Empowering AI/AN Health Researchers: Northwest NARCH 10 Program

为 AI/AN 健康研究人员提供支持：西北 NARCH 10 计划

• 批准号: 10016356
• 负责人: THOMAS MARK BECKER
• 金额: $ 59.49万
• 依托单位: NORTHWEST PORTLAND AREA INDIAN HLTH BD
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-09-16 至 2022-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10016356
• 关键词: Academia; Accreditation; Address; Advisory Committees; Aggressive behavior; Alaska Native; Alcohols; American Indians; Area; Biomedical Research; Chronic Disease; Collaborations; Communities; Data; Development; Fellowship; Fellowship Program; Fright; Funding; Goals; Grant; Health; Health Alliance; Health Priorities; Health Professional; Health Sciences; Health Status; Healthcare; Human Resources; Individual; Infrastructure; Institutes; Institution; Internships; Leadership; Mentors; Mentorship; Native American Research Center for Health; Native-Born; Oregon; Personal Satisfaction; Prevalence; Prevention education; Preventive Intervention; Research; Research Personnel; Research Support; Research Training; Role; Science; Scientist; Students; Text Messaging; Training; Training Programs; Tribes; Trust; United States Dept. of Health and Human Services; United States Indian Health Service; Universities; Vocational Guidance; base; cancer prevention; career development; community partnership; design; disparity reduction; efficacy testing; empowered; experience; faculty research; health data; health disparity; improved; interest; member; programs; racial health disparity; reduced alcohol use; resilience; response; skills; summer research; theories; therapy design; tribal community; tribal leader; tribal organization; young man

PROJECT SUMMARY: Three premises underlie the development of our NW NARCH. First, despite longstanding efforts by tribal, federal, and state health care programs, the available data show substantial disparities in health for NW American Indians and Alaska Natives (AI/ANs) compared to non-AI/AN. NW tribal leaders fear that their health status is getting worse instead of better; this fear unfortunately has been substantiated with health data that show increases in key chronic disease conditions instead of decreases over the past 20 years. Second, Indian communities distrust health research because of negative experiences with non-AI/AN researchers who did not respect tribal needs or sensitivities, even though carefully implemented health research has the potential to provide solutions to reduce, and ultimately eliminate, existing health disparities. Third, health research done by highly skilled AI/ANs who are sensitive to the culture and specific concerns of NW and other Indian communities can bridge the gap between academia and community, though currently we lack the critical mass of AI/AN researchers necessary to accomplish this task. In response to these three issues, Northwest Portland Area Indian Health Board (NPAIHB or ‘the Board’) has established the NW NARCH to form a tribal-academic partnership for community-based health research focused on eliminating racial health disparities and will continue this partnership with this application. The NW Indian communities represented by NPAIHB have a long track record of coordinated efforts to improve their health status; our tribal-academic partnerships with Oregon Health & Science University and Portland State University will build a wide-reaching and multi-layered infrastructure to increase the skills of AI/AN researchers, and address health problems of critical importance to the tribes. Our Board delegates and Community and Scientific Board of Advisors have directed us to pursue three projects in this application: 1) a fellowship and internship program that will increase the numbers of tribal people who are trained to conduct health and biomedical research that will be of direct utility to tribal people, 2) continuation of our Summer Research Training Institute for American Indian and Alaska Native health professionals, so that they can develop the skills needed to function as researchers in their current roles with their tribal organizations and 3) evaluate the efficacy of a text messaging intervention designed to reduce alcohol use and alcohol-related aggression among AI/AN young men. We trust that we will have substantial impact on AI/AN communities through supporting trainees and increasing the number of rigorously trained tribal people in conducting health and biomedical research of relevance to the tribes.

项目概要： 我们西北 NARCH 的发展有三个前提：首先，尽管部落经过长期努力， 联邦和州医疗保健计划，现有数据显示西北地区的健康状况存在巨大差异 与非西北部落领袖相比，美洲印第安人和阿拉斯加原住民 (AI/AN) 担心自己的健康。 不幸的是，这种担忧已被健康数据证实 过去 20 年来，主要慢性疾病的数量不但没有减少，反而有所增加。 其次，印度。 社区不信任健康研究，因为非 AI/AN 研究人员的负面经历 尊重部落的需求或敏感性，尽管精心实施的健康研究有可能 提供解决方案以减少并最终消除现有的健康差异。第三，健康研究。 对西北和其他印度人的文化和具体问题敏感的高技能 AI/AN 社区可以弥合学术界和社区之间的差距，尽管目前我们缺乏足够的数量 完成这项任务所需的人工智能/AN 研究人员。 针对这三个问题，西北波特兰地区印第安人健康委员会（NPAIHB 或“委员会”） 建立了 NW NARCH，为基于社区的健康研究建立部落-学术伙伴关系 专注于消除种族健康差异，并将继续与该应用程序建立伙伴关系。 以 NPAIHB 为代表的印度社区长期以来一直在协调努力改善他们的生活 健康状况；我们与俄勒冈健康与科学大学和波特兰州立大学的部落学术合作伙伴关系 大学将建立广泛、多层次的基础设施，以提高人工智能/AN研究人员的技能， 解决对我们的董事会代表和社区至关重要的健康问题。 科学顾问委员会指示我们在此申请中开展三个项目：1）奖学金和 实习计划将增加接受培训以开展健康和 对部落人民有直接用途的生物医学研究，2）继续我们的夏季研究 美洲印第安人和阿拉斯加原住民卫生专业人员培训学院，以便他们能够发展 作为研究人员在部落组织中担任当前角色所需的技能，以及 3）评估 旨在减少饮酒和与酒精相关的攻击行为的短信干预的功效 AI/AN 年轻人中。 我们相信，通过支持学员和增加对 AI/AN 社区的影响，我们将产生重大影响。 经过严格训练的部落人口进行与该地区相关的健康和生物医学研究的人数 部落。