The overall goals of the CA-NARCH Administrative Core are to support the research efforts of
the NARCH XII projects and to provide critical ongoing community-based participatory tribal
direction. Projects aim to address critical issues in the local tribal communities with innovative
and timely strategies. They aim to incorporate AIAN community stakeholder perspectives into
core elements of practice, thus indigenizing evidence-based approaches that can move the
fields of trauma informed care, cancer prevention, opioid care and population health to better
serve AIANs. The administrative structure of the CA-NARCH has evolved through funding from
NARCH III, V, VII, and X and consists of the Indian Health Council Executive Team, Scientific
Advisory Board, CA-NARCH Tribal IRB, and a Research and Student Development Director.
The specific aims of the CA-NARCH XII are: Specific Aim 1. Provide administrative, fiscal, and
management direction and oversight; coordinate communication; and guide the CA-NARCH XII
research projects in evaluation planning. Specific Aim 2. To help gauge community readiness
to implement trauma informed care; and refine trauma informed care in the clinic through clinic
and community engaged methods. Specific Aim 3. To help assess and characterize HPV-
associated cancers, cervical cancer screening and HPV vaccination among patients; identify
facilitators and barriers to screening and vaccination; and implement multi-level interventions to
increase screening and vaccination. Specific Aim 4. To help identify the epidemic profile of
individuals at risk for opioid misuse and opioid overdose; examine community assets and
capacity to address prevention and treatment of opioid use/misuse; develop community-based
surveillance tool to inform community action towards reducing opioid overdose fatalities.
Specific Aim 5. To increase institutional capacity to optimize the use of electronic health data,
establish methods by which research questions may be identified and prioritized for analysis;
and train Native students in research.
The above specific aims will support the efforts of the NARCH initiative and CA-NARCH mission
of conducting highly relevant, American Indian/Alaskan Native (AI/AN) community-based
research that also supports career enhancement opportunities. This work serves as a model for
tribal nations and academic organizations doing collaborative research.
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