Langdon Sarah E, Golden Shannon L, Arnold Elizabeth Mayfield, Maynor Rhonda F, Bryant Alfred, Freeman V Kay, Bell Ronny A
Wake Forest School of Medicine, Winston-Salem, NC, USA
Wake Forest School of Medicine, Winston-Salem, NC, USA.
Health Promot Pract. 2016 May;17(3):457-63. doi: 10.1177/1524839916636568. Epub 2016 Mar 23.
Background American Indian (AI) youth have the highest rates of suicide among racial/ethnic minority groups in the United States. Community-based strategies are essential to address this issue, and community-based participatory research (CBPR) offers a model to engage AI communities in mental health promotion programming. Objectives This article describes successes and challenges of a CBPR, mixed-method project, The Lumbee Rite of Passage (LROP), an academic-community partnership to develop and implement a suicide prevention program for Lumbee AI youth in North Carolina. Method LROP was conducted in two phases to (1) understand knowledge and perceptions of existing mental health resources and (2) develop, implement, and evaluate a cultural enrichment program as a means of suicide prevention. Discussion/Results LROP implemented an effective community-academic partnership by (1) identifying and understanding community contexts, (2) maintaining equitable partnerships, and (3) implementing a culturally tailored research design targeting multilevel changes to support mental health. Strategies formed from the partnership alleviated challenges in each of these key CBPR concept areas. Conclusions LROP highlights how a CBPR approach contributes to positive outcomes and identifies opportunities for future collaboration in a tribal community. Using culturally appropriate CBPR strategies is critical to achieving sustainable, effective programs to improve mental health of AI youth.
背景 在美国，美国印第安（AI）青年在种族/族裔少数群体中的自杀率最高。基于社区的策略对于解决这一问题至关重要，而基于社区的参与性研究（CBPR）提供了一种模式，让AI社区参与心理健康促进项目。目标 本文描述了一个CBPR混合方法项目——隆贝成人仪式（LROP）的成功与挑战，该项目是一个学术-社区伙伴关系，旨在为北卡罗来纳州的隆贝AI青年制定并实施一项自杀预防计划。方法 LROP分两个阶段进行，以（1）了解对现有心理健康资源的知识和看法，以及（2）制定、实施并评估一项文化充实计划作为自杀预防手段。讨论/结果 LROP通过（1）识别和理解社区背景、（2）维持公平的伙伴关系以及（3）实施针对多层次变化以支持心理健康的文化定制研究设计，实现了有效的社区-学术伙伴关系。伙伴关系形成的策略缓解了这些关键CBPR概念领域中每一个领域的挑战。结论 LROP突出了CBPR方法如何促成积极成果，并确定了部落社区未来合作的机会。使用符合文化习惯的CBPR策略对于实现可持续、有效的项目以改善AI青年的心理健康至关重要。
