The White Mountain Apache Tribe (WMAT) and Johns Hopkins University (JHU) have partnered
successfully on NARCH I, III, V, VI, VII, VIII, IX and X. Each NARCH application has included an
integrated focus on training and community driven research which has deepened our understanding
of local and cross-tribal health disparities, produced new public health solutions and added to the
continuous development of our innovative training model that combines student and faculty
development. Overall goals of the WMAT-JHU NARCH XI initiative are to: 1) increase the pool of
trained American Indian/ Alaska Native (AI/AN) scientists and research professionals; 2) strengthen
our partnership with JHU and other research institutions through innovative community-based
participatory research combining WMA and western cultural and scientific knowledge and world
views; and 3) field innovative, strengths-based and culturally driven research to combat major AI/AN
health disparities. The WMAT-JHU NARCH XI application includes four components to meet these
goals: 1) a student and faculty development project that will integrate academic and field-based
research training, and 2) three NARCH research projects to: a) address the large burden of
Staphylococcus aureus; b) address alcohol, opioid, and other substance use among at-risk Apaches;
and, c) improve breast cancer screening among White Mountain Apache women. The research
projects are focused on tribal-specific priorities and designed to provide a supportive, multi-disciplined
platform for training Apache investigators on broad scientific research methods. Methodological
approaches and rigorous evaluation designs will contribute new cultural and scientific understanding
to protective factor-based intervention development and outcomes in AI/AN settings. Apache
scientists will build skills in: biomedical and behavioral sciences, qualitative and quantitative research
methods, culturally grounded development and deep structure adaptation of strengths-based
evidence-informed interventions; and, rigorous, culturally competent evaluation approaches. The
studies are built upon previous NARCH research findings, will apply innovative methods and
approaches, and tap cultural and community assets to address major AI health disparities across the
lifespan with potential for intergenerational impact. Activities have been selected and will be guided
by the existing White Mountain Apache NARCH Community Advisory Board.
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