Culturally-Informed Interventions for Substance Abuse Among Indigenous Youth in the United States: A Review

Liddell, Jessica L.; Burnette, Catherine E.

doi:10.1080/23761407.2017.1335631

Cited by 30 publications

(20 citation statements)

References 55 publications

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“…Surprisingly, it did not appear that conversations about teen substance use were routinely linked to risky sexual behavior. Both the focus group and KII interviewees seemed to compartmentalize these two behaviors, similar to previous prevention efforts with AIAN teens, which target either substance use [50,51,52,53,54,55,56,57] or contraception/sexual activity [58,59,60,61,62,63] separately; this is problematic as alcohol consumption can have an impact on the consistency of birth control utilization [64]. Therefore, studies on preconception health, like CHAT and others, are important in altering the community’s perception of how to prevent AEP and FASD by focusing on the dual-behavioral approach prior to pregnancy.…”

Section: Discussionmentioning

confidence: 64%

Community Perceptions of Alcohol Exposed Pregnancy Prevention Program for American Indian and Alaska Native Teens

Shrestha

Hanson

Weber

et al. 2019

IJERPH

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A community needs assessment during a tribally-led Changing High-Risk Alcohol Use and Increasing Contraception Effectiveness Study (CHOICES) intervention highlighted the need to reduce the risk for alcohol exposed pregnancy (AEP) among American Indian and Alaska Native (AIAN) adolescent girls. The CHOICES for American Indian Teens (CHAT) Program aims to reduce the risk of AEP among AIAN teens in one Northern Plains tribal community. The CHAT team adopted an iterative process to modify the tribally-led CHOICES curriculum for AIAN teens. This paper describes the iterative process as well as the community perception towards AEP prevention among AIAN teens. The CHAT team conducted several levels of formative and qualitative research, including one-on-one interviews (n = 15) with community members, AIAN elders and school counsellors; and three focus groups with AIAN adolescent girls (n = 15). A qualitative data analysis identified several recommendations that centered on making the information regarding alcohol and birth control appealing to teens; ensuring the confidentiality of the participants; making the program culturally relevant; and including boys in the program. This study outlines various components prioritized by community members in creating a culturally-relevant and age-appropriate AEP prevention program and provides community perceptions of AEP prevention for the teens in this community

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Section: Discussionmentioning

confidence: 64%

Community Perceptions of Alcohol Exposed Pregnancy Prevention Program for American Indian and Alaska Native Teens

Shrestha

Hanson

Weber

et al. 2019

IJERPH

View full text Add to dashboard Cite

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“…This is particularly true given the mindset of many prevention programs with AI/AN adolescents, which often compartmentalizes behavioral change. For example, many previous prevention efforts with AI/AN teens targeted either substance use (Allen et al, 2014, Dickerson et al, 2016, Donovan et al, 2015, Gilder et al, 2017, Komro et al, 2017, Kulis et al, 2017, Liddell and Burnette, 2017, Philip et al, 2016 or contraception/sexual activity (Garwick et al, 2008, Hohman-Billmeier et al, 2016, Kenyon et al, 2019, Schanen et al, 2017, Shegog et al, 2017, Tingey et al, 2017 separately, which is problematic as alcohol consumption can have an impact on the consistency of birth control utilization (Campo et al, 2010). Other researchers conclude that interventions addressing both substance use and sexual risk-taking behaviors, such as the CHOICES/CHAT interventions, are essential to reduce risk for AEP (Chambers et al, 2016, Markham et al, 2015.…”

Section: Discussionmentioning

confidence: 99%

Acceptability of an eHealth Intervention to Prevent Alcohol‐Exposed Pregnancy Among American Indian/Alaska Native Teens

