Psychosocial and Community Health, School of Nursing, Seattle, Washington 98195, USA.
Public Health Nurs. 2010 Jan-Feb;27(1):17-24. doi: 10.1111/j.1525-1446.2009.00822.x.
This is an evaluation of the process and outcome of a research study to determine a culturally targeted health promotion program for U.S. Pacific Islander youth who are at risk for co-occurring problem behaviors, including risky sexual behavior, substance abuse, and interpersonal violence.
An exploratory design was used and included qualitative interviews (N=54), focus groups (N=16), participant observation (over 3 years), and surveys (N=24) with Pacific Islander adults and youth. After identifying key cultural values and reviewing existing evidence-based prevention interventions, "Project Talanoa" was developed around 4 constructs: (1) cultural identity and pride, (2) teen health, (3) peer relations, and (4) family ties. The program was pilot tested and evaluated by 24 Pacific Islander adolescents (ages 12-15 years).
Results indicate it was culturally appropriate, well liked by the participants, supported by parents and others in the community, and found to be feasible.
Additional research is needed to test it for effectiveness. Project Talanoa provides a model for applying cultural concepts in the development of a risk reduction intervention for adolescents.
本研究旨在评估一项研究的过程和结果，该研究旨在为有共同出现问题行为风险的美国太平洋岛裔青年制定一项有针对性的文化健康促进计划，这些行为包括危险性行为、药物滥用和人际暴力。
采用探索性设计，包括对太平洋岛裔成年人和青年进行定性访谈（N=54）、焦点小组（N=16）、参与观察（超过 3 年）和调查（N=24）。在确定了关键的文化价值观并回顾了现有的基于证据的预防干预措施之后，围绕 4 个结构开发了“塔那洛亚项目”：（1）文化认同和自豪感，（2）青少年健康，（3）同伴关系，以及（4）家庭关系。该项目由 24 名太平洋岛裔青少年（12-15 岁）进行了试点测试和评估。
结果表明，该项目具有文化适宜性，深受参与者喜爱，得到了家长和社区其他成员的支持，并且被认为是可行的。
需要进一步的研究来测试其效果。塔那洛亚项目为在制定针对青少年的减少风险干预措施中应用文化概念提供了一个模型。
Zotero 插件