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ASSIST en Pitjantjatjara: Protocolo para un estudio de validación cruzado aleatorio entre los aborígenes australianos
Matthew W R Stevens1, Sue Bertossa2, Dominic Barry3
1School of Biomedicine, The University of Adelaide, Adelaide, SA, Australia.
Contemporary clinical trials communications
|September 2, 2025
Resumen
Este estudio valida la prueba de detección de alcohol, tabaquismo y adicción a sustancias (ASSIST) en Pitjantjatjara, una lengua aborigen, para mejorar la detección de consumo de sustancias para los indígenas australianos. Los hallazgos tienen como objetivo apoyar intervenciones de salud culturalmente seguras y reducir las disparidades de salud.
Área de la Ciencia:
- Salud indígena
- Medicina para la adicción
- Investigación en servicios de salud
Sus antecedentes:
- El consumo de sustancias es una carga importante para la salud en Australia, afectando desproporcionadamente a los pueblos aborígenes y isleños del Estrecho de Torres debido al trauma histórico y en curso.
- Las herramientas de detección culturalmente apropiadas y validadas son cruciales para la identificación temprana y el apoyo de las personas en riesgo.
- Las herramientas de detección existentes pueden no ser adecuadas para su uso en lenguas indígenas, lo que crea una barrera para acceder a la atención.
Objetivo del estudio:
- Validar la prueba de detección de alcohol, tabaquismo y adicción a sustancias (ASSIST) para su uso en el idioma Pitjantjatjara.
- Asegurar que la herramienta de detección sea culturalmente aceptable, válida y confiable para los pueblos aborígenes y isleños del Estrecho de Torres.
- Facilitar la detección temprana de los daños relacionados con las sustancias y mejorar el acceso a los servicios de apoyo.
Principales métodos:
- El estudio incluye el reclutamiento de participantes de entre 18 y 65 años de varios entornos aborígenes de salud y bienestar en Australia del Sur.
- Los participantes completarán la herramienta ASSIST a través de una aplicación iPad y se someterán a una entrevista de diagnóstico semiestructurada con un intérprete de Pitjantjatjara.
- La fiabilidad se evaluará completando la aplicación repetidamente, y la validez se verificará a través de una evaluación clínica especializada para los participantes de alto riesgo.
Principales resultados:
- Esta sección no es aplicable ya que el resumen describe un protocolo de estudio.
- El estudio está diseñado para generar datos sobre la validez y fiabilidad de la herramienta ASSIST adaptada a Pitjantjatjara.
- Los resultados indicarán la eficacia de la herramienta de cribado traducida en la identificación de trastornos por consumo de sustancias.
Conclusiones:
- Las herramientas de detección válidas y fiables son esenciales para abordar los daños relacionados con el uso de sustancias.
- La validación exitosa de la herramienta Pitjantjatjara ASSIST podría contribuir significativamente a los esfuerzos dirigidos por la comunidad para reducir las brechas de salud.
- Esta herramienta culturalmente adaptada tiene el potencial de mejorar los resultados de salud al abordar los factores de riesgo modificables en las comunidades indígenas.
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