Frank J Schwebel, Dylan K Richards, Megan Kirouac, Matison W McCool, Cassandra L Boness, Matthew R Pearson, Katie Witkiewitz
{"title":"The measurement of harm reduction goals and outcomes for substance use: Current state and future directions.","authors":"Frank J Schwebel, Dylan K Richards, Megan Kirouac, Matison W McCool, Cassandra L Boness, Matthew R Pearson, Katie Witkiewitz","doi":"10.1177/26320770251412852","DOIUrl":"10.1177/26320770251412852","url":null,"abstract":"<p><p>Traditionally, substance use treatment and research have prioritized abstinence as the primary goal or outcome while overlooking the broader spectrum of harm reduction goals and outcomes. However, emerging evidence suggests that substance use itself is not necessarily the only nor the best indicator of treatment success, and other harm reduction goals and outcomes are increasingly accepted in treatment and research. This paper reviews existing harm reduction-oriented measures and identifies gaps in current assessment approaches. Key measures discussed include those assessing substance-related harms (e.g., Alcohol Use Disorder Identification Test, Drug Abuse Screening Test), consumption-based metrics (e.g., Timeline Follow-Back), and quality of life indicators. We also highlight measures of protective behavioral strategies, harm reduction motives, harm reduction self-efficacy, and goal attainment scaling as important but underutilized approaches to assessing harm reduction outcomes. Given that harm reduction goals vary by individual and may evolve over time, we argue for the development of more reliable and valid measures that capture diverse treatment outcomes. Additionally, we emphasize the need to involve people with lived experience in all stages of the measure development process to ensure their relevance and applicability. Future research should focus on refining existing measures, expanding definitions of success in substance use treatment, and more thoroughly integrating harm reduction into clinical and research settings. By shifting the focus beyond abstinence alone, researchers and clinicians can better align treatment goals with patients' needs and goals, enhance intervention effectiveness, and promote more inclusive and individualized pathways to recovery.</p>","PeriodicalId":73906,"journal":{"name":"Journal of prevention and health promotion","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13012656/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147517291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Community Is Medicine: Understanding Indigenous Youth-Led Peer Support in Mental Health and Suicide Prevention.","authors":"Rachel Thorburn, Jeffrey Ansloos","doi":"10.1177/26320770251359603","DOIUrl":"https://doi.org/10.1177/26320770251359603","url":null,"abstract":"<p><p>Indigenous youth in Canada face complex mental health challenges, including disproportionately high rates of suicide. Peer support separates itself from typical mental health care provision by centering the value of lived experience to provide hope, challenge stigma, and build a sense of community and self-efficacy for young people. Through peer support, Indigenous youth can share their experiences, offer one another support, and honor their cultural identities. The purpose of this study is to understand what culturally grounded strategies Indigenous youth peer support models use to promote Indigenous youth resilience, mental wellness, and suicide prevention. This study adopts a partnership-oriented, community-based research approach that centers Indigenous youth leadership and knowledge, grounded in the concept of \"wise practices.\" This study examines two Indigenous youth-led peer support programs: We Matter (operating nationally across Canada) and Yúusnewas (operating regionally in British Columbia, Canada) through interviews, program observation, and digital content analysis. Results indicate that We Matter and Yúusnewas both have four core culturally grounded program elements: cultural programming, intergenerational involvement, harm reduction education, and youth political advocacy and leadership development. Through centering Indigenous knowledges, these programs serve as an example of culturally relevant, sustainable, and effective Indigenous mental health promotion approaches.