桥梁传统和预防:对城市AI/AN社区实施和维持物质使用计划的洞察力
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
概括
美国印第安人和阿拉斯加本土人 (AI/AN) 新兴成年人的文化相关的物质使用预防计划需要社区定制的方法. 可持续性需要文化为基础的劳动力,资金和政策变化来解决不平等问题.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 药物使用预防 药物使用预防
背景情况:
- 对美国印第安人和阿拉斯加原住民 (AI/AN) 的人口来说,物质使用预防计划在与文化相关且参与社区活动时是有希望的.
- 关于AI/AN组织和社区的项目实施和可持续性的研究有限.
研究的目的:
- 探索用于AI/AN新兴成年人的物质使用预防计划的实施和可持续性因素.
- 收集AI/AN服务提供商和管理员对计划成功的见解.
主要方法:
- 与AI/AN服务提供商和管理员进行了20次虚拟深度访谈.
- 专注于虚拟TACUNA计划随机对照试验的参与者.
主要成果:
- 成功的关键因素包括具有文化基础的劳动力,足够的资金和合作伙伴关系.
- 综合护理模式,混合交付,社区信任建设和文化适当的评估至关重要.
- 需要进行系统性政策变革,以解决资金不平等和监管障碍.
结论:
- 根据文化价值观和社区需求调整计划对于AI/AN药物使用预防至关重要.
- 系统性政策变化是必要的,以提高这些举措的有效性和可持续性.
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