Integrating Motivational Interviewing and Traditional Practices to Address Alcohol and Drug Use Among Urban American Indian/Alaska Native Youth.
Integrating Motivational Interviewing and Traditional Practices to Address Alcohol and Drug Use Among Urban American Indian/Alaska Native Youth.
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DOI：
10.1016/j.jsat.2015.06.023
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发表时间：
2016-06
影响因子：
3.9
通讯作者：
D'Amico EJ
中科院分区：
文献类型：
--
作者：
Dickerson DL;Brown RA;Johnson CL;Schweigman K;D'Amico EJ
美国印第安人/阿拉斯加原住民(AI/AN)表现出高度的酒精和毒品(AOD)使用和问题。尽管大约70%的人工智能/人工智能居住在城市地区，但针对城市人工智能/人工智能青年的具有文化相关性的人工智能/人工智能使用方案很少。此外，联邦资助的研究侧重于将循证治疗与人工智能/人工智能传统做法相结合，这方面的研究有限。目前的研究解决了为城市AI/AN青年提供适合文化的AOD使用计划方面的一个关键差距，并概述了为城市AI/AN青年制定的AOD计划的发展，称为城市原住民美国青年的动机访谈和文化(MICUNAY)。我们在加利福尼亚州北部和南部两个城市社区的城市AI/AN青年、提供者、父母和老年人中开展了焦点小组，旨在1)确定城市AI/AN青年面临的挑战，2)获得对MICUNAY计划内容的反馈。定性数据使用基于团队的定性和混合方法分析软件平台Dedoose进行分析。调查结果突出了各种挑战，包括社区压力源(如帮派、暴力)、资源短缺、文化认同问题以及这些城市社区中使用AOD的高流行率。关于MICUNAY，城市人工智能/AN青年喜欢动机访谈(MI)方法的合作性质，特别是在征求他们的意见和表达他们的想法方面。根据青年的反馈，工作坊选择了三种人工智能/人工智能传统做法(串珠、人工智能/烹饪和祈祷/圣人仪式)。MICUNAY是第一个针对城市AI/AN青少年的AOD使用预防干预计划，将循证治疗与传统做法相结合。这项计划解决了为这些服务不足的人群提供服务的一个重要缺口。
American Indians/Alaska Natives (AI/AN) exhibit high levels of alcohol and drug (AOD) use and problems. Although approximately 70% of AI/ANs reside in urban areas, few culturally relevant AOD use programs targeting urban AI/AN youth exist. Furthermore, federally-funded studies focused on the integration of evidence-based treatments with AI/AN traditional practices are limited. The current study addresses a critical gap in the delivery of culturally appropriate AOD use programs for urban AI/AN youth, and outlines the development of a culturally tailored AOD program for urban AI/AN youth called Motivational Interviewing and Culture for Urban Native American Youth (MICUNAY). We conducted focus groups among urban AI/AN youth, providers, parents, and elders in two urban communities in northern and southern California aimed at 1) identifying challenges confronting urban AI/AN youth and 2) obtaining feedback on MICUNAY program content. Qualitative data were analyzed using Dedoose, a team-based qualitative and mixed methods analysis software platform. Findings highlight various challenges, including community stressors (e.g., gangs, violence), shortage of resources, cultural identity issues, and a high prevalence of AOD use within these urban communities. Regarding MICUNAY, urban AI/AN youth liked the collaborative nature of the motivational interviewing (MI) approach, especially with regard to eliciting their opinions and expressing their thoughts. Based on feedback from the youth, three AI/AN traditional practices (beading, AI/AN cooking, and prayer/sage ceremony) were chosen for the workshops. MICUNAY is the first AOD use prevention intervention program for urban AI/AN youth that integrates evidence-based treatment with traditional practices. This program addresses an important gap in services for this underserved population.