Development and Pilot Test of Indigenist Relapse Prevention for American Indians

针对美洲印第安人的原住民复吸预防方案的开发和试点测试

基本信息

批准号：
10000170
负责人：
MONICA C SKEWES
金额：
$ 19.72万
依托单位：
MONTANA STATE UNIVERSITY - BOZEMAN
依托单位国家：
美国
项目类别：
财政年份：
2014
资助国家：
美国
起止时间：
2014-09-15 至 2024-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10000170
关键词：
Abstinence Accidents Address Affect Alcohol or Other Drugs use American Indians Applications Grants Area Attention Behavior Behavior Therapy Behavioral Centers of Research Excellence Cognitive Therapy Communities Community Health County Data Depression and Suicide Development Discrimination Disease remission Ensure Epidemic Evidence based treatment Fostering Future General Population Goals Health Health Personnel Indian reservation Injury Interpersonal Violence Intervention Intervention Trial Lateral Measures Methamphetamine Methods Mission Modeling Montana Morbidity - disease rate Motivation Participant Personal Satisfaction Pharmacotherapy Phase Pilot Projects Population Prevalence Prevention strategy Preventive Intervention Process Property Psychometrics Randomized Recovery Relapse Research Research Design Research Project Grants Reservations Risk Risk Factors Rural Rural Community Rural Health Self-control as a personality trait Sioux Indians Site Spirituality Substance Use Disorder Substance of Abuse Terminology Test Result Testing Training Trauma Treatment Protocols Tribes United States Violence Waiting Lists Work alcohol and other drug alcohol use disorder base commune community based participatory research community partnership design disorder later incidence prevention efficacy testing efficacy trial evidence base experience group intervention health disparity health equity high risk improved informant innovation instrument member mortality novel power analysis preference prescription drug abuse primary outcome protective factors psychologic racial discrimination recruit response rural Americans social social determinants social norm treatment program tribal community tribal leader tribal member

项目摘要

The purpose of this project is to culturally adapt an established evidence-based treatment, Relapse Prevention (RP), and pilot-test the resulting Indigenist Relapse Prevention (IRP) intervention on the Fort Peck Indian Reservation in rural Montana. The research team will work with its existing community partners from the Assiniboine and Sioux Tribes within a community-based participatory research (CBPR) framework to carry out the study aims. The team will collaboratively modify existing RP strategies using an iterative cultural adaptation process to address specific cultural factors identified by previous research and enhance social validity. These efforts will result in a culturally appropriate intervention for American Indians (AIs) with substance use disorder that is practical, easily replicable, and acceptable to the community. This work is necessary before the team can successfully implement the adapted IRP intervention and test its efficacy on a broader scale, which is the intended goal of a future R01 grant proposal. The proposed pilot study will be conducted with Fort Peck tribal members with substance use disorder who are motivated to change and have an abstinence goal (n = 40). The research team will use a randomized block design with assignment to a treatment condition or a wait-list control condition and repeated assessments of substance use behavior. The pilot study will allow the team to identify barriers to successful implementation of the intervention as well as threats to internal validity that it must account for in future research. The research team also will gain 1) experience training paraprofessionals to administer the intervention with fidelity, 2) increased understanding of effective and culturally appropriate study methods, and 3) crucial preliminary data on the psychometric properties of the team's instruments and estimates of effect size for power calculations. The research team will use this information to support a future R01 grant application to test the efficacy of the culturally adapted IRP intervention for rural AIs with substance use disorder. The short-term goal of this research is to develop a successful relapse prevention intervention for AIs that is practical, easily replicated, and administered by trained lay community health advisors. The long- term goal is to disseminate the intervention by incorporating it into existing treatment programs to ensure local sustainability and broader utilization by other tribal communities nationwide.

该项目的目的是在文化上适应既定的循证治疗方法，即复发预防 (RP)，并在佩克堡印第安人身上试点测试由此产生的土著复发预防 (IRP) 干预措施蒙大拿州乡村的预订。研究团队将与其现有的社区合作伙伴合作阿西尼博因和苏族部落在基于社区的参与性研究（CBPR）框架内开展该研究的目的。该团队将使用迭代文化适应来协作修改现有的 RP 策略解决先前研究确定的特定文化因素并增强社会有效性的过程。这些努力将为患有药物滥用障碍的美洲印第安人 (AI) 提供文化上适当的干预措施这是实用的、易于复制且为社区所接受的。这项工作在团队之前是必要的可以成功地实施改编后的IRP干预措施并在更广泛的范围内测试其有效性，这是未来 R01 拨款提案的预期目标。拟议的试点研究将与佩克堡部落一起进行患有药物滥用障碍、有改变动机并有戒酒目标的成员 (n = 40)。这研究团队将使用随机区组设计，分配治疗条件或等待名单控制条件并重复评估物质使用行为。该试点研究将使团队能够识别成功实施干预措施的障碍以及对干预措施内部有效性的威胁必须在未来的研究中加以考虑。研究团队还将获得 1) 培训辅助专业人员的经验忠实地实施干预措施，2) 增加对有效且文化适宜性的理解研究方法，以及 3）关于团队仪器的心理测量特性的重要初步数据和功效计算的效应大小估计。研究团队将利用这些信息来支持未来 R01 拨款申请，以测试针对农村 AI 的文化适应 IRP 干预措施的有效性使用障碍。这项研究的短期目标是开发一种成功的复发预防干预措施人工智能实用、易于复制，并由经过培训的非专业社区健康顾问管理。长- 短期目标是通过将干预措施纳入现有治疗计划来传播干预措施，以确保当地可持续性和全国其他部落社区更广泛的利用。