Recruitment and retention of American Indian youth and caregivers in a culturally adapted prevention program

Bibliographic Data

ID2395577
AuthorsJamy K Rentschler (0000-0001-9712-4373, University of Nebraska–Lincoln, corresponding author), Maia Behrendt (0000-0001-5832-1059, St. Norbert College), Maia C Behrendt (Department of Sociology, St. Norbert College, De Pere, WI, USA), Dan R Hoyt (0000-0002-4017-5396, University of Nebraska–Lincoln), Les B Whitbeck (University of Nebraska–Lincoln)
Year2024
Volume61
Issue3
Pages504-518
Publication date2024-06-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueTranscultural Psychiatric Research Review (JOURNAL)
Journal identifiersISSN: 0041-1108 • E-ISSN: 0315-4386
PublisherSAGE Publications Inc (PUBLISHER)
DOI10.1177/13634615231213836
PMID38062649
OpenAlexW4389485660
LanguageEN
Citations received2
References cited87

This article seeks to understand to what extent cultural engagement and substance use risk factors influence families' decisions to participate, and ultimately complete, a culturally grounded substance use prevention program. Using data from a 14-week culturally oriented family-based substance use prevention program, we examine predictors of successful recruitment and retention of American Indian youth and their caregivers. Guided by the theoretical model for developing culturally specific preventions, the community-based approach to recruitment resulted in 85.6% of eligible families from two American Indian communities agreeing to participate in the randomized controlled trial. After completion of baseline surveys, 57.3% of the intervention selected families initiated participation in the program sessions and 67.8% of these families completed participation in the program. We used logistic regression to analyze two different models: one that predicted whether invited families chose to participate and whether participating families attended eight or more sessions. Important predictors of participation in the intervention program included single-caregiver households, youth Indigenous language and cultural identity, youth early substance use initiation, and household substance use exposure. Overall, results from this study highlight the importance of fully engaged community research partnerships for multi-session family-based interventions, while identifying potential challenges to program recruitment and participation

Culturally appropriate · Ethnic group · Indigenous · Intervention (counseling · Psychiatry · Psychological intervention · Sociology · Substance abuse prevention · Substance use · Clinical Psychology · Community Health and Development · Health Policy Implementation Science · Medicine · Psychology · Substance Abuse Treatment and Outcomes · Gerontology