SACRED Connections: A University-Tribal Clinical Research Partnership for School-Based Screening and Brief Intervention for Substance Use Problems among Native American Youth.
SACRED Connections: A University-Tribal Clinical Research Partnership for School-Based Screening and Brief Intervention for Substance Use Problems among Native American Youth.
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DOI：
10.1080/15313204.2020.1770654
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发表时间：
2021
影响因子：
1.6
通讯作者：
Riggs C
中科院分区：
文献类型：
--
作者：
Morris SL;Hospital MM;Wagner EF;Lowe J;Thompson MG;Clarke R;Riggs C
据报道，美国原住民（NA）青少年酗酒、吸食大麻和吸毒的比例高于其他种族/族裔群体的美国青少年。解决这一健康差距是公共卫生、少数民族健康和传播与实施（D&I）科学领域的重要研究重点，强调需要为北美青年量身定制基于经验的干预措施。与北美青年有效的D&I结合了北美的文化价值观，并涉及部落长老和利益相关者。SACRED Connections （NIDA R01DA02977）是一个大学与部落的研究合作项目，利用了文化衍生的土著依赖理论框架和基于社区的参与性研究（CBPR）方法。这项随机对照试验的一个重要目标是利用RE-AIM模型和国家文化和语言适宜服务（CLAS）在卫生和医疗保健标准中缩小D&I差距（HHS, 2019）。这项为期5年的随机对照试验的结果显示，土著依赖与基线寿命和过去一个月的酒精和大麻使用之间存在统计学上显著的保护关系；此外，在干预后3个月，活跃组报告大麻使用的可能性显著低于对照组。一项针对发展和北美文化量身定制的简短协议的实施表明：与印第安人合作并利用CBPR促进了与这个难以接触、服务不足的社区的接触；年龄和文化与北美青少年药物使用严重程度相关；文化适应性动机访谈（MI）简短干预可能有效减少NA青年的大麻使用；土著依赖理论被证明是与这一群体合作的有用框架；事实证明，RE-AIM有助于概念化卫生公平，促进D&I。
Native American (NA) youth report higher rates of alcohol, marijuana, and drug use than U.S. adolescents from any other racial/ethnic group. Addressing this health disparity is a significant research priority across public health, minority health, and dissemination and implementation (D&I) sciences, underscoring the need for empirically-based interventions tailored for NA youth. Effective D&I with NA youth incorporates NA cultural values and involves tribal elders and stakeholders. SACRED Connections (NIDA R01DA02977) was a university-tribal research partnership that utilized a culturally derived Native-Reliance theoretical framework and a community-based participatory research (CBPR) approach. A significant objective of this randomized controlled trial was to close D&I gaps utilizing the RE-AIM Model and National Culturally and Linguistically Appropriate Services (CLAS) in Health and Health Care Standards (HHS, 2019). Findings of this 5-year RCT revealed a statistically significant protective relationship between Native Reliance and baseline lifetime and past month alcohol and marijuana use; additionally, the likelihood of reporting marijuana use at 3 months post-intervention was significantly lower among the active condition than among the control condition. Implementation of a developmentally and NA culturally tailored brief protocol revealed: partnering with Native Americans and utilizing CBPR facilitated engagement with this hard-to-reach, underserved community; age and culture are associated with substance use severity among NA teens; a culturally adapted Motivational Interviewing (MI) brief intervention may be effective in reducing marijuana use among NA youth; the Native Reliance theory proved useful as a framework for working with this population; and RE-AIM proved helpful in conceptualizing health equity promoting D&I.