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Grant Details

Grant Number: 5S06GM142122-04 Interpret this number
Primary Investigator: Beans, Julie
Organization: Southcentral Foundation
Project Title: Building Capacity for Dissemination and Implementation Research in a Tribal Healthcare System
Fiscal Year: 2024


Abstract

PROJECT SUMMARY - Overall Average life expectancy for Alaska Native and American Indian (ANAI) people is 10 years shorter than non- Hispanic Whites, and ANAIs have higher death rates from conditions such as diabetes, heart disease, and cancer. Yet, healthcare services in ANAI communities are significantly underfunded. Tribes and health organizations serving ANAI patients need evidence about the successful implementation of effective interventions to improve ANAI health outcomes. Southcentral Foundation (SCF), a tribally-owned and operated healthcare organization with an award-winning model of healthcare delivery and redesign, thus proposes a set of five independent yet related efforts in this Center application, “Building Capacity for Dissemination and Implementation Research in a Tribal Healthcare System.” SCF is the primary applicant and will lead these efforts with local partners at the Alaska Native Tribal Health Consortium and University of Alaska, as well as national partners at the University of Washington, Mayo Clinic, and University of Arkansas Medical Sciences. Other experts within and outside of Alaska will provide additional support. Implementing a Diabetes Screening and Referral Services Developed for Dental Clinics Within an Urban Alaska Native Health Care Setting (RP1) will study the implementation of an evidence-based intervention to identify ANAIs at risk for diabetes; Metabolism-Informed Care to Aid Alaska Native People to Quit Smoking (RP2) will assess the acceptability and feasibility of using a nicotine metabolite ratio test to select smoking cessation treatment; and Jumpstarting Culturally-informed Advance Care Planning with ANAI People in Primary Care (RP3) will evaluate the effectiveness and implementation of an evidence- based, culturally-tailored palliative care intervention in ANAIs with serious illness. Two capacity building efforts will optimize success of the RPs and Center as a whole. The Researcher Career Enhancement Project will provide ongoing training and mentoring in foundational research skills and build new capacity in D&I research. The Administrative Core will support communication and coordination, implement a unified evaluation strategy, and create a new career pathway for ANAI Research Administrators. All Center components will be evaluated using two well-recognized D&I research frameworks: Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) and the Consolidated Framework for Implementation Research (CFIR). The proposed Center will expand research capacity within an established ANAI-led and -operated Research Department. Fulfillment of the specific aims will advance the capacity the tribal healthcare organization and ANAI researchers to lead future research focused on improving the health of ANAIs.



Publications

Evidence-based screening, clinical care and health education recommendations for Alaska Native peoples with prediabetes living in southcentral Alaska: findings from the Alaska EARTH follow-up study.
Authors: Koller K.R. , Nash S.H. , Beans J.A. , Day G.M. , Hiratsuka V.Y. , Lin A.L. , Narayanan M. , Patten C.A. , Hammock S.A. , Howard B.V. , et al. .
Source: International Journal Of Circumpolar Health, 2024 Dec; 83(1), p. 2343143.
EPub date: 2024-05-01 00:00:00.0.
PMID: 38691019
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Acceptability and feasibility of an intervention for Alaska Native and American Indian couples.
Authors: Avey J.P. , Wark K. , Andrews P. , Donadio J. , Bradbury T. , Outten B. .
Source: Family Relations, 2024 Feb; 73(1), p. 298-317.
EPub date: 2023-12-21 00:00:00.0.
PMID: 38576473
Related Citations

Implementing a Metabolism-Informed Approach for Smoking Cessation in an Alaska Tribal Health System: Study Protocol for a Single-Arm Implementation Pilot Trial.
Authors: Jansen K. , Tranby B. , Shane A. , Takeno T. , Chadwick K. , Sinicrope P. , Shaw J. , Tyndale R. , Harris J. , Patten C. , et al. .
Source: Research Square, 2024-01-23 00:00:00.0; , .
EPub date: 2024-01-23 00:00:00.0.
PMID: 38343834
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COVID-19 vaccination in urban American Indian and Alaska Native children: Parental characteristics, beliefs and attitudes associated with vaccine acceptance.
Authors: Collier A.F. , Schaefer K.R. , Uddin A. , Noonan C. , Dillard D.A. , Son-Stone L. , Manson S.M. , Buchwald D. , MacLehose R. , CONCERTS Collaborative .
Source: Vaccine: X, 2023 Dec; 15, p. 100406.
EPub date: 2023-11-14 00:00:00.0.
PMID: 38058791
Related Citations

