevention and treatment strategies. RELEVANCE (See instnjctions): Alcohol and drug abuse and dependence represent major problems for AI/AN individuals and their communities. While much research has focused on the nature and scope of substance use disorders among AI/AN individuals, much less is known about factors that contribute to successful recovery or never having developed problems withnalcohot or drugs among this population. The present study will information about reslliencv anri recovery factors and inform development of orevention and treatment strategies. ^

这个拟议项目的具体目的是从美洲印第安人和阿拉斯加收集口述生活史 西北太平洋（PNW）的当地人（AI/AN）开始更好地了解清醒过程 保护和恢复，以更好地预防Infomi的预防和治疗工作 和社区。批评文学作品描述了AI/AN如何从酒精和其他 药物滥用问题。文献中还缺少了信息，即关于几个（如果不是大多数）AI/AN的信息 制定滥用药物问题。有趣的是，传统的文化信仰和实践似乎 为清醒过程做出贡献；这是进一步的研究，是 拟议的定性研究。该研究的具体目的是（1）与部落社区合作 西北太平洋，开发和实施口述生活史问卷，以更好地理解 PNW中AI/AN的清醒过程； （2）与PNW中的部落社区合作开发或 适应与物质使用相关的负面后果的文化适当清单 参与者的清醒类别； （3）培训土著学生和专业人士进行道德，尊重， 印度国家的科学健全研究； （4）使用数字讲故事来创建视觉和口头 清醒和保健的故事，可用于本地社区。在社区顾问委员会的指导下 使用基于社区的参与研究方法，参与社区中的60个人 要么从来没有出现过酒精或毒品的问题，要么过去曾经有问题，但 训练有素的NWIC学生研究助理将使用饮酒或无毒 半结构化的口述生活史问卷。这些故事将通过数字视觉和口头捕获 讲故事和口头故事将被转录并输入Atlas.ti，一个定性数据程序，以及 使用扎根理论分析进行分析，以识别具有的个人和社区因素的主题 有助于抵抗或从物质使用障碍中恢复。此信息将用于 指导以文化相关和社区为基础的预防和治疗策略的发展。 相关性（请参阅Instnjctions）： 酗酒，药物滥用和依赖是AI/A及其个人的主要问题 社区。虽然很多研究都集中在物质使用障碍的性质和范围上 AI/一个人，更不用说对成功康复或从未有过的因素知道 在该人群中与药物或药物一起出现问题。本研究将信息有关 恢复ANRI恢复因素，并为发展和治疗策略的发展提供信息。 ^