</p>","PeriodicalId":73906,"journal":{"name":"Journal of prevention and health promotion","volume":"7 2","pages":"290-321"},"PeriodicalIF":0.0,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13044464/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147624757","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Psychometric Evaluation of the Parental Monitoring Short Scale.","authors":"Randall C Swaim, Linda R Stanley","doi":"10.1177/26320770241275129","DOIUrl":"10.1177/26320770241275129","url":null,"abstract":"<p><p>Psychometric properties of a revised version of a previously developed parental monitoring measure were examined. Previously, Stattin and Kerr developed an expanded measure of parental monitoring that included sources of parental knowledge. Their scales were shortened and simplified for reading ability and brevity. Data were obtained from 41 schools surveyed during the 2018 and 2019 school years. The schools were part of an ongoing study (Our Youth, Our Future) of substance use among American Indian students who attend schools on or near reservations. Students who self-identify as American Indian (<i>n</i> = 3,673) or White (<i>n</i> = 903) completed online surveys that included nine items related to sources of parental knowledge (parental control, child disclosure/parental solicitation) and four items that measure parental knowledge. Exploratory and confirmatory factor analysis, tests of measurement invariance, and correlations between latent means and correlations with substance use measures were used to assess the scale. Factor analysis results confirmed a three-factor solution. These three factors (parental knowledge, parental control, parental solicitation/child disclosure) exhibited measurement invariance across sex, grade level, and ethnicity. Factor scales were reliable and negatively related to substance use. This revised scale of parental monitoring provides a useful measure to assess this construct across subgroups of youths. Further work among other ethnic groups of youths will determine the scale's breadth of utility. The revised scale with improved readability will allow researchers to more quickly assess this important parent-child measure.</p>","PeriodicalId":73906,"journal":{"name":"Journal of prevention and health promotion","volume":"6 1","pages":"70-93"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12574456/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145432961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Samantha LaMartine, James J. García, Nadine Nakamura
{"title":"“Scars on Your Heart and PTSD in Your Mind”: Transmisogynoir and the Well-Being of Black Transgender Women in Los Angeles","authors":"Samantha LaMartine, James J. García, Nadine Nakamura","doi":"10.1177/26320770241252766","DOIUrl":"https://doi.org/10.1177/26320770241252766","url":null,"abstract":"Black transgender women (BTW) are subjected to transmisogynoir, as intersectional minority stress and violence that increases their risk of negative well-being. The purpose of this study was to explore themes of intersectional violence and well-being in a group of BTW in Los Angeles, California, from their perspectives. Ten participants were interviewed, and data were analyzed using consensual qualitative research. This article focused on themes around transmisogynoir and (a) mental well-being, (b) social determinants of health, and (c) help seeking. Recommendations for BTW well-being interventions and future directions to promote BTW wellness are provided.","PeriodicalId":73906,"journal":{"name":"Journal of prevention and health promotion","volume":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141801812","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lindsey L. Monteith, Jeri E. Forster, Ryan Holliday, Christin Miller, Nazanin H. Bahraini, F. Akhtar, Aaron I. Schneiderman, Lisa A Brenner, Claire A. Hoffmire
{"title":"Disaggregating Data Regarding Suicidal Ideation and Suicide Attempts among Post-9/11 Asian American and Pacific Islander Veterans","authors":"Lindsey L. Monteith, Jeri E. Forster, Ryan Holliday, Christin Miller, Nazanin H. Bahraini, F. Akhtar, Aaron I. Schneiderman, Lisa A Brenner, Claire A. Hoffmire","doi":"10.1177/26320770241248744","DOIUrl":"https://doi.org/10.1177/26320770241248744","url":null,"abstract":"The suicide rate among Asian American and Pacific Islander veterans has increased; however, data aggregation for these groups, combined with underinclusion in research, limits understanding regarding risk. We conducted a secondary analysis of Comparative Health Assessment Interview Research Study 2018 data to compare suicidal ideation (SI) and suicide attempt (SA) prevalence among 668 post-9/11 veterans who identified as Asian American, Pacific Islander, or both and described SI and SA prevalence among specific subgroups. Veterans who identified as both Asian American and Pacific Islander were more likely to report experiencing SI (lifetime and during their military service), compared to those who identified solely as Asian American or Pacific Islander (military SI only). Statistically significant differences were not detected for SI preceding or following military service or for lifetime SA. Weighted estimates for lifetime SI and SA were 24.2% and 6.5%, respectively, and prevalence varied widely among specific Asian American and Pacific Islander groups. However, small cell sizes and wide confidence intervals were limitations. Increased clinical attention to screen for and mitigate suicide risk among veterans who identify as both Asian American and Pacific Islander may be warranted. To ensure that suicide prevention strategies optimally address their needs and experiences, research is needed to elucidate