Adapting narrative exposure therapy with a tribal community: A community-based approach.
Adapting narrative exposure therapy with a tribal community: A community-based approach.
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DOI：
10.1002/jclp.23395
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发表时间：
2022-11
影响因子：
3
通讯作者：
Pearson, Cynthia
中科院分区：
文献类型：
--
作者：
Bedard-Gilligan, Michele;Kaysen, Debra;Cordero, Rebeca Marin;Huh, David;Walker, Denise;Kaiser-Schaur, Elisabeth;Robjant, Katy;Saluskin, Kathy;Pearson, Cynthia
美国印第安人(AI)个人面临着更高的风险，即当今创伤暴露和相关的负面后果，以及代际创伤暴露和逆境的持续影响。然而，很少有经验支持的治疗方法是专门为人工智能社区量身定做和/或测试的。本研究描述了人工智能社区选择、适应和实施叙述性暴露疗法(NET)的过程。建立了社区和学术界的伙伴关系，并共同努力，对NET进行文化上的改变，以最好地满足社区的需求。该伙伴关系包括社区领导人/长老(n=7)、提供者(n=11)和寻求治疗的参与者(n=50)，以实施适应和实施适应形式的网络的迭代进程。关键的适应措施包括解决历史和代际创伤，加强对小社区的保密保护，以及纳入文化习俗和传统。总体而言，参与者对调整后的网络形式表示欢迎，实施似乎是可行的，与过去在该社区进行的以创伤为重点的调整治疗试验相比，保留情况有所改善，并获得了高度积极的满意度和反馈。NET被证明是这个人工智能社区的适当方法，应该被视为其他人工智能社区的一种治疗选择。未来的工作应该考虑这一适应中概述的战略，以及遵循类似的程序，与人工智能社区合作，为创伤相关症状实施文化上适当的干预措施。
American Indian (AI) individuals are at increased risk for present-day trauma exposure and associated negative outcomes, as well as ongoing effects of intergenerational trauma exposure and adversity. However, few empirically supported treatments exist that are specifically tailored and/or tested with AI communities. This study describes the process of selecting, adapting, and implementing narrative exposure therapy (NET) with an AI community. A community and academic partnership was formed and worked together to make culturally mindful changes to NET to best fit the needs of the community. The partnership incorporated community leaders/Elders (n = 7), providers (n = 11), and participants seeking treatment (n = 50) to implement an iterative process of adapting and implementing the adapted form of NET. Key adaptions included addressing historical and intergenerational trauma, greater protections for confidentiality in a small community, and incorporation of cultural customs and traditions. Overall, the adapted form of NET was favorably received by the participants, and the implementation appeared to be feasible, with improved retention over past trials of adapted trauma-focused treatments with this community and with highly positive satisfaction ratings and feedback. NET was shown to be an appropriate approach for this AI community and should be considered as a treatment option for other AI communities. Future work should consider strategies outlined in this adaption as well as following a similar process for working with AI communities to implement culturally appropriate interventions for trauma-related symptoms.
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DOI：
10.1177/1740774520971774
发表时间：
2021-03
期刊：
Clinical trials (London, England)
影响因子：
--
作者：
Dickerson DL;Parker J;Johnson CL;Brown RA;D'Amico EJ
通讯作者：
D'Amico EJ
影响因子：
5.9
作者：
FOA, EB;ROTHBAUM, BO;MURDOCK, TB
通讯作者：
MURDOCK, TB
影响因子：
16.4
作者：
Hartmann, William E.;Wendt, Dennis C.;Gone, Joseph P.
通讯作者：
Gone, Joseph P.
影响因子：
4.4
作者：
Back, Sudie E.;Killeen, Therese;Brady, Kathleen T.
通讯作者：
Brady, Kathleen T.
影响因子：
3.3
作者：
Crofoot, Thomas L.;Harris, Marian S.
通讯作者：
Harris, Marian S.