Reducing drug and alcohol use and improving well‐being for Indigenous and non‐Indigenous Australians using the Community Reinforcement Approach: A feasibility and acceptability study

Calabria, Bianca; Shakeshaft, Anthony; Clifford, Anton; Stone, Chiara; Clare, Philip; Allan, Julaine; Bliss, Donna Leigh

doi:10.1002/ijop.12603

Cited by 11 publications

(22 citation statements)

References 24 publications

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“…A commentary describing the lessons learned from a suicide prevention program spanning a 14-year period was also included [ 16 ]. Aboriginal and Torres Strait Islander people were the intended target population in four of the suicide prevention initiatives [ 17 , 18 , 19 , 20 ]. One study [ 21 ] discussed how adult males in farming communities were the intended target population; however, it was decided to allow female participation to avoid potential harm from exclusion.…”

Section: Resultsmentioning

confidence: 99%

“…Most suicide prevention initiatives took place in rural and regional New South Wales [ 16 , 17 , 18 , 24 , 25 ]. One initiative occurred in Echuca, Victoria [ 19 ], and the same initiative in Tasmania was evaluated twice [ 22 , 23 ].…”

Section: Resultsmentioning

confidence: 99%

“…The workshops delivered by Snodgrass et al [ 20 ] comprised either a group-based one-day community workshop or a two-day Train the Trainer (TTT) workshop. In the study of Calabria et al [ 17 ], cognitive behavioural therapy (CBT) was offered over a six-week period, either in a group setting or on an individual basis. The design of this program was targeted towards adults requiring community-based drug and alcohol treatment services.…”

Section: Resultsmentioning

confidence: 99%

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A Scoping Review of Community-Based Adult Suicide Prevention Initiatives in Rural and Regional Australia

Dabkowski

Porter

Barbagallo

et al. 2022

IJERPH

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The need for continued research into suicide prevention strategies is undeniable, with high global statistics demonstrating the urgency of this public health issue. In Australia, approximately 3000 people end their lives each year, with those living in rural and regional areas identified as having a higher risk of dying by suicide. Due to decreased access and support services in these areas, community-based suicide prevention initiatives provide opportunities to educate and support local communities. A scoping review was conducted to explore the literature pertaining to such programs in rural and/or regional communities in Australia. This review follows the five-stage Arksey and O’Malley (2005) framework and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) checklist. Nine databases were searched, from which studies were considered eligible if suicide prevention programs were community-based and catered for adults (aged ≥ 18 years) in rural or regional Australia. Ten papers that met our inclusion criteria were included in this review, showcasing a variety of interventions such as workshops, a digital intervention, art therapy, and initiatives to increase education and reduce stigma around suicide. Program engagement strategies included the importance of providing culturally appropriate services, the inclusion of lived experience mentoring, and tailoring the suicide prevention program to reach its targeted audience. Overall, there is a dearth of literature surrounding community-based suicide prevention initiatives for adults in rural and regional Australia. Further evaluation of community-based projects is required to ensure quality improvement and tailored suicide prevention initiatives for rural and regional Australians.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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A Scoping Review of Community-Based Adult Suicide Prevention Initiatives in Rural and Regional Australia

Dabkowski

Porter

Barbagallo

et al. 2022

IJERPH

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“…Exciting new areas of research and translation are adapting these approaches specifically for pregnancy, including Aboriginal-led development of approaches that incorporate the whole community to support women. Although there is currently little evidence of effectiveness of community-based approaches [32], emerging research demonstrates their feasibility and acceptability when adapted for Aboriginal communities [53,54]. Additionally, there is evidence that combinations of family, school, and community approaches can be effective in reducing alcohol consumption generally [32].…”

Section: Preventing Pae and Promoting Maternal And Child Healthmentioning

confidence: 99%

Community Priority setting for Fetal Alcohol Spectrum Disorder Research in Australia