suicide drivers in this population. Considering the heterogeneity in SI and SA prevalence among different Asian American and Pacific Islander groups, continued research with larger subsamples that disaggregates analyses by race and ethnicity is essential to deliver prevention and health promotion strategies targeted to the highest-risk groups.","PeriodicalId":73906,"journal":{"name":"Journal of prevention and health promotion","volume":"31 37","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141800525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Qurat-ul-ain Gulamhussein, Amy Susman-Stillman, Xiang Zhou, Akosua Addo, Faisa Ahmed, Priscilla M. Flynn, Megan R. Gunnar, Olihe Okoro, Deborah Olson, Muna Osman, Sheila M. Riggs, Aaron Sojourner, Susan K. Walker, Richard M. Lee
{"title":"Feasibility Study of a Mobile Health Parenting Intervention Among Somali/Somali Americans From Refugee Families in the United States","authors":"Qurat-ul-ain Gulamhussein, Amy Susman-Stillman, Xiang Zhou, Akosua Addo, Faisa Ahmed, Priscilla M. Flynn, Megan R. Gunnar, Olihe Okoro, Deborah Olson, Muna Osman, Sheila M. Riggs, Aaron Sojourner, Susan K. Walker, Richard M. Lee","doi":"10.1177/26320770241265570","DOIUrl":"https://doi.org/10.1177/26320770241265570","url":null,"abstract":"Mobile health parenting interventions often do not account for inequities in parenting education and health resources for racial minority, refugee, and low-income families. We examined the feasibility of a mobile health intervention to address maternal and child wellness needs in Somali/Somali Americans from refugee families. Using a community-engaged research approach, our interdisciplinary academic team, in collaboration with Somali/Somali American community members, healthcare providers, and state, county, and local health officials, developed a culturally sensitive audio-based messaging intervention. The messages contained four topics (parent–child relationships, child nutrition, child health, and maternal self-care) and were delivered in an audio-based format upon the community’s needs. Forty-six Somali/Somali American parents ( Mage = 31) participated in the feasibility study, and 12 parents provided feedback. Based on thematic analysis, Somali/Somali American parents found the content and delivery style helpful in caring for their children and themselves and expressed interest in continuing this intervention. We discuss the implications for using mobile health interventions to address health inequities in marginalized communities.","PeriodicalId":73906,"journal":{"name":"Journal of prevention and health promotion","volume":"13 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141802010","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ellen L. Vaughan, Nancy McKean, Elyssa M. Klann, Patricia D. Gonzalez, Nelson O. O. Zounlome, Natalie J. Otte, April Reed
{"title":"Parent-Based Prevention Group to Address Alcohol-Related Sexual Assault Among College Students: A Pilot Study","authors":"Ellen L. Vaughan, Nancy McKean, Elyssa M. Klann, Patricia D. Gonzalez, Nelson O. O. Zounlome, Natalie J. Otte, April Reed","doi":"10.1177/26320770231204702","DOIUrl":"https://doi.org/10.1177/26320770231204702","url":null,"abstract":"This study reports the results of a pilot study of a parent-based intervention to address alcohol-related sexual assault on a college campus. Parents of incoming college students were recruited to participate in a small group intervention during summer orientation. The intervention was designed to last between 60 and 90 min. The content included the following: alcohol use and sexual assault on campus, the role alcohol plays in sexual assault, principles of bystander intervention, and tools for communication about alcohol and sexual assault. Participants completed a survey measure at pre-test, post-test, and follow-up with measures of alcohol and consent, rape myths, and ratings of confidence in talking about alcohol and sexual assault. A total of 53 parents attended the group. Results indicated a medium effect for change over time with a decrease in the acceptability of giving consent for sexual activity while using alcohol from pre-test to post-test, but no change from post-test to follow-up. There was a medium effect for change over time in the rejection of rape myths with an increase in endorsement of rape myths between post-test and follow-up. Parents rated their confidence in talking with their students about alcohol and sexual assault. Initially, 75% of parents reported being “very confident” in their ability to talk with their child about sexual assault. At the end of the intervention, their confidence increased to 92% of parents feeling “very confident.” The results of this pilot study show promise for parent-based prevention that addresses alcohol-related sexual assault and sets the stage for further studies.","PeriodicalId":73906,"journal":{"name":"Journal of prevention and health promotion","volume":"27 