针对患有酒精使用障碍的美国印第安人和阿拉斯加原住民成年人的虚拟减害谈话圈试点研究。

IF 2 3区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY
Lonnie A. Nelson, Emma Shinagawa, Celina Mahinalani Garza, Annette Squetimkin-Anquoe, Itai Jeffries, Vaishali Rajeev, Emily M. Taylor, Sampson Taylor, Danielle Eakins, Myra E. Parker, Tatiana Ubay, Victor King, Xia Duffing-Romero, Sooyoun Park, Sage Saplan, Seema L. Clifasefi, John Lowe, Susan E. Collins
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引用次数: 0

摘要

先前的研究表明,与文化相适应、易于获得且门槛较低的干预措施能够很好地满足美国印第安人和阿拉斯加原住民(AI/AN)酒精使用障碍(AUD)患者的需求。考虑到社区成员的建议以及在 COVID-19 大流行期间对物理距离的需求,我们的团队制定了虚拟减低伤害谈话圈 (HaRTC) 协议,以纳入这些要点。这项为期 8 周的单臂试点项目旨在初步记录参加虚拟减低伤害谈话圈的可行性、可接受性和相关结果。参与者(N = 51)是来自 41 个部落和美国 25 个州的患有 AUD(目前或缓解中)的亚裔美国人/印第安人。基线访谈后,参与者受邀参加每周 8 次的 HaRTC 虚拟课程。在基线、中点和测试后评估中,我们收集了有关虚拟 HaRTC 可接受性、文化联系、生活质量和酒精结果的数据。在接触的 123 人中,63% 的人有兴趣并同意参与。参与者平均参加了 2.1 次(SD = 2.02)虚拟 HaRTC 课程,其中 64% 的参与者至少参加了一次。在从 1 到 10 的评分中,参与者对虚拟 HaRTC 的评分为高度可接受(M = 9.3,SD = 1.9)、有效(M = 8.4,SD = 2.9)、符合文化(M = 9.2,SD = 1.5)、有帮助(M = 8.8,SD = 1.9)和进行方式良好(M = 9.8,SD = 0.5)。尽管单臂研究设计排除了因果推论,但参与者在三个时间点上的饮酒天数和与酒精相关的伤害都出现了统计学意义上的显著下降。此外,随着参加 HaRTC 课程次数的增加,作为文化联系因素的灵性感和与健康相关的生活质量也随之提高。虚拟 HaRTC 显示了作为一种针对患有 AUD 的亚裔美国人/印第安人的文化协调干预措施的初步可行性和可接受性。未来的随机对照试验将检验这种方法的有效性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

A pilot study of virtual Harm Reduction Talking Circles for American Indian and Alaska Native adults with alcohol use disorder

A pilot study of virtual Harm Reduction Talking Circles for American Indian and Alaska Native adults with alcohol use disorder

Prior research suggests that culturally aligned, accessible and lower-barrier interventions are well-placed to align with the needs of American Indian and Alaska Native (AI/AN) people with alcohol use disorder (AUD). Taking into account community members' suggestions and the need for physical distancing during the COVID-19 pandemic, our team developed a protocol for virtual Harm Reduction Talking Circles (HaRTC) to incorporate these points. The aims of this 8-week, single-arm pilot were to initially document feasibility, acceptability, and outcomes associated with attendance at virtual HaRTC, which integrates the accessibility of virtual connection, a lower-barrier harm-reduction approach, and a culturally aligned intervention. Participants (N = 51) were AI/AN people with AUD (current or in remission) across 41 Tribal affiliations and 25 US states. After a baseline interview, participants were invited to attend 8, weekly virtual HaRTC sessions. At the baseline, midpoint and post-test assessments, we collected data on virtual HaRTC acceptability, cultural connectedness, quality of life, and alcohol outcomes. Of the 123 people approached, 63% were interested in and consented to participation. Participants attended an average of 2.1 (SD = 2.02) virtual HaRTC sessions, with 64% of participants attending at least one. On a scale from 1 to 10, participants rated the virtual HaRTC as highly acceptable (M = 9.3, SD = 1.9), effective (M = 8.4, SD = 2.9), culturally aligned (M = 9.2, SD = 1.5), helpful (M = 8.8, SD = 1.9), and conducted in a good way (M = 9.8, SD = 0.5). Although the single-arm study design precludes causal inferences, participants evinced statistically significant decreases in days of alcohol use and alcohol-related harm over the three timepoints. Additionally, both sense of spirituality, which is a factor of cultural connectedness, and health-related quality of life increased over time as a function of the number of HaRTC sessions attended. Virtual HaRTC shows initial feasibility and acceptability as a culturally aligned intervention for AI/AN people with AUD. Future randomized controlled trials will provide a test of the efficacy of this approach.

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来源期刊
CiteScore
4.20
自引率
8.70%
发文量
195
期刊介绍: The Journal of Community Psychology is a peer-reviewed journal devoted to research, evaluation, assessment and intervention, and review articles that deal with human behavior in community settings. Articles of interest include descriptions and evaluations of service programs and projects, studies of youth, parenting, and family development, methodology and design for work in the community, the interaction of groups in the larger community, and criminals and corrections.
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