混合方法对两种文化定制的药物使用预防计划对美国印第安人/阿拉斯加土著新兴成年人的满意度的评估
Alina I Palimaru1, Ryan A Brown2, Daniel L Dickerson3
1RAND Corporation, 1776 Main Street, Santa Monica, CA, 90401, USA. palimaru@rand.org.
概括
文化定制的计划对面临阿片类药物危机的城市美洲印第安人/阿拉斯加土著新兴成年人有希望. 参与者的反强调了在物质使用干预中便利性,安全性和文化相关性的重要性.
科学领域:
- 公共卫生 公共卫生
- 药物使用研究研究 药物使用研究
- 健康差异 在健康上的差异
背景情况:
- 美国印第安人/阿拉斯加原住民 (AI/AN) 社区的阿片类药物过量死亡率不成比例,特别是在城市新兴成年人中.
- 现有的物质使用预防和干预计划缺乏针对城市AI/AN新兴成年人的文化定制.
- 城市AI/AN新兴成年人面临着独特的挑战,包括有限的资源和时间,影响计划的可行性.
研究的目的:
- 评估参与者对两个文化定制计划 (阿片类药物,大麻,酒精使用) 的满意度和经验,在城市土著美国人的传统和联系 (TACUNA) 随机对照试验中.
- 通过了解他们的观点,提高城市AI/AN新兴成年人的物质使用干预措施的可行性.
- 探索程序组件对行为变化的感知影响.
主要方法:
- 融合混合方法设计使用满意度/经验评级和162个城市AI/AN新兴成年人的书面叙述在3个月的随访.
- 同时分析定量 (评分) 和定性 (叙述) 数据,以全面了解参与者的经验.
- 包括干预 (n=77) 和控制 (n=85) 组,以捕捉更广泛的经验.
主要成果:
- 这两个文化定制的项目都获得了来自参与者的高满意度评分.
- 定性数据显示,被认为促进行为改变的程序组件包括虚拟格式的便利性,安全的共享空间和社交网络信息.
- 主要参与者的偏好包括便利性,安全性和文化相关性;负面反集中在研讨会的长度和安排上.
结论:
- 文化上量身定制的物质使用计划可以得到城市AI/AN新兴成年人的高度评价.
- 计划设计必须考虑参与者识别的促进者,如虚拟便利,安全的共享空间和文化相关的内容.
- 解决安排和持续时间等实际障碍对于改善对这个服务不足的人群进行干预的可行性和有效性至关重要.
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