The Development of a Community-Led Alaska Native Traditional Foods Gathering.
Authors: Wark K. , Volkeimer J. , Mortenson R. , Trainor J. , Presley J. , Jauregui-Dusseau A. , Clyma K.R. , Jernigan V.B.B. .
Source: Health Promotion Practice, 2023 Nov; 24(6), p. 1091-1095.
PMID: 37877642
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Framing an Indigenous Food Sovereignty Research Agenda.
Authors: Nguyen C.J. , Wilbur R.E. , Henderson A. , Sowerwine J. , Mucioki M. , Sarna-Wojcicki D. , Ferguson G.L. , Maudrie T.L. , Moore-Wilson H. , Wark K. , et al. .
Source: Health Promotion Practice, 2023 Nov; 24(6), p. 1117-1123.
PMID: 37877643
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The CPT1A Arctic variant: perspectives of community members and providers in two Alaska tribal health settings.
Authors: Beans J.A. , Trinidad S.B. , Shane A.L. , Wark K.A. , Avey J.P. , Apok C. , Guinn T. , Robler S.K. , Hirschfeld M. , Koeller D.M. , et al. .
Source: Journal Of Community Genetics, 2023-10-17 00:00:00.0; , .
EPub date: 2023-10-17 00:00:00.0.
PMID: 37847346
Related Citations

Cancer Screening Prevalence among Participants in the Southcentral Alaska Education and Research towards Health (EARTH) Study at Baseline and Follow-Up.
Authors: Smayda L.C. , Day G.M. , Redwood D.G. , Beans J.A. , Hiratsuka V.Y. , Nash S.H. , Koller K.R. .
Source: International Journal Of Environmental Research And Public Health, 2023-08-18 00:00:00.0; 20(16), .
EPub date: 2023-08-18 00:00:00.0.
PMID: 37623179
Related Citations

Identification of Sociodemographic, Clinical, and Genetic Factors to Aid Alaska Native and American Indian People to Successfully Quit Smoking.
Authors: Avey J.P. , Schaefer K.R. , Noonan C.J. , Trinidad S.B. , Muller C.J. , Claw K.G. , Dillard D.A. , Todd M.R. , Beans J.A. , Tyndale R.F. , et al. .
Source: Nicotine & Tobacco Research : Official Journal Of The Society For Research On Nicotine And Tobacco, 2023-08-01 00:00:00.0; , .
EPub date: 2023-08-01 00:00:00.0.
PMID: 37527452
Related Citations

Recovery from alcohol among urban Alaska Native and American Indian people.
Authors: Lillie K.M. , Shane A. , Jansen K.J. , Trinidad S.B. , Shaw J.L. .
Source: Journal Of Ethnicity In Substance Abuse, 2023 Jan-Mar; 22(1), p. 154-170.
EPub date: 2021-05-25 00:00:00.0.
PMID: 34033515
Related Citations

Culturally Adapting Caring Contacts for Suicide Prevention in Four Alaska Native and American Indian Communities.
Authors: Jansen K.J. , Shaw J.L. , Comtois K.A. , Elliott-Groves E. , Slaney T. , Avey J.P. , Nelson L. , CARE Phase 1 Study Team .
Source: Archives Of Suicide Research : Official Journal Of The International Academy For Suicide Research, 2023 Jan-Mar; 27(1), p. 89-106.
EPub date: 2021-09-07 00:00:00.0.
PMID: 34492210
Related Citations

Measuring Attitudes About Alcohol Misuse and Dependence Among Alaska Native People Within a Tribal Health Care System.
Authors: Dillard D.A. , Hebert L.E. , Shaw J.L. , Trinidad S.B. , Dirks L.G. , Lillie K. , Ludman E.J. , Donovan D. , Burke W. .
Source: Journal Of Addiction Medicine, 2023 Jan-Feb 01; 17(1), p. e42-e48.
EPub date: 2022-09-27 00:00:00.0.
PMID: 36166685
Related Citations

Measuring Attitudes About Alcohol Misuse and Dependence Among Alaska Native People Within a Tribal Health Care System.
Authors: Dillard D.A. , Hebert L.E. , Shaw J.L. , Trinidad S.B. , Dirks L.G. , Lillie K. , Ludman E.J. , Donovan D. , Burke W. .
Source: Journal Of Addiction Medicine, 2023 Jan-Feb 01; 17(1), p. e42-e48.
EPub date: 2022-09-27 00:00:00.0.
PMID: 36166685
Related Citations

