"Keep up the messages, sometimes it was a lifesaver": Effects of cultural adaptation on a suicide prevention clinical trial in American Indian/Alaska Native communities.
"Keep up the messages, sometimes it was a lifesaver": Effects of cultural adaptation on a suicide prevention clinical trial in American Indian/Alaska Native communities.
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“继续传达信息，有时它是救星”：文化适应对美洲印第安人/阿拉斯加原住民社区自杀预防临床试验的影响。
DOI：
10.1016/j.brat.2023.104333
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发表时间：
2023
影响因子：
4.1
通讯作者：
Nelson,Lonnie
中科院分区：
文献类型：
--
作者：
Bogic,Marija;Hebert,LucianaE;Evanson,Anna;Wright,BarbaraD;Petras,Anthippy;Jansen,Kelley;Shaw,Jennifer;Comtois,KatherineAnne;Nelson,Lonnie
自杀不成比例地影响许多美国印第安人/阿拉斯加原住民（AI/AN）社区。关怀接触是为数不多的自杀预防干预措施之一，在不同人群中取得了成功，但其可接受性和有效性尚未在AI/AN社区进行评估。使用基于社区的参与式研究（第1阶段），我们对四个社区的AI/AN成人，医疗保健提供者和领导者进行了焦点小组和半结构化访谈，以改进研究设计，并最大限度地提高干预的可接受性和有效性，以便在随机对照试验（第2阶段）中实施。本文介绍了如何在第1阶段的适应影响的可接受性，适合性和响应性的研究功能的社区的需求。该社区的研究程序和材料的可接受性似乎很高，92%的参与者表示初步评估面试是一次积极的体验。扩大年龄和拥有手机设备的资格标准，分别增加了48%和46%的参与者。包括当地知情的自我伤害方法使我们能够捕捉到更广泛的自杀行为，而不是其他方式。临床试验将受益于社区参与，文化适应研究的人群中，干预措施最终将被应用。
Suicide disproportionately affects many American Indian/Alaska Native (AI/AN) communities. Caring Contacts is one of the few suicide prevention interventions with demonstrated success in diverse populations, but its acceptability and effectiveness have not been evaluated in AI/AN communities. Using community-based participatory research (Phase 1), we conducted focus groups and semi-structured interviews with AI/AN adults, healthcare providers, and leaders in four communities to improve study design and maximize intervention acceptability and effectiveness for implementation in a randomized controlled trial (Phase 2). This paper describes how adaptations made during Phase 1 affected the acceptability, fit, and responsiveness of the study features to the communities’ needs. Acceptability of the study procedures and materials in this community appears to be high, with 92% of participants indicating the initial assessment interview was a positive experience. Broadening eligibility criteria with regard to age and possession of a cellular device resulted in the recruitment of an additional 48% and 46% of participants, respectively. Inclusion of locally-informed methods of self-harm allowed us to capture a wider range of suicidal behavior than would have otherwise been identified. Clinical trials would benefit from community-engaged, cultural adaptation studies with populations in which the interventions would eventually be applied.
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美洲印第安人自杀率和凶杀率的社会相关性。
DOI：
--
发表时间：
1995
期刊：
Monografi: ISSN 1046-7750
影响因子：
--
作者：
David Lester
通讯作者：
David Lester
影响因子：
4.5
作者：
通讯作者：
--
DOI：
10.1177/1073274805012004s10
发表时间：
2005-11
期刊：
Cancer control : journal of the Moffitt Cancer Center
影响因子：
--
作者：
L. Burhansstipanov;Suzanne Christopher;Sister Ann Schumacher
通讯作者：
L. Burhansstipanov;Suzanne Christopher;Sister Ann Schumacher
整个生命周期的自杀、复原力和联系：美洲印第安人和阿拉斯加原住民长者的教训。
影响因子：
2.3
作者：
Satya P. Rao;Dylan Pell;Elizabeth S. England
通讯作者：
Elizabeth S. England
文化适应和个体定制：发展文化响应治疗的两种方法。
影响因子：
--
作者：
Collado,Anahi;Macpherson,Laura;Risco,Cristina;Lejuez,CW
通讯作者：
Lejuez,CW