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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Running Bear, Ursula; Beals, Janette; Novins, Douglas K et al. (2017) Alcohol detoxification completion, acceptance of referral to substance abuse treatment, and entry into substance abuse treatment among Alaska Native people. Addict Behav 65:25-32
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Manson, Spero M (2016) Early-Stage Investigators and Institutional Interface: Importance of Organization in the Mentoring Culture of Today's Universities. AIDS Behav 20 Suppl 2:304-10
Bear, Ursula Running; Beals, Janette; Novins, Douglas K et al. (2016) Gender differences among Alaska Native people seeking alcohol withdrawal treatment. Subst Abus 37:372-8
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Harris, Raymond; Nelson, Lonnie A; Muller, Clemma et al. (2015) Stroke in American Indians and Alaska Natives: A Systematic Review. Am J Public Health 105:e16-26
Sabin, Janice A; Moore, Kelly; Noonan, Carolyn et al. (2015) Clinicians' Implicit and Explicit Attitudes about Weight and Race and Treatment Approaches to Overweight for American Indian Children. Child Obes 11:456-65
Manson, Spero M; Martinez, Dominic F; Buchwald, Dedra S et al. (2015) Vision, Identity, and Career in the Clinical and Translational Sciences: Building upon the Formative Years. Clin Transl Sci 8:568-72

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