A Culturally Focused Wellness Intervention for American Indian Women of a Small Southwest Community: Associations with Alcohol Use, Abstinence Self-Efficacy, Symptoms of Depression, and Self-Esteem

Gray, Norma; Mays, Mary Z.; Wolf, Denise; Jirsak, Janice

doi:10.4278/ajhp.080923-quan-209

Cited by 47 publications

(44 citation statements)

References 49 publications

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“…Prue (33), Pascarosa (34), and Albaugh (35) portrayed the Native American Church rituals as an alternative to AA. In a community-based, culturally focused wellness study (36) among AI/AN women 18-50 years old, a 10-session intervention incorporating tribal history and culture decreased alcohol consumption and depression while increasing alcohol abstinence and self-esteem.…”

Section: Standard Interventions Involving Hospitalization Inpatientmentioning

confidence: 99%

A Review of Evidence-Based Approaches for Reduction of Alcohol Consumption in Native Women Who Are Pregnant or of Reproductive Age

Montag

Clapp

Calac³

et al. 2012

The American Journal of Drug and Alcohol Abuse

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Section: Standard Interventions Involving Hospitalization Inpatientmentioning

confidence: 99%

A Review of Evidence-Based Approaches for Reduction of Alcohol Consumption in Native Women Who Are Pregnant or of Reproductive Age

Montag

Clapp

Calac³

et al. 2012

The American Journal of Drug and Alcohol Abuse

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“…Indigenous health advocates worldwide are calling for more research on the effectiveness of culture‐based interventions to address mental health and substance use conditions amongst Indigenous populations [ 2 , 28 , 29 , 30 , 31 , 32 , 33 ]. The under‐representation of Indigenous voices within previous mutual support group studies has hindered the translation of Indigenous cultural knowledge into health‐promoting policies and practices [ 34 , 35 ].…”

Section: Introductionmentioning

confidence: 99%

A multi‐methods yarn about SMART Recovery: First insights from Australian Aboriginal facilitators and group members

Dale

Lee

Conigrave

et al. 2021

Drug and Alcohol Review

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Introduction SMART Recovery is a popular mutual support group program. Little is known about its suitability or perceived helpfulness for Indigenous peoples. This study explored the cultural utility of SMART Recovery in an Australian Aboriginal context. Methods An Indigenous‐lensed, multi‐methods, exploratory study design was used to develop initial evidence of: (i) attributes of Aboriginal SMART Recovery facilitators and group members; (ii) characteristics of Aboriginal‐led SMART Recovery groups; (iii) perceived acceptability and helpfulness of SMART Recovery; and (iv) areas for potential improvement. Data were collected by synthesising Indigenous qualitative methods (research topic and social yarning) with western qualitative and quantitative methods (participant surveys, program adherence rating scale, group observations and field notes). Data were analysed using thematic analysis. Results Participants were a culturally diverse sample of male and female Aboriginal facilitators (n = 10) and group members (n = 11), aged 22–65 years. Aboriginal‐led SMART Recovery groups were culturally customised to suit local contexts. Program tools ‘goal setting’ and ‘problem solving’ were viewed as the most helpful. Suggested ways SMART Recovery could enhance its cultural utility included: integration of Aboriginal perspectives into facilitator training; creation of Aboriginal‐specific program and marketing materials; and greater community engagement and networking. Participants proposed an Aboriginal‐specific SMART Recovery program. Discussion and Conclusions This study offers insights into Aboriginal peoples' experiences of SMART Recovery. Culturally‐informed modifications to the program were identified that could enhance cultural utility. Future research is needed to obtain diverse community perspectives and measure health outcomes associated with group attendance.

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“…Historical loss, trauma, and discrimination resonate throughout AIAN life today, and mistrust of research and externally imposed interventions may be important factors (Caldwell, 2005;Davis, 2002;Szlemko et al, 2006;Whitbeck, et al, 2004). Conversely, enculturation may be a source of resilience (Gray et al, 2010;Torres Stone et al, 2006;Whitbeck, et al, 2004), and family and community may exert protective influences for an AEP (LaFromboise et al, 2006).…”

Section: Introductionmentioning

confidence: 99%

Community-Specific Risk and Protective Factors for Risky Alcohol Consumption in American Indian Women of Reproductive Potential: Informing Interventions

Montag¹,

Calac²,

Chambers³

2019

IJIH

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Objective: To explore the effect of community-specific risk and protective factors on risky alcohol consumption and vulnerability to having an alcohol-exposed pregnancy in women within a Southern California American Indian community. Methods: A sample of 343 American Indian women of childbearing age was enrolled in a study of risky drinking. All participants completed a questionnaire including alcohol consumption, other health behaviors, the T-ACE risky alcohol consumption screen and the PHQ-9 to measure depression and functionality. A subset of 80 women additionally answered focus group-derived questions about why they choose or do not choose to drink. Results: Risk and protective factors varied among sample subgroups. Broadly, factors affecting risk and protection included: depression, perception of other women’s drinking, children/family, perception of risk to the unborn child, and feeling pressured to drink. Women’s drinking was highly influenced by female friends and relatives. Women were most likely to drink with a girlfriend. Nearly 40% of all participants asked felt pressured to drink. Depression was associated with riskier alcohol consumption, less effective contraception, and testing positive for risky drinking using the T-ACE screen. Depressed women were more likely to binge drink because of stress, trauma, and “to escape my problems”, and more likely to have been exposed to trauma including sexual assault. Conclusions: Interventions should incorporate community-specific factors. In the present sample, two separate strategies are indicated by the data: an information campaign to increase women’s awareness of true social norms and the risks of prenatal alcohol-exposure; and screening for and treating depression.

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A Culturally Focused Wellness Intervention for American Indian Women of a Small Southwest Community: Associations with Alcohol Use, Abstinence Self-Efficacy, Symptoms of Depression, and Self-Esteem

Abstract: Evidence suggests that this culturally focused health promotion intervention has a positive impact on alcohol use, alcohol abstinence self-efficacy, depressive symptoms, and self-esteem among American Indian women.

Cited by 47 publications

References 49 publications

A Review of Evidence-Based Approaches for Reduction of Alcohol Consumption in Native Women Who Are Pregnant or of Reproductive Age

A Review of Evidence-Based Approaches for Reduction of Alcohol Consumption in Native Women Who Are Pregnant or of Reproductive Age

A multi‐methods yarn about SMART Recovery: First insights from Australian Aboriginal facilitators and group members

Community-Specific Risk and Protective Factors for Risky Alcohol Consumption in American Indian Women of Reproductive Potential: Informing Interventions

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