Elevating NW Tribal Health Sciences: NW NARCH Program

Project Summary: Overall
Three premises underlie the development of our NW NARCH. First, despite longstanding efforts by tribal,
federal, and state health care programs, the available data show substantial disparities in health for NW
American Indian and Alaska Native people (AI/ANs) compared to non-AI/ANs. NW tribal leaders fear that their
health status is getting worse instead of better; this fear unfortunately has been substantiated with health data
that show increases in key chronic disease conditions, instead of decreases, over the past 20 years. Second,
Indian communities distrust health research because of negative experiences with non-AI/AN researchers who
did not respect tribal needs or sensitivities, even though carefully implemented health research has the
potential to provide solutions to reduce, and ultimately eliminate, existing health disparities. Third, health
research done by highly skilled AI/ANs who are sensitive to the culture and specific concerns of NW and other
Indian communities can bridge the gap between academia and community, though currently we lack the critical
mass of AI/AN researchers necessary to accomplish this task.
In response to these three issues, we have established the NW NARCH to form a tribal-academic partnership
for community-based health research focused on eliminating racial health disparities and will continue this
partnership with this application. The 43 NW Indian communities represented by NPAIHB have a long track
record of coordinated efforts to improve their health status; our tribal-academic partnerships with Oregon
Health & Science University and Portland State University will build a wide-reaching and multi-layered
infrastructure to increase the skills of AI/AN researchers, and address health problems of critical importance to
the tribes. Our Board delegates and Board of Advisors have directed us to pursue three training projects in
this application: 1) a fellowship program that will increase the numbers of tribal people who are trained to
conduct cancer prevention research among tribal people, 2) continuation of our Summer Research Training
Institute for AI/AN health professionals, so that they can develop the skills needed to function as researchers in
their current roles with their tribal organizations 3) an applied biostatistics fellowship designed to train a cadre
of AI/AN people to conduct a variety of analyses with their own tribal data or through accessing administrative
datasets, and 4) a pilot research project on fall prevention using very high technology methods for balance
assessments.
We trust that we will have substantial impact on AI/AN communities through supporting trainees and increasing
the number of rigorously trained tribal people in conducting health and biomedical research of relevance to the
tribes…consistent with the NIH Strategic Plan for Tribal Health Research FY 2019-2023.

Grant Number: 5S06GM141002-04
NIH Institute/Center: NIH
Principal Investigator: THOMAS BECKER