Hanson

Weber

Shrestha

et al. 2019

Alcoholism Clin & Exp Res

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Introduction-A tribally-led CHOICES (Changing High-Risk Alcohol Use and Increasing Contraception Effectiveness Study) Program has successfully decreased the risk of alcoholexposed pregnancies (AEPs) among adult American Indian/Alaska Native (AI/AN) women by either reducing risky drinking or increasing contraception use. However, a community needs assessment revealed a need to implement a similar intervention with AI/AN teens. The goal of the project was to develop and establish the acceptability of CHOICES for AI/AN teens.Methods-Key-informant interviews were conducted to review the existing OST CHOICES intervention. After modifications to the existing program, focus groups with AI/AN teens were conducted to ensure validity and to finalize the OST CHAT (CHOICES for American Indian Teens) intervention.Results-Key-informant (N=15) participants suggested that a web-based intervention may increase teen engagement by making the intervention more interactive and visually stimulating. Based on this formative research, CHAT was developed via REDCap (Research Electronic Data Capture). Feedback on the online CHAT curriculum was given by focus groups comprised of AI/AN adolescents, and participants felt that this type of intervention would be both acceptable and able to implement with a community of reservation-based teens.Conclusions-This study outlines the development of a web-based intervention for an AEP intervention for AI/AN teens and will inform future prevention efforts. Implications include an expansion of the evidence-based CHOICES intervention for AI/AN teens and also development of a web-based intervention for rural, reservation-based AI/AN communities.

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“…A recent systematic literature review of substance abuse prevention curricula for indigenous youth identified a total of 14 empirical studies published between 1988 and 2016 (Liddell & Burnette, 2017). Of the studies identified by Liddell and Burnette, only five (36%) examined substance use behavioral outcomes.…”

Section: Literature Reviewmentioning

confidence: 99%

An efficacy trial of the Ho‘ouna Pono drug prevention curriculum: An evaluation of a culturally grounded substance abuse prevention program in rural Hawai‘i.

Okamoto

Kulis

Helm

et al. 2019

Asian American Journal of Psychology

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This study reports on the drug use outcomes in an efficacy trial of a culturally grounded, school-based, substance abuse prevention curriculum in rural Hawai‘i. The curriculum (Ho‘ouna Pono) was developed through a series of preprevention and pilot/feasibility studies funded by the National Institute on Drug Abuse, and focuses on culturally relevant drug resistance skills training. The present study used a dynamic wait-listed control group design (Brown, Wyman, Guo, & Peña, 2006), in which cohorts of middle/intermediate public schools on Hawai‘i Island were exposed to the curriculum at different time periods over a 2-year time frame. A total of 486 youth participated in the study. Approximately 90% of these youth were 11 or 12 years of age at the start of the trial. Growth curve modeling over 6 waves of data was conducted for alcohol, marijuana, cigarettes/e-cigarettes, crystal methamphetamine, and other hard drugs. The findings for alcohol use were contrary to the hypothesized effects of the intervention, but may have been a reflection of a lack equivalence among the cohorts in risk factors that were unaccounted for in the study. Despite this issue, the findings also indicated small, statistically significant changes in the intended direction for cigarette/e-cigarette and hard drug use. The present study complements prior pilot research on the curriculum, and has implications for addressing Native Hawaiian and Pacific Islander health disparities.

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Culturally-Informed Interventions for Substance Abuse Among Indigenous Youth in the United States: A Review

Abstract: There is a current gap in research on culturally-informed substance abuse interventions for Indigenous youth, which this review begins to address. Promising areas of future research and interventions include bringing communities and families into treatment and prevention.

Cited by 30 publications

References 55 publications

Community Perceptions of Alcohol Exposed Pregnancy Prevention Program for American Indian and Alaska Native Teens

Community Perceptions of Alcohol Exposed Pregnancy Prevention Program for American Indian and Alaska Native Teens

Acceptability of an eHealth Intervention to Prevent Alcohol‐Exposed Pregnancy Among American Indian/Alaska Native Teens

An efficacy trial of the Ho‘ouna Pono drug prevention curriculum: An evaluation of a culturally grounded substance abuse prevention program in rural Hawai‘i.

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