Risk and protective factors for heavy binge alcohol use among American Indian adolescents utilizing emergency health services

Tingey, Lauren; Cwik, Mary; Rosenstock, Summer; Goklish, Novalene; Larzelere-Hinton, Francene; Lee, Angelita; Suttle, Rosemarie; Alchesay, Melanie; Massey, Kirk; Barlow, Allison

doi:10.1080/00952990.2016.1181762

Cited by 38 publications

(47 citation statements)

References 50 publications

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“…Collectively, these teams are engaging in transformative efforts to culturally adapt or develop new interventions to address tribal health priorities; similar to our own work, many of these efforts focus on reducing disparities in youth suicide and substance misuse. In the southwest United States, a three‐decade‐long collaboration of the White Mountain Apache with researchers from Johns Hopkins University has produced a nationally recognized tribal suicide surveillance system (Ballard et al., ; Cwik et al., ; Mullany et al., ) and development of culturally grounded projects and interventions at multiple ecological levels driven by the community to effectively prevent suicide (Cwik et al., ) and address a broad range of additional health‐related issues, including reproductive health (Tingey et al., ) and alcohol misuse (Tingey et al., ).…”

Section: Development Of Relationship In Cbpr With Indigenous Communitiesmentioning

confidence: 99%

With a Spirit that Understands: Reflections on a Long‐term Community Science Initiative to End Suicide in Alaska

Rasmus

Charles

John

et al. 2019

American J of Comm Psychol

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Highlights• Long-term CBPR requires preparation and resolution of crises when we lose key partners over time.• Relational cycles are a natural part of a CBPR process and impact upon the research in keys ways.• Long-term community-based participatory research allows the spirit to come into the science.Abstract This retrospective analysis of a long-term community-based participatory research (CBPR) process spans over two decades of work with Alaska Native communities. A call to action from Alaska Native leadership to create more effective strategies to prevent and treat youth suicide and alcohol misuse risk initiated a response from university researchers. This CBPR process transformed into a collaborative effort to indigenously drive and develop solutions through research. The People Awakening project started our team on this translational and transformational pathway through community intervention science in the Central Yup'ik region of Alaska. We examine more deeply the major episodes and their successes and struggles in maintaining a long-term research relationship between university researchers and members of Yup'ik Alaska Native communities. We explore ways that our CBPR relationship has involved negotiation and engagement with power and praxis, to deepen and focus attention to knowledge systems and relational elements. This paper examines these deeper, transformative elements of our CBPR relationship that spans histories, cultures, and systems. Our discussion shares vignettes from academic and community perspectives to describe process in a unique collaboration, reaching to sometimes touch upon rare ground in emotions, tensions, and triumphs over the course of a dozen grants and twice as many years. We conclude by noting how there are points where, in a long-term CBPR relationship, transition out of emergence into coalescing and transformation can occur.Keywords American Indian and Alaska Native Community-based participatory research indigenous intervention science indigenous knowledge ✉ Stacy M. Rasmus

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Section: Development Of Relationship In Cbpr With Indigenous Communitiesmentioning

confidence: 99%

With a Spirit that Understands: Reflections on a Long‐term Community Science Initiative to End Suicide in Alaska

Rasmus

Charles

John

et al. 2019

American J of Comm Psychol

View full text Add to dashboard Cite

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“…It builds on the positive psychology of hope and optimism regarding the ability of people and situations to make better choices and transform, particularly when various actors work together (Rapp & Sullivan, 2006 ; Gray, 2011 ). As such, the notion of connectedness is also deeply embedded in strength-based approaches, which involves a sense of belonging, caring for and valuing each other, and mutual trust, as well as a sense of responsibility and following positive norms and expectations (Tingey et al, 2016 ). Furthermore, it has a future-oriented focus, empowering communities to establish clear goals and visions to achieve improvement.…”

Section: Peer Education: Theoretical Background and Current Interventmentioning

confidence: 99%

What is in It for Them? Understanding the Impact of a ‘Support, Appreciate, Listen Team’ (SALT)-Based Suicide Prevention Peer Education Program on Peer Educators

