Culturally Adapting Caring Contacts for Suicide Prevention in Four Alaska Native and American Indian Communities.
Culturally Adapting Caring Contacts for Suicide Prevention in Four Alaska Native and American Indian Communities.
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DOI：
10.1080/13811118.2021.1967820
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发表时间：
2023-01
期刊：
影响因子：
--
通讯作者：
CARE Phase 1 Study Team
中科院分区：
文献类型：
--
作者：
Jansen KJ;Shaw JL;Comtois KA;Elliott-Groves E;Slaney T;Avey JP;Nelson L;CARE Phase 1 Study Team
尽管部落、州和联邦做出了大量努力，但美国印第安人和阿拉斯加原住民（AI/AN）的自杀率在过去30年中几乎没有变化，这促使人们关注新的和创新的方法来解决这种持续的健康差距。在其他人群中取得成功的自杀预防干预措施可能对AI/AN社区有用。关怀接触是一种自杀预防干预措施，已被改编并证明可以减少其他人群的自杀意念，企图和死亡。我们使用基于社区的参与式研究方法，从四个AI/AN社区的社区成员、医疗服务提供者和领导者那里收集定性数据。这些数据进行了主题分析，并用于调整护理接触，用于随后的自杀高风险AI/AN人群的临床试验。四个部落社区共有189名社区成员和其他卫生系统利益攸关方参加了重点小组和访谈。所有社区都认为“关怀联系人”是可以接受的。干预调整的反馈集中在试验合格标准的主题;工具;信息频率，时间和内容;和文化因素。总体而言，四个不同的AI/AN社区的AI/AN研究参与者赞同在其社区使用关怀联系人预防自杀。在这些社区中使用的干预措施主要集中在信息频率和时间以及扩大对关怀联系人的访问。这项研究的结果可能适用于其他经历自杀相关健康差异的人群。
Despite substantial tribal, state, and federal effort, American Indian and Alaska Native (AI/AN) suicide rates have changed little in the last 30 years, prompting attention to new and innovative approaches to this persistent health disparity. Suicide prevention interventions with demonstrated success in other populations may be useful in AI/AN communities. Caring Contacts is a suicide prevention intervention that has been adapted and shown to reduce suicide ideation, attempts, and deaths in other populations. We used a community-based participatory research approach to gather qualitative data from community members, healthcare providers, and leaders in four AI/AN communities. These data were analyzed thematically and used to adapt Caring Contacts for use in a subsequent clinical trial with AI/AN people at high risk for suicide. A total of 189 community members and other health system stakeholders in four tribal communities participated in focus groups and interviews. Caring Contacts was perceived in all communities to be acceptable. Feedback for intervention adaptations focused on the themes of trial eligibility criteria; instruments; message frequency, timing, and content; and cultural considerations. Overall, AI/AN study participants in four diverse AI/AN communities endorsed the use of Caring Contacts for suicide prevention in their communities. Intervention adaptations for use in these communities centered primarily on message frequency and timing as well as expanding access to Caring Contacts. The results of this study may be applicable to other populations that experience suicide-related health disparities.
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DOI：
10.1027/0227-5910/a000017
发表时间：
2010-01-01
影响因子：
3
作者：
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通讯作者：
Liu, Xiao Xian
影响因子：
5.9
作者：
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通讯作者：
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影响因子：
3.9
作者：
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通讯作者：
HONOR Study Team
影响因子：
25.8
作者：
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通讯作者：
Ries, Richard K.
影响因子：
2.8
作者：
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通讯作者：
Carter, Gregory