Community-Driven Indigenous Research, Cultural Strengths & Leadership to Advance Equity in Drug Use Outcomes (CIRCLE)

社区驱动的本土研究、文化优势

基本信息

批准号：
10713129
负责人：
Mary Allison Barlow
金额：
$ 234.72万
依托单位：
JOHNS HOPKINS UNIVERSITY
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：
2023-09-01 至 2028-06-30
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10713129
关键词：
Acceleration Address Alaska Native Alcohol abuse Alcohol consumption Ally American Indians Area Attention COVID-19 pandemic Centers of Research Excellence Cessation of life Collaborations Communities Community Services Data Development Drug abuse Drug usage Education Equity Family Fostering Goals Harm Reduction Health Heterogeneity Indigenous Inequity Intervention Leadership Life Longevity Measures Methodology Methods National Institute of Drug Abuse Native-Born Outcome Pathway interactions Pattern Personal Satisfaction Persons Pharmaceutical Preparations Pilot Projects Policies Policy Maker Population Premature Mortality Prevalence Prevention Public Health Racial Equity Recovery Research Research Personnel Research Priority Research Project Grants Research Support Resources Risk Factors Science Scientific Advances and Accomplishments Services Shapes Source Structure System Time Training Training Activity Translating Tribes Work Workforce Development alcohol-related death burden of illness combat community based participatory research coping drug abuse prevention evidence base experience health equity indigenous community innovation intervention effect multidisciplinary novel outreach overdose death personalized approach programs promote resilience protective factors response social health determinants socioeconomics stressor substance misuse substance misuse prevention substance use trend uptake

项目摘要

PROJECT SUMMARY Drug and alcohol use related health problems and overdose deaths disproportionately impact quality and longevity of life for many American Indian and Alaska Native (Indigenous) communities. The proposed Community-Driven Indigenous Research, Cultural Strengths & Leadership to Advance Equity in Substance Use Outcomes (CIRCLE) Center of Excellence (P50) aims to address drug use related health problems in collaboration with diverse Indigenous communities. Through research, training, and outreach, we will respond to calls from Indigenous Peoples for enhanced focus on recovery and prevention, sources of strength, culture and family-based approaches to wellness, and policy solutions. The P50 projects and cores will operate with emphasis on four cross-cutting domains, all centered on a bedrock of promoting Indigenous Health Equity: 1) Indigenous & Allied Leadership; 2) Community/Tribally Based Participatory Research (C/TBPR); 3) Addressing Heterogeneity via Precision Public Health; and 4) Centering Strengths, including Assessing Indigenous Cultural Frameworks of Health. Reflecting these thematic approaches, the Center's overarching aims include conducting impact-focused, C/TBPR to identify heterogeneity in substance use risk and protective factors and intervention effects. We will also foster the development of Indigenous scholars to expand Indigenous autonomy, capacity and innovation in research, practice, and policy surrounding alcohol and drug use. We further aim to expand and deepen our engagement with educational facilities, researchers, Tribal and Urban Native communities, policy makers, and the public to serve as a national resource for more rapid uptake and sharing of novel methods, measures, and programs in service to Indigenous health equity. To achieve these goals, the Center will house the following: 1) Administrative Core to oversee governance, administrative structures, scientific priorities, and training activities; 2) Research Core to provide methodological expertise to support the research of the Center; 3) Pilot Project Core to support innovation in Indigenous drug use research, and 4) Three Research Projects that will conduct multidisciplinary and synergistic science focused on drug use prevention, intervention, and policy. The proposed work aligns with NIDA's Racial Equity Initiative action steps, including increased CBPR and equity- driven partnerships to combat drug use inequities.

项目概要吸毒和酗酒相关的健康问题和过量死亡不成比例地影响质量和许多美洲印第安人和阿拉斯加原住民社区的长寿。拟议的社区驱动的本土研究、文化优势和领导力，以促进药物使用的公平性结果 (CIRCLE) 卓越中心 (P50) 旨在解决与吸毒相关的健康问题与不同的原住民社区合作。通过研究、培训和外展，我们将回应原住民呼吁加强对恢复和预防、力量来源、文化和基于家庭的健康方法和政策解决方案。 P50 项目和核心将与强调四个交叉领域，所有领域都以促进土著健康公平为基石：1) 本土和盟军领导； 2）基于社区/部落的参与性研究（C/TBPR）； 3）寻址通过精准公共卫生实现异质性； 4) 集中优势，包括评估土著文化健康框架。为了反映这些主题方法，该中心的总体目标包括开展以影响为重点的 C/TBPR，以确定物质使用风险、保护因素和干预措施的异质性影响。我们还将促进土著学者的发展，以扩大土著自治、能力以及围绕酒精和毒品使用的研究、实践和政策的创新。我们进一步的目标是扩大和加深我们与教育设施、研究人员、部落和城市原住民社区、政策的接触制造商和公众作为国家资源，更快地采用和分享新方法，为土著健康公平服务的措施和计划。为了实现这些目标，该中心将容纳以下内容： 1) 行政核心，负责监督治理、行政结构、科学优先事项，以及培训活动； 2）研究核心提供方法论专业知识以支持中心的研究； 3) 支持本土药物使用研究创新的试点项目核心，以及 4) 三个研究项目将开展多学科和协同科学研究，重点关注吸毒预防、干预和政策。拟议的工作与 NIDA 的种族平等倡议行动步骤相一致，包括增加 CBPR 和公平性推动伙伴关系以消除毒品使用的不平等。