Integrating traditional practices and social network visualization to prevent substance use: study protocol for a randomized controlled trial among urban Native American emerging adults.
Integrating traditional practices and social network visualization to prevent substance use: study protocol for a randomized controlled trial among urban Native American emerging adults.
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整合传统做法和社交网络可视化以防止药物使用：在美国城市原住民新兴成年人中进行的随机对照试验的研究方案。
DOI：
10.1186/s13722-021-00265-3
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发表时间：
2021-09-26
影响因子：
3.7
通讯作者：
Gudgell N
中科院分区：
文献类型：
--
作者：
D'Amico EJ;Dickerson DL;Rodriguez A;Brown RA;Kennedy DP;Palimaru AI;Johnson C;Smart R;Klein DJ;Parker J;McDonald K;Woodward MJ;Gudgell N
近年来，处方阿片类药物的非医疗使用（定义为为了享乐效果或以非处方方式服用阿片类药物）和海洛因的使用已成为美国的主要公共卫生问题。特别值得关注的是新兴成年人（18-25 岁）阿片类药物使用的普遍性，因为这是一个脆弱性加剧且社会、神经和心理发展至关重要的发展时期。 2015 年的数据显示，美洲印第安人/阿拉斯加原住民 (AI/AN) 的阿片类药物使用障碍 (OUD) 诊断率最高。最近的一项研究发现，居住在城市的 AI/AN 人群的服药过量死亡率是农村地区人群的 1.4 倍。迄今为止，还没有针对城市 AI/AN 新兴成年人中阿片类药物使用的循证预防计划，将适合文化的策略与循证治疗相结合。城市原住民的传统和联系 (TACUNA) 建立在我们之前与加州各地 AI/AN 社区合作的基础上，开发和评估文化上适当的规划，以解决城市 AI/AN 新兴成年人中阿片类药物、酒精和大麻的使用问题。在一项随机对照试验中，18-25 岁的城市 AI/AN 新兴成年人将接受 TACUNA (n = 185)，其中包括利用动机访谈、社交网络可视化以及整合传统做法和健康圈的三个虚拟研讨会，或一个虚拟文化敏感的阿片类药物教育研讨会 (n = 185)。我们将评估 12 个月内干预措施对阿片类药物、酒精和大麻使用频率等主要结果以及社交网络特征和文化连通性等次要结果的影响。该项目有可能通过解决社区和个人层面的阿片类药物流行问题和其他物质的使用问题，扩大针对城市 AI/AN 新兴成年人的阿片类药物、酒精和大麻服务的范围和有效性。此外，它还提供了重要的基于文化的概念和实用信息，以推进药物使用干预领域的发展并增强该人群的适应能力。试验注册：ClinicalTrials.gov 标识符：NCT04617938。注册日期：2020 年 10 月 26 日 https://clinicaltrials.gov/ct2/show/record/NCT04617938。在线版本包含可在 10.1186/s13722-021-00265-3 获取的补充材料。
Nonmedical use of prescription opioids (defined as taking opioid medications for hedonic effects or in a manner other than prescribed) and the use of heroin have emerged in recent years as major public health concerns in the United States. Of particular concern is the prevalence of opioid use among emerging adults (ages 18–25), as this is a developmental period of heightened vulnerability and critical social, neurological, and psychological development. Data from 2015 show that American Indian/Alaska Native (AI/AN) people have the highest rates of diagnosis for opioid use disorders (OUDs). One recent study found that the overdose death rate among urban-dwelling AI/AN individuals was 1.4 times higher compared to those living in rural areas. To date, there are no evidence-based prevention programs addressing opioid use among urban AI/AN emerging adults that integrate culturally-appropriate strategies with evidence-based treatment. Traditions and Connections for Urban Native Americans (TACUNA) builds on our prior work with AI/AN communities across California to develop and evaluate culturally appropriate programming to address opioid, alcohol, and cannabis use among urban AI/AN emerging adults. In a randomized controlled trial, 18–25 year old urban AI/AN emerging adults will receive either TACUNA (n = 185), which comprises three virtual workshops utilizing motivational interviewing, social network visualization, and integrating traditional practices and a wellness circle, or one virtual culturally sensitive opioid education workshop (n = 185). We will evaluate intervention effects on primary outcomes of frequency of opioid, alcohol, and cannabis use, as well as secondary outcomes of social network characteristics and cultural connectedness, over a 12-month period. This project has the potential to expand the range and effectiveness of opioid, alcohol, and cannabis services for urban AI/AN emerging adults by addressing the opioid epidemic and use of other substances at both the community and individual level. In addition, it provides important culturally grounded conceptual and practical information to advance the field of substance use interventions and enhance resiliency among this population. Trial registration: ClinicalTrials.gov Identifier: NCT04617938. Registered October 26, 2020 https://clinicaltrials.gov/ct2/show/record/NCT04617938. The online version contains supplementary material available at 10.1186/s13722-021-00265-3.
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影响因子：
3.9
作者：
Dickerson DL;Brown RA;Johnson CL;Schweigman K;D'Amico EJ
通讯作者：
D'Amico EJ
影响因子：
3.9
作者：
D'Amico, Elizabeth J.;Dickerson, Daniel L.;Agniel, Denis
通讯作者：
Agniel, Denis
DOI：
10.1007/s11121-017-0854-5
发表时间：
2020-01
期刊：
Prevention science : the official journal of the Society for Prevention Research
影响因子：
--
作者：
Crump AD;Etz K;Arroyo JA;Hemberger N;Srinivasan S
通讯作者：
Srinivasan S
影响因子：
2.5
作者：
Adegboye, Amanda Rodrigues Amorim;Cocate, Paula G.;Heitmann, Berit L.
通讯作者：
Heitmann, Berit L.
影响因子：
5.9
作者：
D'Amico EJ;Parast L;Shadel WG;Meredith LS;Seelam R;Stein BD
通讯作者：
Stein BD