Bobby¹,

Wit²,

Bahirat³

et al. 2018

School Mental Health

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Youth suicide is a public health problem in India, and young people in school, particularly adolescents, experience heavy psychological burden. Prevention programs, involving peer educators (PEs), have proved useful strategies to address this problem, but their impact on the PEs is less understood, particularly in India. This qualitative study aims to explore the changes observed in PE students who were involved in a ‘mindfulness’ and ‘Support-Appreciate-Listen–Team’ (SALT)-based peer education program to address suicidal behavior in Indian school students. One hundred and fourteen students were trained as PEs in six high schools in Pune to identify and respond to the needs of students in distress. By listening to the narratives of the PEs, their parents, school authorities, and the associated NGO team, we reflect on perceived social, emotional, behavioral, and cognitive changes in PEs. The PEs demonstrated enhanced caring for those in distress both inside and outside school by improved listening skills, self-awareness, care, and empathy. Furthermore, the program had a positive impact on their broad emotional intelligence and PEs expressed increased ownership of life, taking action, and seeking support where needed. The study concludes that mindfulness and SALT-based peer education (PE) programs are valuable for the PEs. This could be used to motivate PEs to volunteer in such programs. Other results are discussed and further research areas are suggested.

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“…Participating youth, who are members of the White Mountain Apache Tribe (Apache), are exposed to high rates of poverty, high school drop-out, suicide, and substance use, as well as generational and modern traumas [4][5][6]. They are also part of a resilient and innovative peoples who have used research for over 40 years to develop public health solutions that have scaled to the world [7].…”

Section: Introductionmentioning

confidence: 99%

Entrepreneurial, Economic, and Social Well-Being Outcomes from an RCT of a Youth Entrepreneurship Education Intervention among Native American Adolescents

Tingey

Larzelere

Goklish

et al. 2020

IJERPH

Self Cite

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Background: Entrepreneurship education has demonstrated positive impacts in low-resource contexts. However, there is limited evidence of such programs evaluated among Native American (NA) youth in a rural reservation. Methods: A 2:1 randomized controlled trial evaluated the impact of the Arrowhead Business Group (ABG) entrepreneurship education program on entrepreneurship knowledge, economic empowerment, and social well-being among 394 NA youth. An intent to treat analysis using mixed effects regression models examined within and between study group differences from baseline to 24 months. An interaction term measured change in the intervention relative to change in the control. ABG participants were purposively sampled to conduct focus groups and in-depth interviews. Results: Significant intervention vs. control group improvements were sustained at 12 months for entrepreneurship knowledge and economic confidence/security. Significant within-group improvements were sustained for ABG participants at 24 months for connectedness to parents, school, and awareness of connectedness. Qualitative data endorses positive impacts on social well-being among ABG participants. Conclusion: Observed effects on entrepreneurship knowledge, economic empowerment, and connectedness, supplemented by the experiences and changes as described by the youth themselves, demonstrates how a strength-based youth entrepreneurship intervention focused on developing assets and resources may be an innovative approach to dually address health and economic disparities endured in Native American communities.

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Risk and protective factors for heavy binge alcohol use among American Indian adolescents utilizing emergency health services

Abstract: Findings deepen the understanding of AI adolescent heavy binge alcohol use and inform adolescent intervention development fostering trajectories to low-risk drinking and abstinence.

Cited by 38 publications

References 50 publications

With a Spirit that Understands: Reflections on a Long‐term Community Science Initiative to End Suicide in Alaska

With a Spirit that Understands: Reflections on a Long‐term Community Science Initiative to End Suicide in Alaska

What is in It for Them? Understanding the Impact of a ‘Support, Appreciate, Listen Team’ (SALT)-Based Suicide Prevention Peer Education Program on Peer Educators

Entrepreneurial, Economic, and Social Well-Being Outcomes from an RCT of a Youth Entrepreneurship Education Intervention among Native American Adolescents

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