This renewal application for the Center for American Indian and Alaska Native Health Disparities (CAIANHD;P60 MD000507)is organized into 4 Cores: an Administrative Core, a Research Core, a Research Training and Education (RT/E) Corel and a Community Engagement and Outreach (CE/O) Core. Jan Beals, Ph.D., Professor of Public Health, leads the Research Core. Dr. Beals has served as a senior methodologist for the Centers of American Indian and Alaska Native Health (CAIANH) for more than 20 years, with extensive experience in the design and conduct of studies in American Indian and Alaska Native (AI/AN) communities. William Henderson, Ph.D., a senior biostatistician with extensive experience in the design, implementation, and analysis of clinical trials, is also a member of the Research Core. For the past decade. Dr. Henderson has worked closely with Drs. Manson and Beals on studies involving AI/AN populations. In this renewal of the CAIANHD, we focus on the health disparities emanating from the high levels of trauma (as defined by the Diagnostic and Statistical Manual)^ experienced by AI/AN populations. The Research Core houses 2 research projects, both designed with the goal of ameliorating these trauma-related health disparities. Research Project 1 (RP1) focuses on the development of trauma screening, brief intervention, and referral methods in 2 different but complementary primary care settings in Alaska and Oklahoma. Research Project 2 (RP2), takes place in these same settings, with a focus on the development of health information technologies to better serve both the patients experiencing trauma-related physical and behavioral problems, and the clinicians who care for them. The Research Core, then, plans and carries out an interdisciplinary, culturally grounded, problem-oriented research program of major scientific and programmatic importance to the health status and functioning of AI/AN people. The research projects housed within this core are informed by a dynamic multilevel conceptual framework of health disparities;furthermore, within this framework, we have chosen to focus on the development of interventions to ameliorate the health disparities emanating from the high levels of trauma to which AI/AN peoples are exposed.

National Institute of Health (NIH)
National Institute on Minority Health and Health Disparities (NIMHD)
Comprehensive Center (P60)
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Special Emphasis Panel (ZMD1-RN (02))
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University of Colorado Denver
United States
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Smith, Julia J; Johnston, Janet M; Hiratsuka, Vanessa Y et al. (2015) Medical home implementation and trends in diabetes quality measures for AN/AI primary care patients. Prim Care Diabetes 9:120-6
Moore, Kelly; Jiang, Luohua; Manson, Spero M et al. (2014) Case management to reduce cardiovascular disease risk in American Indians and Alaska Natives with diabetes: results from the Special Diabetes Program for Indians Healthy Heart Demonstration Project. Am J Public Health 104:e158-64
Running Bear, Ursula; Anderson, Heather; Manson, Spero M et al. (2014) Impact of adaptive functioning on readmission to alcohol detoxification among Alaska Native People. Drug Alcohol Depend 140:168-74
Bassett, Deborah; Buchwald, Dedra; Manson, Spero (2014) Posttraumatic stress disorder and symptoms among American Indians and Alaska Natives: a review of the literature. Soc Psychiatry Psychiatr Epidemiol 49:417-33
Brooks, Elizabeth; Manson, Spero M; Bair, Byron et al. (2012) The diffusion of telehealth in rural American Indian communities: a retrospective survey of key stakeholders. Telemed J E Health 18:60-6
Shore, Jay H; Brooks, Elizabeth; Anderson, Heather et al. (2012) Characteristics of telemental health service use by American Indian veterans. Psychiatr Serv 63:179-81
O'Connell, Joan M; Wilson, Charlton; Manson, Spero M et al. (2012) The costs of treating American Indian adults with diabetes within the Indian Health Service. Am J Public Health 102:301-8
Doorenbos, Ardith Z; Jacobsen, Clemma; Corpuz, Rebecca et al. (2011) A randomized controlled calendar mail-out to increase cancer screening among urban American Indian and Alaska Native patients. J Cancer Educ 26:549-54
O'Connell, Joan; Yi, Rong; Wilson, Charlton et al. (2010) Racial disparities in health status: a comparison of the morbidity among American Indian and U.S. adults with diabetes. Diabetes Care 33:1463-70
Manson, Spero M (2009) Personal journeys, professional paths: persistence in navigating the crossroads of a research career. Am J Public Health 99 Suppl 1:S20-5

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