Engaging Stakeholders in Social Determinants of Health Quality Improvement Efforts.
Authors: Wark K. , Woodbury R.B. , LaBrie S. , Trainor J. , Freeman M. , Avey J.P. .
Source: The Permanente Journal, 2022-12-19 00:00:00.0; 26(4), p. 28-38.
EPub date: 2022-09-26 00:00:00.0.
PMID: 36154895
Related Citations

Caring Texts, a strength-based, suicide prevention trial in 5 native communities: Research design and methods.
Authors: Hebert L.E. , Fruhbauerova M. , Evanson A. , Bogic M. , Petras A. , Shaw J. , Muller C.J. , Nelson L. , Comtois K.A. .
Source: Contemporary Clinical Trials, 2022 Dec; 123, p. 106966.
EPub date: 2022-10-14 00:00:00.0.
PMID: 36252937
Related Citations

Caring Texts, a strength-based, suicide prevention trial in 5 native communities: Research design and methods.
Authors: Hebert L.E. , Fruhbauerova M. , Evanson A. , Bogic M. , Petras A. , Shaw J. , Muller C.J. , Nelson L. , Comtois K.A. .
Source: Contemporary Clinical Trials, 2022 Dec; 123, p. 106966.
EPub date: 2022-10-14 00:00:00.0.
PMID: 36252937
Related Citations

Assessing the Impact of Prenatal Medication for Opioid Use Disorder on Discharge Home With Parents Among Infants With Neonatal Opioid Withdrawal Syndrome.
Authors: Singleton R. , Rutz S. , Day G. , Hammes M. , Wilson A.S. , Herrick M. , Mazut C. , Brunner L. , Prince J. , Desnoyers C. , et al. .
Source: Journal Of Addiction Medicine, 2022 Nov-Dec 01; 16(6), p. e366-e373.
PMID: 35245916
Related Citations

Factors Associated with Child Removal Among American Indian and Alaska Native People in an Alcohol Intervention Study.
Authors: Lyons A.J. , Hirchak K.A. , Kordas G. , Herron J.L. , Jansen K. , Alcover K.C. , Bergerson D. , Avey J.P. , Shaw J. , Roll J. , et al. .
Source: Child Maltreatment, 2022-10-29 00:00:00.0; , p. 10775595221134689.
EPub date: 2022-10-29 00:00:00.0.
PMID: 36314509
Related Citations

Factors Associated with Child Removal Among American Indian and Alaska Native People in an Alcohol Intervention Study.
Authors: Lyons A.J. , Hirchak K.A. , Kordas G. , Herron J.L. , Jansen K. , Alcover K.C. , Bergerson D. , Avey J.P. , Shaw J. , Roll J. , et al. .
Source: Child Maltreatment, 2022-10-29 00:00:00.0; , p. 10775595221134689.
EPub date: 2022-10-29 00:00:00.0.
PMID: 36314509
Related Citations

Contingency management for alcohol use disorder reduces cannabis use among American Indian and Alaska Native adults.
Authors: Hirchak K.A. , Lyons A.J. , Herron J.L. , Kordas G. , Shaw J.L. , Jansen K. , Avey J.P. , McPherson S.M. , Donovan D. , Roll J. , et al. .
Source: Journal Of Substance Abuse Treatment, 2022 Jun; 137, p. 108693.
EPub date: 2021-12-11 00:00:00.0.
PMID: 34952747
Related Citations

Retention in a 6-Month Smoking Cessation Study Among Alaska Native and American Indian People.
Authors: Mills D.E. , Schaefer K.R. , Beans J.A. , Todd M.R. , Robinson R.F. , Thummel K.E. , Dillard D.A. , Avey J.P. .
Source: American Indian And Alaska Native Mental Health Research (online), 2022; 29(3), p. 71-89.
PMID: 36178748
Related Citations

"Engaging stakeholders in integrating social determinants of health into electronic health records: a scoping review".
Authors: Wark K. , Cheung K. , Wolter E. , Avey J.P. .
Source: International Journal Of Circumpolar Health, 2021 Dec; 80(1), p. 1943983.
PMID: 34252016
Related Citations

Deliberative democracy and historical perspectives on American Indian/Alaska native political decision-making practices.
Authors: Reedy J. , Orr R. , Spicer P. , Blanchard J.W. , Hiratsuka V.Y. , Ketchum T.S. , Saunkeah B. , Wark K. , Woodbury R.B. .
Source: Humanities & Social Sciences Communications, 2020; 7, .
EPub date: 2020-06-24 00:00:00.0.
PMID: 33954295
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