FEASIBILITY, ACCEPTABILITY, AND INITIAL FINDINGS FROM A COMMUNITY-BASED CULTURAL MENTAL HEALTH INTERVENTION FOR AMERICAN INDIAN YOUTH AND THEIR FAMILIES
FEASIBILITY, ACCEPTABILITY, AND INITIAL FINDINGS FROM A COMMUNITY-BASED CULTURAL MENTAL HEALTH INTERVENTION FOR AMERICAN INDIAN YOUTH AND THEIR FAMILIES
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DOI：
10.1002/jcop.20517
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发表时间：
2012-05-01
影响因子：
2.3
通讯作者：
Freund, Rachel
中科院分区：
文献类型：
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作者：
Goodkind, Jessica;LaNoue, Marianna;Freund, Rachel
通过CBPR伙伴关系，大学和美国印第安人（AI）部落成员开发和测试了我们的生活干预措施，通过解决暴力，创伤和药物滥用的根源来促进AI青年及其家庭的心理健康。基于幸福是建立在传统文化信仰和习俗的基础上的前提，并且需要一个愈合和理解的过程，6个月的干预有四个组成部分：1）认识/愈合历史创伤; 2）重新连接到传统文化; 3）养育/社会技能建设;和4）通过马辅助活动加强家庭关系。可行性，可接受性，适当性和初步结果进行了检查的混合方法组内设计。参与和留住人才是一项挑战，这表明家庭在参与方面面临许多障碍。完成该项目的青少年在文化认同、自尊、积极应对策略、生活质量和社会适应方面都有显著提高。定性数据支持这些研究结果，并提出了额外的积极影响。
Through a CBPR partnership, university and American Indian (AI) tribal members developed and tested Our Life intervention to promote mental health of AI youth and their families by addressing root causes of violence, trauma, and substance abuse. Based on premises that well-being is built on a foundation of traditional cultural beliefs and practices, and that it requires a process of healing and understanding, the 6-month intervention had four components: 1) recognizing/healing historical trauma; 2) reconnecting to traditional culture; 3) parenting/social skill-building; and 4) strengthening family relationships through equine-assisted activities. Feasibility, acceptability, appropriateness, and preliminary outcomes were examined in a mixed-method within-group design. Engagement and retention were challenging, suggesting that families faced numerous barriers to participation. Youth who completed the program experienced significant increases in cultural identity, self-esteem, positive coping strategies, quality of life, and social adjustment. Qualitative data supported these findings and suggested additional positive effects.