Focus groups to increase the cultural acceptability of a contingency management intervention for American Indian and Alaska Native Communities

Hirchak, Katherine; Leickly, Emily; Herron, Jalene; Shaw, Jennifer; Skalisky, Jordan; Dirks, Lisa G.; Avey, Jaedon P; McPherson, Sterling; Nepom, Jenny R.; Donovan, Dennis M.; Buchwald, Dedra; McDonell, Michael G.

doi:10.1016/j.jsat.2018.04.014

Cited by 31 publications

(48 citation statements)

References 38 publications

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“…Nine studies focussed on alcohol dependence or 'alcoholism' (sic) [24,29,56,64,69,[72][73][74][75]. Two studies focused on alcohol use disorders more broadly (severity not specified) [30,31]. No study was found to exclude clients with dependence.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Of the remaining 17 studies, a variety of terms were used to describe the nature of the alcohol problem being treated (Table 3). No diagnostic criteria or screening thresholds were provided for the majority (n = 19, 68%) of studies ( [31,54,56,58,60,63,64,66,71], and six were mixed methods (21.5%) [29,30,59,65,67,68].…”

Section: Study Characteristicsmentioning

confidence: 99%

“…We classified studies according to their research focus (Table 3). Two-thirds (n = 18) of the studies focused on treatment accessibility or acceptability from the perspective of clients (n = 6), staff (n = 8) or both (n = 4) [30,31,55,57,65,76]; [54,56,58,60,68,70,71,77]; [63,64,66,74]. The remaining one-third focused on treatment effectiveness (n = 4) [24,69,73,75]; effectiveness-implementation (n = 3) [29,62,72] or implementation research (n = 3) [59,61,67].…”

Section: Study Characteristicsmentioning

confidence: 99%

“…unhealthy alcohol use. Eight studies reported on both [31,[62][63][64][65][66][67]69]. The balance of western compared to cultural approaches varied by country.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…The two studies from New Zealand solely focused on the importance and acceptability of culture in alcohol care [76,77]. Half of US-based studies (n = 4/8) included cultural approaches [31,66,69,74]. The two Canadian studies explored bicultural approaches [63,64].…”

Section: Study Characteristicsmentioning

confidence: 99%

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What can primary care services do to help First Nations people with unhealthy alcohol use? A systematic review: Australia, New Zealand, USA and Canada

Purcell‐Khodr

Lee

Conigrave

et al. 2020

Addict Sci Clin Pract

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Background: First Nations peoples of Australia, New Zealand, the United States of America (USA) and Canada are more likely to be non-drinkers than other people in these countries. However, those who do drink may be at greater risk of alcohol-related harms (at a population level) due to the ongoing impacts from colonisation and associated oppression. Addressing unhealthy drinking (drinking above recommended limits including alcohol use disorders) in primary care settings is one important way to increase accessibility of treatment. Methods: This systematic review identifies peer-reviewed studies of alcohol treatments delivered in primary care or other non-residential settings for First Nations peoples of Australia, New Zealand, USA and Canada. Literature searches were conducted in seven academic databases from their inception until March, 2020. We assessed evidence of treatment or implementation effectiveness, perceived acceptability or accessibility, and the study quality as assessed by the AXIS tool and by a measure of community participation in the research process. Results: Twenty-eight studies were included, published between 1968 and 2018. Studies reported on a range of alcohol treatments, from brief intervention to ambulatory withdrawal management, relapse prevention medicines, and cultural therapies. Brief intervention was the most studied approach. Cultural healing practices and bicultural approaches were a key theme amongst several studies. Four studies measured treatment effectiveness, including one randomised controlled trial (naltrexone vs naltrexone plus sertraline vs placebo) and two uncontrolled trials of disulfiram. Of the six implementation studies, three were (hybrid) effectiveness-implementation designs. Most of the remaining studies (n = 21) focused on treatment accessibility or acceptability. Community participation in the research process was poorly reported in most studies. Conclusions: Research evidence on how best to care for First Nations peoples with unhealthy alcohol use is limited. Trials of naltrexone and disulfiram presented promising results. Cultural and bicultural care were perceived as highly important to clinical staff and clients in several studies. More effectiveness studies on the full scope of alcohol treatments are needed. Greater community participation in research and more transparent reporting of this in study methods will be key to producing quality research that combines scientific rigour with cultural appropriateness.

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Section: Study Characteristicsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

“…unhealthy alcohol use. Eight studies reported on both [31,[62][63][64][65][66][67]69]. The balance of western compared to cultural approaches varied by country.…”

Section: Study Characteristicsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

See 3 more Smart Citations

What can primary care services do to help First Nations people with unhealthy alcohol use? A systematic review: Australia, New Zealand, USA and Canada

Purcell‐Khodr

Lee

Conigrave

et al. 2020

Addict Sci Clin Pract

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Effect of Incentives for Alcohol Abstinence in Partnership With 3 American Indian and Alaska Native Communities

et al. 2021

Self Cite

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and Alaska Native communities are disproportionately affected by problems with alcohol use and seek culturally appropriate and effective interventions for individuals with alcohol use disorders.OBJECTIVE To determine whether a culturally tailored contingency management intervention, in which incentives were offered for biologically verified alcohol abstinence, resulted in increased abstinence among American Indian and Alaska Native adults. This study hypothesized that adults assigned to receive a contingency management intervention would have higher levels of alcohol abstinence than those assigned to the control condition. DESIGN, SETTING, AND PARTICIPANTSThis multisite randomized clinical trial, the Helping Our Native Ongoing Recovery (HONOR) study, included a 1-month observation period before randomization and a 3-month intervention period. The study was conducted at 3 American Indian and Alaska Native health care organizations located in Alaska, the Pacific Northwest, and the

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Trending the evidence on opioid use disorder (OUD) continuum of care among rural American Indian/Alaskan Native (AI/AN) tribes: A systematic scoping review

Mpofu

Ingman

Matthews-Juarez

et al. 2021

Addictive Behaviors

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Focus groups to increase the cultural acceptability of a contingency management intervention for American Indian and Alaska Native Communities

Cited by 31 publications

References 38 publications

What can primary care services do to help First Nations people with unhealthy alcohol use? A systematic review: Australia, New Zealand, USA and Canada

What can primary care services do to help First Nations people with unhealthy alcohol use? A systematic review: Australia, New Zealand, USA and Canada

Effect of Incentives for Alcohol Abstinence in Partnership With 3 American Indian and Alaska Native Communities

Trending the evidence on opioid use disorder (OUD) continuum of care among rural American Indian/Alaskan Native (AI/AN) tribes: A systematic scoping review

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