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141804527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Remembering Steven Danish: A Pioneer in Counseling Psychology","authors":"Arthur M. Horne","doi":"10.1177/26320770241247851","DOIUrl":"https://doi.org/10.1177/26320770241247851","url":null,"abstract":"","PeriodicalId":73906,"journal":{"name":"Journal of prevention and health promotion","volume":"6 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140654608","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Association Between Self-Surveillance and Self-Rated Health in College Women: A Mechanistic Approach","authors":"Jean M. Lamont","doi":"10.1177/26320770241238354","DOIUrl":"https://doi.org/10.1177/26320770241238354","url":null,"abstract":"Although women outlive men, women report poorer self-rated physical health over much of the lifespan. Objectification theory may offer insight into this gender difference. Objectifying culture promotes self-surveillance, which encourages prioritizing the body’s appearance over its physical functioning and well-being. As women may engage in self-surveillance more so than men, this sequence of events may help explain this gender difference in self-rated health. However, the few studies examining this idea show an inconsistent relationship between self-surveillance and self-rated health. Nonetheless, self-surveillance may promote body shame and diminished awareness of internal bodily states. As these factors are associated with poor self-rated health, self-surveillance may predict poor self-rated health via these mechanisms. In study 1 ( N = 166 undergraduate women), self-surveillance was unrelated to self-rated health. However, body shame and low interoceptive awareness mediated this relationship. In study 2 ( N = 347 undergraduate women and men), self-surveillance correlated negatively with self-rated health for female participants but not male participants. Female participants reported poorer self-rated health, and this effect was serially mediated by self-surveillance, body shame, and low body responsiveness. These studies suggest a potential avenue by which self-surveillance may explain the gender difference in self-rated health in college samples, providing an important basis for future longitudinal investigations in more diverse samples. Moreover, these results suggest that interventions targeting body shame and low internal awareness may be used to promote good self-rated health as well as to prevent disease and poor health behaviors related to self-rated health.","PeriodicalId":73906,"journal":{"name":"Journal of prevention and health promotion","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140740493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Julie A Gameon, Alex McNamee, Paula FireMoon, Monica C Skewes
{"title":"The Role of Complicated Grief in Health Inequities in American Indian Communities.","authors":"Julie A Gameon, Alex McNamee, Paula FireMoon, Monica C Skewes","doi":"10.1177/26320770241267714","DOIUrl":"10.1177/26320770241267714","url":null,"abstract":"<p><p>Complicated grief is both a cause and a consequence of health inequities in Native (American Indian/Alaska Native [AI/AN]) communities. Given disproportionately high rates of physical (e.g., cancer, diabetes, and heart disease) and mental health problems (e.g., substance use disorder, posttraumatic stress disorder) in Native communities, it is common for AI/AN people to suffer many losses each year. Experiences of traumatic or repeated losses may lead to the development of maladaptive grief, often known as complicated grief. The aim of the current study was to understand the perspectives of community members on grief and its connection with health inequities among AI people who have experienced the loss of a person with whom they were close. Using a community-based participatory research framework, we conducted semi-structured interviews with 12 AI adults from a rural reservation community. The ages of the participants ranged from 32 to 80 years (<i>M</i> = 54.33, <i>SD</i> = 14.46) and women (<i>n</i> = 7, 58.3%) and men (<i>n</i> = 5, 41.7%) were included. The participants reported many barriers to healthy grieving and linked chronic, complicated grief with the development of multifaceted health problems, which were seen as exacerbating health disparities and leading to additional losses and grief. While coping with loss was difficult, many people were able to heal from extraordinary losses through community support and cultural practices. Future research with AI/AN communities is needed to develop, implement, and evaluate culturally responsive therapeutic grief treatments. There is also a pressing need to address current physical and mental health inequities to reduce the mortality rate and, thus, complicated grief in AI/AN communities.</p>","PeriodicalId":73906,"journal":{"name":"Journal of prevention and health promotion","volume":"5 2-3","pages":"374-401"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11737462/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}