The concept proposed is one of two research projects that would be included in a P60 trauma-focused center grant proposal lead by Spero Manson of the University of Colorado, Denver. The research concept described builds upon current research and evaluation efforts SCF has conducted with Dr. Manson in terms of depression and substance abuse screening. Using a community based participatory approach, the proposed research project will engage stakeholders in considering and developing electronic tools to support providers in assessing and treating trauma, reinforcing and augmenting in-person interventions offered to customer-owners, and augmenting care management structure. Electronic tools for providers may include brief mini-lectures offered on a web-based platform reviewing the effects of trauma on physical, mental, spiritual, and social functioning. Lectures on cognitive-behavioral approaches to addressing trauma and the Family Wellness Warriors approach to trauma may also be offered. Tools for customer-owners would be developed to support intervention they are already receiving such as electronic reminders to practice stress management and relaxation skills, exercises to practice substituting inaccurate thoughts about trauma with healthier and more accurate thoughts, and tools to track thoughts, behaviors, and emotions. Tools for customer-owners will likely be offered in a variety of forms according to preference and availability (e.g., text messaging, smart phone emails, web-based materials). Care management structures could include electronic notification to integrated care team case managers when a customer-owner has reported a concerning behavior such as self-injurious behavior. Once again, the tools would all be considered and developed with key stakeholders. Key stakeholders will include customer-owners as well as clinical and administrative leadership within the SCF Medical Services Division, SCF Behavioral Services Division, the SCF Organizational Development Division, and the Family Wellness Warriors Initiative program. Key informants will also guide efforts to pilot electronic supports and consideration for broader implementation.

Public Health Relevance

Development of materials to support providers could assist them in offering effective treatments and facilitate an improved understanding of how trauma impacts health and treatment options available. Electronic tools for customer-owners could provide needed support between in-person contacts especially within the context of increasing numbers of Alaska Native people getting empanelled each year.

Agency
National Institute of Health (NIH)
Institute
National Institute on Minority Health and Health Disparities (NIMHD)
Type
Comprehensive Center (P60)
Project #
5P60MD000507-11
Application #
8552099
Study Section
Special Emphasis Panel (ZMD1-RN)
Project Start
Project End
Budget Start
2013-06-01
Budget End
2014-05-31
Support Year
11
Fiscal Year
2013
Total Cost
$87,107
Indirect Cost
$22,154
Name
University of Colorado Denver
Department
Type
DUNS #
041096314
City
Aurora
State
CO
Country
United States
Zip Code
80045
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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