178: Substance Abuse Prevention in the Maskwacis Four Nations: A Community-Based Participatory Research Partnership
Notice bibliographique
Résumé
Many Canadian pediatric health care providers participate in the conduct and dissemination of research involving Aboriginal children. Even if they are not directly involved in research, front-line clinicians have insight into issues, both medical and sociopolitical, affecting the health of Aboriginal patients, and are uniquely positioned to highlight areas where thoughtfully conducted research could improve the health status of Aboriginal children. A community-based participatory research approach (CBPR; Minkler & Wallerstein, 2003) can identify and address the social determinants of health that impact Aboriginal children and their communities. The current presentation describes a CBPR project carried out by university and First Nation community partners. In response to high rates of substance abuse in their communities, members of a First Nation community invited university researchers to form a partnership to culturally adapt, implement, and evaluate an evidence-based substance abuse and violence prevention program. The objectives of the current presentation are to (1) share evaluation findings from three years of program implementation in community schools; (2) describe how CBPR can address the social determinants of health and build the capacity of university and community partners to address important health issues; and (3) demonstrate how different research paradigms can co-exist in an ethical space that honors multiple worldviews. Evaluation of the culturally adapted program utilized a mixed method approach. Outcome Mapping (Earl, Carden, & Smutylo, 2001), a unique participatory evaluation tool, documented changes in behaviors, relationships, actions, and activities of program stakeholders. Additionally, pre- and post- program questionnaires were distributed to students, and a linear mixed model was used to evaluate learning of program content. Finally, focus groups were conducted with community members to obtain program feedback. Outcome Mapping documented how the process of culturally adapting, implementing, and evaluating the prevention program (1) acted as a catalyst for community development, and (2) built community and academic capacity to facilitate community change. The results of pre- and post-program questionnaires indicated statistically significant improvements in student knowledge, skills, and attitudes related to substance abuse, and focus groups captured the critical importance of the program's cultural content. The process of forming and maintaining a community-university partnership, as well as culturally adapting, implementing, and evaluating the effectiveness of an evidence based substance abuse and violence prevention program led to meaningful individual and community change. Implications relevant to research and practice will be discussed, and findings will be presented from the perspectives of both community and university partners.
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Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,013 | 0,007 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,001 | 0,001 |
| Études des sciences et des technologies | 0,012 | 0,003 |
| Communication savante | 0,003 | 0,001 |
| Science ouverte | 0,001 | 0,006 |
| Intégrité de la recherche | 0,001 | 0,002 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,003 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».