Religious and Spiritual Practices Among Homeless Urban American Indians and Alaska Natives with Severe Alcohol Problems

Wendt, Dennis C.; Collins, Susan E.; Nelson, Lonnie A.; Serafini, Kelly; Clifasefi, Seema L.; Donovan, Dennis M.

doi:10.5820/aian.2403.2017.39

Cited by 11 publications

(7 citation statements)

References 44 publications

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“…Moreover, some of the participants said that an inauthentic, overly prescriptive, or “pan-Indian” approach would dissuade them from using the app. Our results, as well as prior research, support the value of spiritual and religious practices as a protective factor against alcohol misuse and an aid to recovery among ANAI people [ 57 , 67 - 72 ]. Determining the feasibility of offering relevant options for potential ANAI users, together with exploring mechanisms to enable users to configure this feature themselves, will be a focus of the next phase of research.…”

Section: Discussionsupporting

confidence: 86%

The Cultural Adaption of a Sobriety Support App for Alaska Native and American Indian People: Qualitative Feasibility and Acceptability Study

Trinidad¹,

Shane²,

Guinn³

et al. 2023

JMIR Form Res

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Background Despite high rates of alcohol abstinence, Alaska Native and American Indian (ANAI) people experience a disproportionate burden of alcohol-related morbidity and mortality. Multiple barriers to treatment exist for this population, including a lack of culturally relevant resources; limited access to or delays in receiving treatment; and privacy concerns. Many ANAI people in the state of Alaska, United States, live in sparsely populated rural areas, where treatment access and privacy concerns regarding peer-support programs may be particularly challenging. In addition, prior research demonstrates that many ANAI people prefer a self-management approach to sobriety, rather than formal treatment. Taken together, these factors suggest a potential role for a culturally adapted smartphone app to support ANAI people interested in changing their behavior regarding alcohol use. Objective This study was the first phase of a feasibility and acceptability study of a culturally tailored version of an off-the-shelf smartphone app to aid ANAI people in managing or reducing their use of alcohol. The aim of this qualitative needs assessment was to gather insights and preferences from ANAI people and health care providers serving ANAI people to guide feature development, content selection, and cultural adaptation before a pilot test of the smartphone app with ANAI people. Methods From October 2018 to September 2019, we conducted semistructured interviews with 24 ANAI patients aged ≥21 years and 8 providers in a tribal health care organization in south-central Alaska. Results Participants generally endorsed the usefulness of a smartphone app for alcohol self-management. They cited anonymity, 24/7 access, peer support, and patient choice as key attributes of an app. The desired cultural adaptations included ANAI- and land-themed design elements, cultural content (eg, stories from elders), and spiritual resources. Participants considered an app especially useful for rural-dwelling ANAI people, as well as those who lack timely access to treatment services or prefer to work toward managing their alcohol use outside the clinical setting. Conclusions This needs assessment identified key features, content, and cultural adaptations that are being implemented in the next phase of the study. In future work, we will determine the extent to which these changes can be accommodated in a commercially available app, the feasibility of implementation, and the acceptability of the culturally adapted version of the app among ANAI users.

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Section: Discussionsupporting

confidence: 86%

The Cultural Adaption of a Sobriety Support App for Alaska Native and American Indian People: Qualitative Feasibility and Acceptability Study

Trinidad¹,

Shane²,

Guinn³

et al. 2023

JMIR Form Res

View full text Add to dashboard Cite

show abstract

“…Five studies 31–34 , 35 found TCP participation or interventions to be associated with a lower proportion of self-reported substance use behaviors. Three studies 28 , 36 , 37 found that TCP participation was associated with either fewer days consuming alcohol or fewer alcoholic drinks consumed. One study 33 reported lower substance use odds associated with TCP participation.…”

Section: Resultsmentioning

confidence: 99%

Traditional Ceremonial Practices as a Strategy to Reduce Problem Substance Use in American Indian Communities: A Systematic Review

Chase-Begay,

Peterson,

Liddell

et al. 2023

Journal of Integrative and Complementary Medicine

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Objective: This systematic review assessed the feasibility of American Indian traditional ceremonial practices (TCPs) to address problem substance use in both reservation and urban settings. Methods: Between September 24, 2021, and January 14, 2022, culturally specific review protocols were applied to articles retrieved from over 160 electronic databases—including PubMed, Global Health, Global Health Archive, CINAHL Complete, PsychInfo, Web of Science, Health and Wellness (Gale), Sage Online Journals, and ScienceDirect. Results: A total of 10 studies met the criteria for inclusion in the review. Studies were conducted with both urban ( n = 7) and reservation ( n = 3) American Indian and Alaska Native (AIAN) populations. The most common TCP activities reported were drumming ( n = 9), sweat lodge ( n = 7), and talking circles ( n = 6). All 10 studies reported some type of quantitative data showing a reduction of substance use associated with TCP interventions or activities. Conclusions: The current status of the literature is emerging and does not allow for meta-analysis of existing studies. However, the existing literature does indicate promise for the use of TCPs to address problem substance use in AIAN communities in a way that is effective and also culturally congruent.

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“…Other studies also clearly showed the importance of spiritual practices in various life situations such as that done by Wendt et al (2017) concerning spiritual practices among the homeless which found that respondents who were increasingly frequent doing spiritual practices became increasingly less addicted to alcohol. A study by Carr & Kroth (2017) found that spiritual practices such as solah (prayer), fasting, ibadah (acts of devotion) helped a person to get closer to God and this was self-transformation process.…”

Section: Introductionmentioning

confidence: 94%

“…This finding is in line with a study which found that religion and spirituality play a very important role in human life. Religion plays various roles such as it gives peace of mind, gives strength to face the trial of ill-health, assists in self-transformation, builds positive emotions and reduces feelings of depression (Emlet et al 2018;Van de Velde et al 2017;Carr & Kroth 2017;Wendt et al 2017;Van Cappellen et al 2016;Abdullah et al, 2016;Gopal, 2014;Mokhtar & Albaraka, 2016;Hamjah et al2017;Hamjah & Mohd. Arib, 2015).…”

Section: 73mentioning

confidence: 99%

Lifestyle and Spiritual Practices of Generation Z

Manap¹,

Hamjah²,

Idris³

et al. 2021

IJARBSS

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Lifestyle reflects how a person spends his time in daily routine and life. A lifestyle which does not adhere to spiritual values may compromise a person's well-being such as engaging in illegal street racing, free sex and gangsterism. This research aimed to identify the lifestyle activities of Generation Z, study their spiritual practices and analyze the relationship between the lifestyle activities and spiritual practices among Gen Z. This research is designed as a survey study. The main research instrument is questionnaire. Respondents are selected by stratified random sampling involving 673 Malaysian adolescents. The results showed that Gen Z are very concerned with personal hygiene. The spiritual practices most observed by Gen Z are solah, fasting, doa and being grateful. The research found that there is a significant relationship between lifestyle activities and spiritual practices among Gen Z. Spiritual practices have a positive impact on Gen Z's lifestyle and well-being.

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Religious and Spiritual Practices Among Homeless Urban American Indians and Alaska Natives with Severe Alcohol Problems

Cited by 11 publications

References 44 publications

The Cultural Adaption of a Sobriety Support App for Alaska Native and American Indian People: Qualitative Feasibility and Acceptability Study

The Cultural Adaption of a Sobriety Support App for Alaska Native and American Indian People: Qualitative Feasibility and Acceptability Study

Traditional Ceremonial Practices as a Strategy to Reduce Problem Substance Use in American Indian Communities: A Systematic Review

Lifestyle and Spiritual Practices of Generation Z

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