Finlay‐Jones

Elliott

Mayers³

et al. 2020

IJPDS

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IntroductionFetal Alcohol Spectrum Disorder (FASD) is a neurodevelopmental disorder caused by prenatal alcoholexposure (PAE). FASD research is a rapidly growing field that crosses multiple disciplines. To ensureresearch is relevant and meaningful for people living with FASD, their families, and the broader publicthere is a need to engage community members in setting priorities for research. ObjectivesOur primary objective was to formally identify the views of people living with FASD, their par-ents/caregivers, service providers, and the general community on the research priorities for FASDand alcohol use in pregnancy in Australia. Our secondary objective was to provide an overview ofcurrent research in the highest priority areas identified. MethodsThe approach for this study involved two community surveys and a consensus workshop, followed bya rapid literature review. Survey responses (n = 146) were collected and grouped using qualitativethematic analysis. The themes identified were then ranked in a second survey (n = 45). The 22highest ranked themes were considered in a workshop with 21 community members, and consensuson the top ten priority areas was sought. The priority areas were grouped into conceptually similartopics and rapid literature reviews were undertaken on each. ResultsA diverse range of priorities was identified within key areas of prevention, diagnosis, and therapy. Onrequest from participants, separate priority lists were developed by Aboriginal and non-Aboriginalparticipants. ConclusionsThere is need for a national network of researchers to take forward the research commenced by theCentre of Research Excellence, FASD Research Australia, in addressing community priorities.

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“…One CRA implementation with AI adults with severe AUD found improved AUD outcomes at the 6-month follow-up [36]. A small, single group, feasibility and acceptability study of culturally tailored CRA with Aboriginal and non-Aboriginal participants found significant reductions in substance use at the 3-month follow-up [37].…”

Section: Introductionmentioning

confidence: 99%

Culturally tailored evidence‐based substance use disorder treatments are efficacious with an American Indian Southwest tribe: an open‐label pilot‐feasibility randomized controlled trial

et al. 2020

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Background and Aims Many evidence‐based treatments (EBTs) for substance use disorder (SUD) exist, yet few are tailored to Indigenous patients. This trial tested the efficacy of a culturally tailored EBT that combined Motivational Interviewing and the Community Reinforcement Approach (MICRA) versus treatment as usual (TAU). Design A mixed efficacy/effectiveness randomized controlled trial of MICRA (n = 38) and TAU (n = 41) using a parallel design with follow‐up assessments at 4‐, 8‐, and 12‐ months post baseline. Setting United States, reservation‐based outpatient, addiction specialty care treatment program. Participants 79 (68% male) American Indian and Alaska Native (AI/AN) Tribal members meeting criteria for SUD and seeking SUD treatment. Interventions MICRA (individual therapy sessions beginning with MI for 2–3 sessions) compared with TAU (individual and group counseling sessions in a didactic style with Twelve‐Step philosophy and elements of relapse prevention). Measures Demographics, percent days abstinent (PDA; the primary outcome at 12months assessed by Form 90D), Inventory of Drug Use Consequences, Alcohol and Drug Use Self‐Efficacy Scale, Native American Spirituality Scale, and SCID‐DSM‐IV‐TR. Findings There was no evidence for the benefit of MICRA over TAU (MICRA PDA = 72.63%, TAU = 73.62%, treatment effect: B = −4.04 (SE = 5.47); 95% CI = −14.941, 6.866; BF = 3.44) in the primary outcome. Both groups showed improvements in PDA, SUD severity, and negative consequences from baseline to the 12‐month follow‐up. Neither self‐efficacy nor spirituality were significant mediators of MICRA. Conclusions There were no treatment group differences between culturally tailored evidence‐based treatments for substance use disorder and treatment as usual in this randomized controlled trial with American Indian and Alaska Native participants. Nonetheless, participants improved over time on several substance‐related outcomes.

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Reducing drug and alcohol use and improving well‐being for Indigenous and non‐Indigenous Australians using the Community Reinforcement Approach: A feasibility and acceptability study

Cited by 11 publications

References 24 publications

A Scoping Review of Community-Based Adult Suicide Prevention Initiatives in Rural and Regional Australia

A Scoping Review of Community-Based Adult Suicide Prevention Initiatives in Rural and Regional Australia

Community Priority setting for Fetal Alcohol Spectrum Disorder Research in Australia

Culturally tailored evidence‐based substance use disorder treatments are efficacious with an American Indian Southwest tribe: an open‐label pilot‐feasibility randomized controlled trial

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