Commentary on Venner <i>et al</i>. : Community‐based participatory research opens doors to rigorous addiction treatment research with Indigenous communities

Skewes, Monica C.

doi:10.1111/add.15299

Cited by 3 publications

References 18 publications

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The Lived Experiences of Puerto Rican Mental Health Professionals Who Provided Postdisaster Counseling Services to Children

Rodríguez Delgado

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This photovoice study explored the lived experiences of nine Puerto Rican mental health professionals who provided postdisaster counseling services to children. Due to the complex and multilayered experiences of Puerto Rican mental health professionals, this study used intersectionality as the theoretical lens to facilitate thematic analysis of the data. Results from coresearchers' narratives and photographs generated seven major themes: (a) la politiquería of disasters; (b) the impact of compounding disasters; (c) Puerto Rico se levanta: strategies for collective healing; (d) impact of disasters on children; (e) experiences with clients; (f) awareness, action, change; and (g) supporting, connecting, and transforming. The results and discussion provide awareness into the experiences of Puerto Rican clinicians who formed part of disaster response efforts in their own community. Clinical, educational, and research implications are drawn from coresearchers' narratives and insight.

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The Lived Experiences of Puerto Rican Mental Health Professionals Who Provided Postdisaster Counseling Services to Children

Rodríguez Delgado

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The Cultural Adaption of a Sobriety Support App for Alaska Native and American Indian People: Qualitative Feasibility and Acceptability Study

Trinidad¹,

Shane²,

Guinn³

et al. 2023

JMIR Form Res

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Background Despite high rates of alcohol abstinence, Alaska Native and American Indian (ANAI) people experience a disproportionate burden of alcohol-related morbidity and mortality. Multiple barriers to treatment exist for this population, including a lack of culturally relevant resources; limited access to or delays in receiving treatment; and privacy concerns. Many ANAI people in the state of Alaska, United States, live in sparsely populated rural areas, where treatment access and privacy concerns regarding peer-support programs may be particularly challenging. In addition, prior research demonstrates that many ANAI people prefer a self-management approach to sobriety, rather than formal treatment. Taken together, these factors suggest a potential role for a culturally adapted smartphone app to support ANAI people interested in changing their behavior regarding alcohol use. Objective This study was the first phase of a feasibility and acceptability study of a culturally tailored version of an off-the-shelf smartphone app to aid ANAI people in managing or reducing their use of alcohol. The aim of this qualitative needs assessment was to gather insights and preferences from ANAI people and health care providers serving ANAI people to guide feature development, content selection, and cultural adaptation before a pilot test of the smartphone app with ANAI people. Methods From October 2018 to September 2019, we conducted semistructured interviews with 24 ANAI patients aged ≥21 years and 8 providers in a tribal health care organization in south-central Alaska. Results Participants generally endorsed the usefulness of a smartphone app for alcohol self-management. They cited anonymity, 24/7 access, peer support, and patient choice as key attributes of an app. The desired cultural adaptations included ANAI- and land-themed design elements, cultural content (eg, stories from elders), and spiritual resources. Participants considered an app especially useful for rural-dwelling ANAI people, as well as those who lack timely access to treatment services or prefer to work toward managing their alcohol use outside the clinical setting. Conclusions This needs assessment identified key features, content, and cultural adaptations that are being implemented in the next phase of the study. In future work, we will determine the extent to which these changes can be accommodated in a commercially available app, the feasibility of implementation, and the acceptability of the culturally adapted version of the app among ANAI users.

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Cultural Adaption of a Sobriety Support App for Alaska Native and American Indian People: A Qualitative Study (Preprint)

Trinidad¹,

Shane²,

Guinn³

et al. 2022

Preprint

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BACKGROUND Despite high rates of alcohol abstinence, Alaska Native and American Indian (ANAI) people experience a disproportionate burden of alcohol-related morbidity and mortality. Lack of culturally relevant resources, combined with limited treatment access and privacy concerns regarding peer-support programs in rural areas, poses particular treatment barriers for ANAI people. OBJECTIVE Objective: This study was the first phase of a feasibility study of a culturally tailored version of an off-the-shelf smartphone app to aid ANAI people in managing or reducing their use of alcohol. Its goal was to gather insights and preferences from ANAI people and ANAI-serving healthcare providers to guide feature development and cultural adaptation. METHODS In October 2018 – September 2019, we conducted semi-structured interviews with 24 ANAI patients and 8 providers in a Tribal healthcare organization in southcentral Alaska. RESULTS Participants generally endorsed the usefulness of a smartphone app for alcohol self-management, citing anonymity, 24/7 access, peer support, and patient choice as key attributes. Desired cultural adaptations included ANAI and land-themed design elements, cultural content (e.g., stories from Elders), and spiritual resources. CONCLUSIONS ANAI patients and their providers were receptive to the idea of a culturally adapted smartphone app for sobriety support. They considered an app especially useful for rural-dwelling ANAI people, as well as those who lack timely access to treatment services or prefer to work toward managing their alcohol use outside the clinical setting. These results are guiding the next phase of the study.

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Commentary on Venner et al. : Community‐based participatory research opens doors to rigorous addiction treatment research with Indigenous communities

Cited by 3 publications

References 18 publications

The Lived Experiences of Puerto Rican Mental Health Professionals Who Provided Postdisaster Counseling Services to Children

The Lived Experiences of Puerto Rican Mental Health Professionals Who Provided Postdisaster Counseling Services to Children

The Cultural Adaption of a Sobriety Support App for Alaska Native and American Indian People: Qualitative Feasibility and Acceptability Study

Cultural Adaption of a Sobriety Support App for Alaska Native and American Indian People: A Qualitative Study (Preprint)

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