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Community Based System Dynamics Models of Alcohol and Substance Exposed Pregnancy in Northern Plains American Indian Women

Award Number: R01DA050696
ORGANIZATION: NATIONAL INSTITUTE ON DRUG ABUSE
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

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PROJECT SUMMARY Continued trends of alcohol and substance exposed pregnancy (ASEP) indicate a great need for higher quality ASEP-reduction programs, particularly those that address ASEP health disparities within at-risk populations and communities, such as American Indian (AI) women. These programs do not account for the broad constellation of factors pertinent to ASEP, in particular, the role of intimate partner violence (IPV), which forms a syndemic association with two other ASEP indicators (alcohol and substance use and unplanned pregnancy). System dynamics methods are effective strategies for understanding of how ASEP and this syndemic are nested within a broader system of interpersonal, intrapersonal, and institutional factors. This method is especially beneficial for addressing the current ASEP-related health disparities within AI communities. Community-based system dynamic models allow practitioners and policymakers to determine the best system areas for implementing policies and programs that will produce the biggest changes in ASEP. The current proposal uses community-based approaches to develop ASEP system models for AI women within two communities: a small metro and a neighboring reservation. These models allow for a researcher-community partnership to discover important system leverage points for ASEP intervention (reducing ASEP within pregnant women) and ASEP prevention (focusing on the cyclic relationship between IPV and alcohol and substance use). The goals of this project are to build and simulate system dynamic models that that represent the ASEP system in partnership with our highly collaborative community-researcher team. We will calibrate and validate these models utilizing a variety of community data sources, and then distinguish the most effective areas to target for reducing ASEP and ASEP predictors that a) generalize across communities and substance legality, and b) may be uniquely effective within specific communities or for specific substances. This work will be complemented by individual-level analyses which can estimate the strength of high-priority leverage points on individual ASEP and ASEP risk. The proposed research is significant as it accounts for the often-ignored underlying matrix of contributors which maintain community levels of ASEP and ASEP health disparities, and provides clear recommendations for high-impact methods to reduce ASEP within communities at need. This project is innovative due to the integration of system simulation and community-based approaches to address complexity, of this issue, and the integration of descriptive and predictive analyses to provide distinct empirically-based solutions to address these issues within a translational framework. The strong interdisciplinary team of researchers with unique, but complementary areas of expertise and the close working partnership between researchers and the communities of interest are together a powerful collaborative to facilitate project success and meaningful contributions to community health. Findings from this study provide critical information about highly effective ways of reducing ASEP and ASEP health disparities, as well as a clear mechanism for developing a strategic blueprint for systematic change within AI communities.


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: 2023 ( Subtotal = $357,447 )
2023	2023	AVERA MCKENNAN	1325 S CLIFF AVE	SIOUX FALLS	SD	57105	MINNEHAHA	USA	Drug Abuse and Addiction Research Programs	000	5	5/18/2023	NON-COMPETING CONTINUATION	$357,447
														Subtotal = $357,447

Issue Date FY: 2022 ( Subtotal = $357,791 )
2022	2022	AVERA MCKENNAN	1325 S CLIFF AVE	SIOUX FALLS	SD	57105	MINNEHAHA	USA	Drug Abuse and Addiction Research Programs	000	4	6/3/2022	NON-COMPETING CONTINUATION	$357,791
														Subtotal = $357,791

Issue Date FY: 2021 ( Subtotal = $319,472 )
2021	2021	AVERA MCKENNAN	1325 S CLIFF AVE	SIOUX FALLS	SD	57105	MINNEHAHA	USA	Drug Abuse and Addiction Research Programs	003	3	6/3/2021	NON-COMPETING CONTINUATION	$362,948
2021	2020	AVERA MCKENNAN	1325 S CLIFF AVE	SIOUX FALLS	SD	57105	MINNEHAHA	USA	Drug Abuse and Addiction Research Programs	002	2	5/17/2021	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	$0
2021	2020	AVERA MCKENNAN	1325 S CLIFF AVE	SIOUX FALLS	SD	57105	MINNEHAHA	USA	Drug Abuse and Addiction Research Programs	001	2	11/25/2020	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	$375,789
2021	2020	SANFORD RESEARCH	2301 E 60TH ST N	SIOUX FALLS	SD	57104	MINNEHAHA	USA	Drug Abuse and Addiction Research Programs	000	1	11/25/2020	NEW	-$419,265
														Subtotal = $319,472

Issue Date FY: 2020 ( Subtotal = $419,265 )
2020	2020	SANFORD RESEARCH	2301 E 60TH ST N	SIOUX FALLS	SD	57104	MINNEHAHA	USA	Drug Abuse and Addiction Research Programs	000	1	7/8/2020	NEW	$419,265
														Subtotal = $419,265

Grand Total All Awards = $1,453,975

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Community Based System Dynamics Models of Alcohol and Substance Exposed Pregnancy in Northern Plains American Indian Women

Award Number: R01DA050696

ORGANIZATION: NATIONAL INSTITUTE ON DRUG ABUSE

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

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

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