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一项针对美国印第安人和阿拉斯加原住民成年人,患有酒精使用障碍的虚拟危害减少谈话圈的试点研究

Lonnie A Nelson¹, Emma Shinagawa¹, Celina Mahinalani Garza²

¹Department of Nursing and Systems Science, Washington State University, Spokane, Washington, USA.

Journal of community psychology

|June 27, 2024

概括

根据文化定制的虚拟减少伤害谈话圈 (HaRTC) 对美国印第安人和阿拉斯加本土人 (AI/AN) 患有酒精使用障碍 (AUD) 的人来说是有前途的. 这项试点研究发现干预是可行的和可以接受的,参与者报告了减少酒精使用和改善生活质量.

科学领域:

公共卫生公共卫生
成药物药物药物药物
土著健康土著健康

背景情况:

对美国印第安人和阿拉斯加本土人 (AI/AN) 患有酒精使用障碍 (AUD) 的人来说,文化一致的,可访问的干预措施至关重要.
由于COVID-19大流行,需要进行适应,从而发展出虚拟干预措施.
社区的投入指导着创建一个文化相关的,较低障碍的方法.

研究的目的:

评估虚拟降低伤害谈话圈 (HaRTC) 的可行性和可接受性,用于AI/AN患有AUD的人.
探索与出席,文化联系,生活质量和酒精使用有关的初始结果.
在疫情期间调整现有干预措施以进行远程分娩.

主要方法:

一项为期8周的单臂试点研究,涉及51名AI/AN参与者,他们来自不同部落和美国各州.
参与者在基线采访后参加了每周的虚拟HaRTC会议.
在基线,中点和测试后收集的数据包括可接受性,文化联系,生活质量和酒精结果.

主要成果:

报告说,接受度很高,参与者对虚拟HaRTC的有效性,文化一致性,帮助性和执行性进行了好评.
参与者显示,饮酒日数和与酒精有关的伤害数量在统计学上显著下降.
灵性和与健康有关的生活质量随着更多人参加HaRTC会议而增加.

结论:

虚拟HaRTC证明了最初的可行性和可接受性,作为AI/AN个人与AUD的文化协调干预.
该干预措施显示了改善与酒精有关的结果和生活质量的潜力.
未来的随机对照试验是有必要的,以确定疗效.

关键词:

美国印第安人/阿拉斯加原住民酒精使用障碍饮酒障碍减少伤害减少伤害谈论圆圈的谈话圈

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