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Qungasvik (Toolbox): Prevention of Alcohol/Suicide Risk in Alaska Native Youth

Award Number: R01AA023754
ORGANIZATION: NATIONAL INSTITUTE ON ALCOHOL ABUSE AND ALCOHOLISM
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 08/10/2015
PERIOD OF PERFORMANCE END DATE: 06/30/2024

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Qungasvik (Toolbox): Prevention of Alcohol/Suicide Risk in Alaska Native Youth - DESCRIPTION (provided by applicant): For the past 10 years we have focused on addressing two interrelated public health issues, alcohol use disorder (AUD) and suicide in 12-18 year old Yup'ik Alaska Natives (AN). AUD and suicide are among the leading causes of mortality among AN people and a significant health disparity in contrast to the U.S. general population (1). AN mortality rates from all alcohol-induced disorders between 2001 2005 were 53.8/100,000 in contrast to 6.3/100,000 for other ethnic groups in Alaska (2), while the age-adjusted rate for suicide is twice the national average (3). Overall, between 1960-95 AN suicide rates increased approximately 500% (4). More recent data indicate continuation of these trends and also identify cluster suicide behavior as a feature of AN youth suicide (5). Yup'ik community leaders have made addressing AUD and suicide among their highest priorities. In response, working with several communities, a community-based and led intervention (Qungasvik - toolbox) was designed. The intervention is designed to develop protective factors that will ultimately reduce the incidence of AUD and suicide. Our research leading up to the currently proposed study has shown that it is possible to: (1) deliver the intervention in remote rural communities; (2) obtain valid and reliable measures of two ultimate outcomes (i.e., Reflective Processes regarding alcohol consequences and Reasons for Life) and intermediate protective factors variables that underlie them; (3) show a dose-response effect: the more intervention sessions a person attends (dose) the stronger the measured protective factors (response); and (4) obtain a maximum protective effect from the intervention by lengthening the duration of the intervention from one to two years. The proposed study is an assessment of a modified version of the intervention and focuses on three specific aims (SA): (SA1) test Qungasvik intervention efficacy through impact on the two protective factors and to link those measures to direct measures of alcohol use and suicidal ideation; (SA2) examine the mechanisms of change in response to the intervention through growth in: (a) intermediate outcome measures of protective factors at the individual, family, peer, and community level; (b) social network characteristics of supportive relationships with elders, immediate and extended kinship relations, and community adults and describe social network change; and (c) using qualitative interviewing and grounded theory analysis techniques, describe process and impact of the intervention from community elder and parent perspectives; and (SA3) examine the fidelity of implementing the intervention.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2025 ( Subtotal = -$182,595 )
2025	2021	UNIVERSITY OF ALASKA FAIRBANKS	2145 N TANANA LOOP	FAIRBANKS	AK	99775	FAIRBANKS NORTH STAR	USA	Alcohol Research Programs	000	5	11/15/2024	SUPPLEMENT FOR EXPANSION	-$182,595
														Subtotal = -$182,595

Issue Date FY: 2024 ( Subtotal = $0 )
2024	2021	UNIVERSITY OF ALASKA FAIRBANKS	2145 N TANANA LOOP	FAIRBANKS	AK	99775	FAIRBANKS NORTH STAR	USA	Alcohol Research Programs	002	5	1/23/2024	SUPPLEMENT FOR EXPANSION	$0
2024	2020	UNIVERSITY OF ALASKA FAIRBANKS	2145 N TANANA LOOP	FAIRBANKS	AK	99775	FAIRBANKS NORTH STAR	USA	Alcohol Research Programs	001	5	1/23/2024	SUPPLEMENT FOR EXPANSION	$0
2024	2019	UNIVERSITY OF ALASKA FAIRBANKS	2145 N TANANA LOOP	FAIRBANKS	AK	99775	FAIRBANKS NORTH STAR	USA	Alcohol Research Programs	000	5	1/23/2024	NON-COMPETING CONTINUATION	$0
														Subtotal = $0

Issue Date FY: 2022 ( Subtotal = $0 )
2022	2021	UNIVERSITY OF ALASKA FAIRBANKS	2145 N. TANANA LOOP	FAIRBANKS	AK	99775	FAIRBANKS NORTH STAR	USA	Alcohol Research Programs	002	5	8/17/2022	SUPPLEMENT FOR EXPANSION	$0
2022	2020	UNIVERSITY OF ALASKA FAIRBANKS	2145 N. TANANA LOOP	FAIRBANKS	AK	99775	FAIRBANKS NORTH STAR	USA	Alcohol Research Programs	001	5	8/17/2022	SUPPLEMENT FOR EXPANSION	$0
2022	2019	UNIVERSITY OF ALASKA FAIRBANKS	2145 N. TANANA LOOP	FAIRBANKS	AK	99775	FAIRBANKS NORTH STAR	USA	Alcohol Research Programs	000	5	8/17/2022	NON-COMPETING CONTINUATION	$0
														Subtotal = $0

