BACKGROUND: Substance abuse is one of the nation's primary health concerns. Native American youth experience higher rates of substance abuse than other youth. There is little empirical evidence that exists concerning the use of culturally-based interventions among Native American adolescents. OBJECTIVES: This study used a community-based participatory research approach to develop and evaluate an innovative school-based cultural intervention targeting substance abuse among a Native American adolescent population. METHODS: A two-condition quasi-experimental study design was used to compare the Cherokee Talking Circle (CTC) culturally-based intervention condition (n = 92) with the Be A Winner Standard Education (SE) condition (n = 87). Data were collected at pre-intervention, immediate post-intervention, and 90-day post-intervention using the Cherokee Self-Reliance Questionnaire, Global Assessment of Individual Needs - Quick, and Written Stories of Stress measures. RESULTS: Significant improvements were found among all measurement outcomes for the CTC culturally-based intervention. CONCLUSIONS: The data provide evidence that a Native American adolescent culturally-based intervention was significantly more effective for the reduction of substance abuse and related problems than a noncultural-based intervention. SCIENTIFIC SIGNIFICANCE: This study suggests that cultural considerations may enhance the degree to which specific interventions address substance abuse problems among Native American adolescents.
RCT Entities:
BACKGROUND:Substance abuse is one of the nation's primary health concerns. Native American youth experience higher rates of substance abuse than other youth. There is little empirical evidence that exists concerning the use of culturally-based interventions among Native American adolescents. OBJECTIVES: This study used a community-based participatory research approach to develop and evaluate an innovative school-based cultural intervention targeting substance abuse among a Native American adolescent population. METHODS: A two-condition quasi-experimental study design was used to compare the Cherokee Talking Circle (CTC) culturally-based intervention condition (n = 92) with the Be A Winner Standard Education (SE) condition (n = 87). Data were collected at pre-intervention, immediate post-intervention, and 90-day post-intervention using the Cherokee Self-Reliance Questionnaire, Global Assessment of Individual Needs - Quick, and Written Stories of Stress measures. RESULTS: Significant improvements were found among all measurement outcomes for the CTC culturally-based intervention. CONCLUSIONS: The data provide evidence that a Native American adolescent culturally-based intervention was significantly more effective for the reduction of substance abuse and related problems than a noncultural-based intervention. SCIENTIFIC SIGNIFICANCE: This study suggests that cultural considerations may enhance the degree to which specific interventions address substance abuse problems among Native American adolescents.
Authors: Dennis M Donovan; Lisa Rey Thomas; Robin Little Wing Sigo; Laura Price; Heather Lonczak; Nigel Lawrence; Katie Ahvakana; Lisette Austin; Albie Lawrence; Joseph Price; Abby Purser; Lenora Bagley Journal: Am Indian Alsk Native Ment Health Res Date: 2015
Authors: Susan E Collins; Silvi C Goldstein; Victorio L King; Victoria E Orfaly; Jingyan Gu; Alex Clark; Alexander Vess; Gary Lee; Emily M Taylor; Taurmini Fentress; Ashley K Braid; Seema L Clifasefi Journal: J Community Psychol Date: 2020-12-10
Authors: R Brian Woodbury; Scott Ketchum; Vanessa Y Hiratsuka; Paul Spicer Journal: Int J Environ Res Public Health Date: 2019-08-18 Impact factor: 3.390
Authors: Margo Rowan; Nancy Poole; Beverley Shea; Joseph P Gone; David Mykota; Marwa Farag; Carol Hopkins; Laura Hall; Christopher Mushquash; Colleen Dell Journal: Subst Abuse Treat Prev Policy Date: 2014-09-01