The Cultural Adaption of a Sobriety Support App for Alaska Native and American Indian People: Qualitative Feasibility and Acceptability Study.
The Cultural Adaption of a Sobriety Support App for Alaska Native and American Indian People: Qualitative Feasibility and Acceptability Study.
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DOI：
10.2196/38894
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发表时间：
2023-02-07
影响因子：
2.2
通讯作者：
Donovan, Dennis M.
中科院分区：
文献类型：
--
作者：
Trinidad, Susan Brown;Shane, Aliassa L.;Guinn, Tiffany R.;Apok, Charlene R.;Collier, Ann F.;Avey, Jaedon P.;Donovan, Dennis M.
关键词：
尽管戒酒率很高，但阿拉斯加土著和美国印第安人(ANAI)经历了与酒精相关的发病率和死亡率的不成比例的负担。这一群体的治疗存在多种障碍，包括缺乏与文化相关的资源；获得治疗的机会有限或延迟接受治疗；以及隐私问题。美国阿拉斯加州的许多阿奈人生活在人口稀少的农村地区，那里的治疗机会和对同伴支持计划的隐私担忧可能特别具有挑战性。此外，先前的研究表明，许多阿奈人更喜欢自我管理的方法，而不是戒酒，而不是正式的治疗。综上所述，这些因素表明，一款经过文化调整的智能手机应用程序可能会发挥作用，支持对改变饮酒行为感兴趣的Anai人群。这项研究是一款现成的智能手机应用程序的文化定制版本的可行性和可接受性研究的第一阶段，该应用程序旨在帮助Anai人管理或减少饮酒。这项定性需求评估的目的是收集Anai People和为Anai People服务的医疗保健提供商的见解和偏好，以在Anai People对智能手机应用程序进行试点测试之前指导功能开发、内容选择和文化适应。2018年10月至2019年9月，我们在阿拉斯加中南部的一个部落医疗组织对24名21岁的≥患者和8名提供者进行了半结构化访谈。参与者普遍认可智能手机应用程序对酒精自我管理的实用性。他们指出，匿名性、全天候访问、同行支持和患者选择是应用程序的关键属性。所需的文化改编包括以Anai和土地为主题的设计元素、文化内容(例如，长辈的故事)和精神资源。参与者认为这款应用程序对农村阿奈人以及那些无法及时获得治疗服务或更愿意在临床环境之外管理自己的酒精使用的人特别有用。这项需求评估确定了下一阶段研究中正在实施的主要特征、内容和文化适应。在未来的工作中，我们将确定商业应用程序可以在多大程度上适应这些变化，实施的可行性，以及该应用程序的文化适应版本在ANAI用户中的可接受性。
Despite high rates of alcohol abstinence, Alaska Native and American Indian (ANAI) people experience a disproportionate burden of alcohol-related morbidity and mortality. Multiple barriers to treatment exist for this population, including a lack of culturally relevant resources; limited access to or delays in receiving treatment; and privacy concerns. Many ANAI people in the state of Alaska, United States, live in sparsely populated rural areas, where treatment access and privacy concerns regarding peer-support programs may be particularly challenging. In addition, prior research demonstrates that many ANAI people prefer a self-management approach to sobriety, rather than formal treatment. Taken together, these factors suggest a potential role for a culturally adapted smartphone app to support ANAI people interested in changing their behavior regarding alcohol use. This study was the first phase of a feasibility and acceptability study of a culturally tailored version of an off-the-shelf smartphone app to aid ANAI people in managing or reducing their use of alcohol. The aim of this qualitative needs assessment was to gather insights and preferences from ANAI people and health care providers serving ANAI people to guide feature development, content selection, and cultural adaptation before a pilot test of the smartphone app with ANAI people. From October 2018 to September 2019, we conducted semistructured interviews with 24 ANAI patients aged ≥21 years and 8 providers in a tribal health care organization in south-central Alaska. Participants generally endorsed the usefulness of a smartphone app for alcohol self-management. They cited anonymity, 24/7 access, peer support, and patient choice as key attributes of an app. The desired cultural adaptations included ANAI- and land-themed design elements, cultural content (eg, stories from elders), and spiritual resources. Participants considered an app especially useful for rural-dwelling ANAI people, as well as those who lack timely access to treatment services or prefer to work toward managing their alcohol use outside the clinical setting. This needs assessment identified key features, content, and cultural adaptations that are being implemented in the next phase of the study. In future work, we will determine the extent to which these changes can be accommodated in a commercially available app, the feasibility of implementation, and the acceptability of the culturally adapted version of the app among ANAI users.
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Umyuangcaryaraq的“反思”：对Yup'ik Alaska农村土著年轻人对饮酒后果的反思过程的多维评估。
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：
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作者：
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2021-05
期刊：
Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors
影响因子：
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作者：
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影响因子：
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作者：
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