Alaska Natives face significant health disparities associated with alcohol use disorders and suicide. Elluam Tungiinun is a Yup'ik Eskimo term translatable as "towards wellness." Elluam Tungiinun (ET) is a culturally-based preventative intervention to reduce suicide risk and co-morbid underage drinking among Alaska Native Yup'ik Eskimo youth. The ET process approach contextualizes its intervention program to the local needs and culture of each rural Alaska community it serves through a set of intensive community co-researcher adaptation process procedures. This proposal seeks funding for a five-year CBPR prevention trial of the ET intervention with 239 youth, ages 12 through 18, in five rural, remote Yup'ik communities. A sample of 159.in three communities will test effectiveness two years post intervention using a randomized dynamic wait list control design, along with the fidelity of the ET contextualizing process approach to the intervention model. A sample of 80 will test durability and sustainability of impact over five years in two additional communities with whom we have worked in the past three years developing and piloting the ET intervention. This proposal represents the next stage in a 15-year CPBR process with Alaska Natives. Elluam Tungiinun has three specific aims:
Specific Aim 1 : Test the effectiveness of the ET intervention through contrasts of impact on outcome measures using a randomly assigned, staggered baseline, dynamic wait list control design with three remote, rural AN villages at completion of the intervention.
Specific Aim 2 : Test the fidelity of implementation of the ET toolbox local contextualization approach to the ET intervention model in three communities, and impact of fidelity on outcomes.
Specific Aim 3 : Monitor the sustainability and durability of intervention impact on outcome measures in randomly assigned communities 1- 3 at year 1 and 2 post intervention, and in communities 4- 5, where the intervention was developed and piloted, at year 1-5 post intervention. The ultimate goal of this project is to create evidence-based prevention practices for Alaska Natives. The project has three direct contributions to public health relevance. It seeks to (1) reduce the most significant source of health disparity of public health importance disproportionately affecting Alaska Natives and American Indians, (2) advance CBPR methods in health related research with tribal communities and other ethnic minority, low socioeconomic status, medically underserved, and rural populations, and (3) enhance understanding of factors predictive of health among indigenous and other ethnic minority groups.

Agency
National Institute of Health (NIH)
Institute
National Institute on Minority Health and Health Disparities (NIMHD)
Type
Resource-Related Research Projects (R24)
Project #
5R24MD001626-08
Application #
8249783
Study Section
Special Emphasis Panel (ZMD1-RN (01))
Program Officer
Dankwa-Mullan, Irene
Project Start
2005-09-30
Project End
2013-03-31
Budget Start
2012-04-01
Budget End
2013-03-31
Support Year
8
Fiscal Year
2012
Total Cost
$566,924
Indirect Cost
$175,436
Name
University of Alaska Fairbanks
Department
None
Type
Organized Research Units
DUNS #
615245164
City
Fairbanks
State
AK
Country
United States
Zip Code
99775
Fok, Carlotta Ching Ting; Allen, James; Henry, David et al. (2014) The brief family relationship scale: a brief measure of the relationship dimension in family functioning. Assessment 21:67-72
Rasmus, Stacy M (2014) Indigenizing CBPR: evaluation of a community-based and participatory research process implementation of the Elluam Tungiinun (towards wellness) program in Alaska. Am J Community Psychol 54:170-9
Ayunerak, Paula; Alstrom, Deborah; Moses, Charles et al. (2014) Yup'ik culture and context in Southwest Alaska: community member perspectives of tradition, social change, and prevention. Am J Community Psychol 54:91-9
Allen, James; Mohatt, Gerald V; Fok, Carlotta Ching Ting et al. (2014) A protective factors model for alcohol abuse and suicide prevention among Alaska Native youth. Am J Community Psychol 54:125-39
Gonzalez, John; Trickett, Edison J (2014) Collaborative measurement development as a tool in CBPR: measurement development and adaptation within the cultures of communities. Am J Community Psychol 54:112-24
Rasmus, Stacy M; Charles, Billy; Mohatt, Gerald V (2014) Creating Qungasvik (a Yup'ik intervention "toolbox"): case examples from a community-developed and culturally-driven intervention. Am J Community Psychol 54:140-52
Trickett, Edison J; Trimble, Joseph E; Allen, James (2014) Most of the story is missing: advocating for a more complete intervention story. Am J Community Psychol 54:180-6
Allen, James; Mohatt, Gerald V; Beehler, Sarah et al. (2014) People awakening: collaborative research to develop cultural strategies for prevention in community intervention. Am J Community Psychol 54:100-11
Allen, James; Mohatt, Gerald V (2014) Introduction to ecological description of a community intervention: building prevention through collaborative field based research. Am J Community Psychol 54:83-90
Mohatt, Gerald V; Fok, Carlotta Ching Ting; Henry, David et al. (2014) Feasibility of a community intervention for the prevention of suicide and alcohol abuse with Yup'ik Alaska Native youth: the Elluam Tungiinun and Yupiucimta Asvairtuumallerkaa studies. Am J Community Psychol 54:153-69

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