Issue Date FY: 2021 ( Subtotal = $244,787 )
2021	2021	UNIVERSITY OF ALASKA FAIRBANKS	2145 N. TANANA LOOP	FAIRBANKS	AK	99775	FAIRBANKS NORTH STAR	USA	Alcohol Research Programs	000	5	7/20/2021	SUPPLEMENT FOR EXPANSION	$244,787
2021	2020	UNIVERSITY OF ALASKA FAIRBANKS	2145 N. TANANA LOOP	FAIRBANKS	AK	99775	FAIRBANKS NORTH STAR	USA	Alcohol Research Programs	002	5	7/27/2021	SUPPLEMENT FOR EXPANSION	$0
2021	2019	UNIVERSITY OF ALASKA FAIRBANKS	2145 N. TANANA LOOP	FAIRBANKS	AK	99775	FAIRBANKS NORTH STAR	USA	Alcohol Research Programs	001	5	7/26/2021	NON-COMPETING CONTINUATION	$0
														Subtotal = $244,787

Issue Date FY: 2020 ( Subtotal = $235,846 )
2020	2020	UNIVERSITY OF ALASKA FAIRBANKS	2145 N. TANANA LOOP	FAIRBANKS	AK	99775	FAIRBANKS NORTH STAR	USA	Alcohol Research Programs	000	5	9/4/2020	SUPPLEMENT FOR EXPANSION	$235,846
														Subtotal = $235,846

Issue Date FY: 2019 ( Subtotal = $732,552 )
2019	2019	UNIVERSITY OF ALASKA FAIRBANKS	3295 COLLEGE RD	FAIRBANKS	AK	99709	FAIRBANKS NORTH STAR	USA	Alcohol Research Programs	000	5	7/30/2019	NON-COMPETING CONTINUATION	$732,552
														Subtotal = $732,552

Issue Date FY: 2018 ( Subtotal = $732,637 )
2018	2018	UNIVERSITY OF ALASKA FAIRBANKS	3295 COLLEGE RD	FAIRBANKS	AK	99709	FAIRBANKS NORTH STAR	USA	Alcohol Research Programs	000	4	8/2/2018	NON-COMPETING CONTINUATION	$732,637
														Subtotal = $732,637

Issue Date FY: 2017 ( Subtotal = $732,649 )
2017	2017	UNIVERSITY OF ALASKA FAIRBANKS	3295 COLLEGE RD	FAIRBANKS	AK	99709	FAIRBANKS NORTH STAR	USA	Alcohol Research Programs	001	3	8/25/2017	SUPPLEMENT FOR EXPANSION	$89,000
2017	2017	UNIVERSITY OF ALASKA FAIRBANKS	3295 COLLEGE RD	FAIRBANKS	AK	99709	FAIRBANKS NORTH STAR	USA	Alcohol Research Programs	000	3	7/19/2017	NON-COMPETING CONTINUATION	$643,649
														Subtotal = $732,649

Issue Date FY: 2016 ( Subtotal = $663,578 )
2016	2016	UNIVERSITY OF ALASKA FAIRBANKS	OFC GRANTS & CONTRACTS ADMIN	FAIRBANKS	AK	99775	FAIRBANKS NORTH STAR	USA	Alcohol Research Programs	000	2	7/20/2016	NON-COMPETING CONTINUATION	$663,578
														Subtotal = $663,578

Issue Date FY: 2015 ( Subtotal = $678,849 )
2015	2015	UNIVERSITY OF ALASKA FAIRBANKS	OFC GRANTS & CONTRACTS ADMIN	FAIRBANKS	AK	99775	FAIRBANKS NORTH STAR	USA	Alcohol Research Programs	000	1	8/6/2015	NEW	$678,849
														Subtotal = $678,849

Grand Total All Awards = $3,838,303

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Qungasvik (Toolbox): Prevention of Alcohol/Suicide Risk in Alaska Native Youth

Award Number: R01AA023754

ORGANIZATION: NATIONAL INSTITUTE ON ALCOHOL ABUSE AND ALCOHOLISM

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 08/10/2015

PERIOD OF PERFORMANCE END DATE: 06/30/2024

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