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Puente entre tradiciones y prevención: Perspectivas sobre la implementación y sostenibilidad de programas de uso de

Alina I Palimaru¹, Nipher Malika¹, Ryan A Brown¹

¹RAND Corporation, Santa Monica, CA, United States of America.

Journal of substance use and addiction treatment

|January 18, 2026

Resumen

Los programas culturalmente relevantes de prevención del uso de sustancias para adultos emergentes de nativos americanos y de Alaska (IA/AN) necesitan enfoques adaptados a la comunidad. La sostenibilidad requiere una fuerza laboral, financiación y cambios en las políticas arraigados en la cultura para abordar las inequidades.

Área de la Ciencia:

Salud Pública
Investigación de Servicios de Salud
Prevención del Uso de Sustancias

Sus antecedentes:

Los programas de prevención del uso de sustancias muestran promesa para las poblaciones de nativos americanos y de Alaska (IA/AN) cuando son culturalmente relevantes y están involucrados en la comunidad.
Existe una investigación limitada sobre la implementación y sostenibilidad de programas dentro de las organizaciones y comunidades de IA/AN.

Objetivo del estudio:

Explorar los factores de implementación y sostenibilidad de los programas de prevención del uso de sustancias que sirven a adultos emergentes de IA/AN.
Recopilar información de proveedores de servicios y administradores de IA/AN sobre el éxito del programa.

Principales métodos:

Se realizaron 20 entrevistas virtuales en profundidad con proveedores de servicios y administradores de IA/AN.
Se centró en participantes que siguieron un ensayo de control aleatorio del programa virtual TACUNA.

Principales resultados:

Los factores clave para el éxito incluyen una fuerza laboral arraigada en la cultura, financiación adecuada y asociaciones colaborativas.
Los modelos de atención integrada, la entrega híbrida, la creación de confianza en la comunidad y la evaluación culturalmente apropiada son cruciales.
Se necesitan cambios sistémicos en las políticas para abordar las inequidades de financiación y las barreras regulatorias.

Conclusiones:

Adaptar los programas a los valores culturales y las necesidades de la comunidad es esencial para la prevención del uso de sustancias en IA/AN.
Se necesitan cambios sistémicos en las políticas para mejorar la efectividad y sostenibilidad de estas iniciativas.

Palabras clave:

nativo americano y de alaska Implementación Prevención Uso de sustancias Sostenibilidad

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