Sacred Connections

A university-tribal clinical research partnership for school-based screening and brief intervention for substance use problems among Native American youth

Dados Bibliográficos

ID12759885
AutoresStaci Leon Morris (0000-0003-3271-6188, Florida International University, autor correspondente), Michelle M Hospital (0000-0002-9941-9607, Florida International University), Eric F Wagner (0000-0001-9222-085X, Florida International University), John Lowe (0000-0002-8468-9276, Florida State University), Michelle Thompson (0000-0003-0483-8436, University of Pennsylvania), Rachel Clarke (0000-0003-0102-7777), Rachel D Clarke (0000-0001-9606-2510, Florida International University), Cheryl Riggs (Florida State University)
Ano2020
Volume30
Fascículo1-2
Páginas149-162
Data de publicação2020-06-08
Peer ReviewedSim
Open AccessNão
TipoARTICLE
PeriódicoJournal of Ethnic & Cultural Diversity in Social Work (JOURNAL)
Identificadores do periódicoISSN: 1531-3204 • E-ISSN: 1531-3212
EditoraTaylor & Francis (PUBLISHER • GB)
DOI10.1080/15313204.2020.1770654
PMID33732098
OpenAlexW3035366001
IdiomaEN
Citações recebidas2
Referências citadas37

Native American (NA) youth report higher rates of alcohol, marijuana, and drug use than U.S. adolescents from any other racial/ethnic group. Addressing this health disparity is a significant research priority across public health, minority health, and dissemination and implementation (D&I) sciences, underscoring the need for empirically-based interventions tailored for NA youth. Effective D&I with NA youth incorporates NA cultural values and involves tribal elders and stakeholders. SACRED Connections (NIDA R01DA02977) was a university-tribal research partnership that utilized a culturally derived Native-Reliance theoretical framework and a community-based participatory research (CBPR) approach. A significant objective of this randomized controlled trial was to close D&I gaps utilizing the RE-AIM Model and National Culturally and Linguistically Appropriate Services (CLAS) in Health and Health Care Standards (HHS, 2019). Findings of this 5-year RCT revealed a statistically significant protective relationship between Native Reliance and baseline lifetime and past month alcohol and marijuana use; additionally, the likelihood of reporting marijuana use at 3 months post-intervention was significantly lower among the active condition than among the control condition. Implementation of a developmentally and NA culturally tailored brief protocol revealed: partnering with Native Americans and utilizing CBPR facilitated engagement with this hard-to-reach, underserved community; age and culture are associated with substance use severity among NA teens; a culturally adapted Motivational Interviewing (MI) brief intervention may be effective in reducing marijuana use among NA youth; the Native Reliance theory proved useful as a framework for working with this population; and RE-AIM proved helpful in conceptualizing health equity promoting D&I

Blueprint · Community-based participatory research · Ethnic group · General partnership · Health equity · Intervention (counseling · Participatory action research · Political science · Psychological intervention · Public health · Randomized controlled trial · Sociology · Community Health and Development · Indigenous Health, Education, and Rights · Medicine · Nursing · Prenatal Substance Exposure Effects · Psychology · Gerontology