Motivational interviewing and culture for urban Native American youth (MICUNAY): A randomized controlled trial
Motivational interviewing and culture for urban Native American youth (MICUNAY): A randomized controlled trial
复制标题
DOI：
10.1016/j.jsat.2019.12.011
复制
发表时间：
2020-04-01
影响因子：
3.9
通讯作者：
Agniel, Denis
中科院分区：
文献类型：
--
作者：
D'Amico, Elizabeth J.;Dickerson, Daniel L.;Agniel, Denis
到目前为止，很少有计划，结合传统的做法与循证实践已经开发，实施，并与城市美国印第安人/阿拉斯加原住民（AI/ANs）使用强大的研究设计进行评估。目前的研究在2014-2017年期间招募了北方、中部和南部加州的城市AI/AN青少年，参加一项随机对照试验，测试两种针对酒精和其他药物（AOD）使用的文化干预措施。青少年年龄为14-18岁（含），口头上自我认定为AI/AN或被父母或社区成员认定为AI/AN。我们测试了MICUNAY（城市土著美国青年的动机采访和文化）对CWG（社区健康聚会）的额外好处。海地文职特派团是一个集体干预活动，举办了三个讲习班，将传统做法与激发积极性的面谈结合起来。CWG是每个城市每月举行的文化活动。AI/AN城市青少年（N = 185）完成了基线调查，随机分配到MICUNAY + CWG或仅CWG，然后完成了3个月和6个月的随访。我们比较了AOD使用，灵性和文化认同的结果。总的来说，AOD的使用在研究过程中保持稳定，我们没有发现这两组之间随着时间的推移有显著差异。将城市AI/AN青少年与以文化为中心的活动和资源联系起来可能是保护性的，这在与该人群的其他工作中得到了证明。鉴于很少的工作已经在这方面进行，在美国各地的城市AI/AN青年的AOD干预措施的长期研究建议测试的潜在好处的文化为中心的干预措施。
To date, few programs that integrate traditional practices with evidence-based practices have been developed, implemented, and evaluated with urban American Indians/Alaska Natives (AI/ANs) using a strong research design. The current study recruited urban AI/AN teens across northern, central, and southern California during 2014-2017 to participate in a randomized controlled trial testing two cultural interventions that addressed alcohol and other drug (AOD) use. Adolescents were 14-18 years old (inclusive), and either verbally self-identified as AI/AN or were identified as AI/AN by a parent or community member. We tested the added benefit of MICUNAY (Motivational Interviewing and Culture for Urban Native American Youth) to a CWG (Community Wellness Gathering). MICUNAY was a group intervention with three workshops that integrated traditional practices with motivational interviewing. CWGs were cultural events held monthly in each city. AI/AN urban adolescents (N = 185) completed a baseline survey, were randomized to MICUNAY + CWG or CWG only, and then completed a three- and six-month follow-up. We compared outcomes on AOD use, spirituality, and cultural identification. Overall, AOD use remained stable over the course of the study, and we did not find significant differences between these two groups over time. It may be that connecting urban AI/AN adolescents to culturally centered activities and resources is protective, which has been shown in other work with this population. Given that little work has been conducted in this area, longer term studies of AOD interventions with urban AI/AN youth throughout the U.S. are suggested to test the potential benefits of culturally centered interventions.