Acceptability of a Web-Based Community Reinforcement Approach for Substance Use Disorders with Treatment-Seeking American Indians/Alaska Natives
Acceptability of a Web-Based Community Reinforcement Approach for Substance Use Disorders with Treatment-Seeking American Indians/Alaska Natives
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DOI：
10.1007/s10597-014-9764-1
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发表时间：
2015-05-01
影响因子：
2.7
通讯作者：
Nunes, Edward V.
中科院分区：
文献类型：
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作者：
Campbell, Aimee N. C.;Turrigiano, Eva;Nunes, Edward V.
美洲印第安人/阿拉斯加原住民 (AI/AN) 之间在药物滥用障碍和治疗获取方面长期存在差异。计算机化、网络提供的干预措施有可能增加获得优质治疗的机会并改善患者的治疗结果。先前的研究支持社区强化方法的网络版本[治疗教育系统（TES）]在改善门诊患者药物滥用治疗结果方面的功效；然而，TES 尚未在 AI/AN 中进行测试。这项针对城市 AI/AN 不同样本（N = 40）的混合方法可接受性研究结果表明，TES 在七个指数中是可接受的（0-10 等级范围为 7.8-9.4，其中 10 表示最高可接受性）。定性访谈表明，针对 AI/AN 文化的适应可以提高采用率。需要付出更多努力来适应 TES 并进行更大规模的有效性研究。
Longstanding disparities in substance use disorders and treatment access exist among American Indians/Alaska Natives (AI/AN). Computerized, web-delivered interventions have potential to increase access to quality treatment and improve patient outcomes. Prior research supports the efficacy of a web-based version [therapeutic education system (TES)] of the community reinforcement approach to improve outcomes among outpatients in substance abuse treatment; however, TES has not been tested among AI/AN. The results from this mixed method acceptability study among a diverse sample of urban AI/AN (N = 40) show that TES was acceptable across seven indices (range 7.8-9.4 on 0-10 scales with 10 indicating highest acceptability). Qualitative interviews suggest adaptation specific to AI/AN culture could improve adoption. Additional efforts to adapt TES and conduct a larger effectiveness study are warranted.