Multi-Level Cultural Intervention for the Prevention of Suicide and Alcohol Use Risk with Alaska Native Youth: a Nonrandomized Comparison of Treatment Intensity.
Multi-Level Cultural Intervention for the Prevention of Suicide and Alcohol Use Risk with Alaska Native Youth: a Nonrandomized Comparison of Treatment Intensity.
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DOI：
10.1007/s11121-017-0798-9
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发表时间：
2018-03
期刊：
影响因子：
--
通讯作者：
Qungasvik Team
中科院分区：
文献类型：
--
作者：
Allen J;Rasmus SM;Fok CCT;Charles B;Henry D;Qungasvik Team
自杀和酒精使用障碍是阿拉斯加原住民与美国普通人口健康差异的主要决定因素。Qungasvik是Yup 'ik语中工具箱的意思，是针对12-18岁农村Yup 'ik青年的基于优势、多层次的社区/文化干预。通过使用当地专业知识、高水平的社区指导和以社区为基础的工作人员，该干预措施使用“文化作为干预”来促进年轻人的生活和清醒。该干预措施以当地实践为基础，并适应农村Yup 'ik社区特有的当地文化差异。目前的研究比较了高强度干预在一个社区（治疗）的有效性，作为大量干预活动或模块，由青年实施和参加，与在第二个社区（比较）实施较少模块的低强度干预相比。通过以前的定性和定量工作发展起来的Yup 'ik土著变革理论指导了干预。在模型中，在个人、家庭、社区和同伴影响水平上，对保护因素的近端或中间变量的直接干预作用导致生命原因保护自杀风险的最终预防结果变量和酒精使用后果的反思过程保护酒精风险的最终预防结果变量的后期变化。混合效应回归模型对比了治疗组和对照组，发现干预对生命原因有显著影响（d = 0.27, p < 0.05），但对反思过程没有显著影响。
Suicide and alcohol use disorders are primary determinants of health disparity among Alaska Native people in contrast to the U.S. general population. Qungasvik, a Yup’ik word for toolbox, is a strengths-based, multi-level, community/cultural intervention for rural Yup’ik youth ages 12–18. The intervention uses ‘culture as intervention’ to promote reasons for life and sobriety in young people, by using local expertise, high levels of community direction, and community based staff. The intervention is grounded in local practices and adaptive to local cultural differences distinctive to rural Yup’ik communities. The current study compares the effectiveness of high intensity intervention in one community (treatment), operationalized as a high number of intervention activities, or modules, implemented and attended by youth, contrasted to lower intensity intervention in a second community (comparison) that implemented fewer modules. A Yup’ik Indigenous theory of change developed through previous qualitative and quantitative work guides intervention. In the model, direct intervention effects on proximal or intermediate variables of protective factors at the individual, family, community, and peer influences levels lead to later change on the ultimate prevention outcome variables of Reasons for Life protective from suicide risk, and Reflective Processes about alcohol use consequences protective from alcohol risk. Mixed effects regression models contrasted treatment and comparison arms, and identified significant intervention effects on Reasons for Life (d = 0.27, p < .05) but not Reflective Processes.
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DOI：
10.1007/s11121-014-0542-7
发表时间：
2015-10
期刊：
Prevention science : the official journal of the Society for Prevention Research
影响因子：
--
作者：
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通讯作者：
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DOI：
10.3109/00952990.2012.702169
发表时间：
2012-09
期刊：
The American journal of drug and alcohol abuse
影响因子：
--
作者：
Allen J;Fok CC;Henry D;Skewes M;People Awakening Team
通讯作者：
People Awakening Team
影响因子：
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影响因子：
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影响因子：
3.1
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通讯作者：
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