Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, Arizona, USA.
Am J Health Promot. 2010 Nov-Dec;25(2):e1-10. doi: 10.4278/ajhp.080923-quan-209.
This study examined the influence of a culturally focused wellness intervention on alcohol consumption, alcohol abstinence self-efficacy, depression, and self-esteem among women of a small American Indian community in the southwestern United States. Participation in two intervention approaches was compared: a curriculum-based health promotion–only approach and health promotion combined with cognitive-behavioral skills building (CBSB).
The wellness intervention was tested in a prospective, randomized, two-group design with repeated measures. There was no control group.
An American Indian community in the Southwest.
American Indian women, ages 18 to 50 (N = 268).
A 10-session culturally focused curriculum-based health promotion intervention, with a CBSB component, was developed using a community-based participatory research process. Comparisons were made between those who attended the health promotion plus CBSB intervention and those who attended the intervention without the CBSB component.
Information regarding demographics, substance use, alcohol consumption, alcohol abstinence self-efficacy, depressive symptoms, and self-esteem was collected through a structured interview.
Regression was used to evaluate the effect of the intervention on alcohol consumption, alcohol abstinence self-efficacy, depressive symptoms, and self-esteem in CBSB and non-CBSB groups.
Although there were no significant differences between the CBSB and non-CBSB groups, the results indicate a significant decrease in alcohol consumption and symptoms of depression, and a significant increase in alcohol abstinence self-efficacy and self-esteem, from baseline to the 6-month follow-up for both groups.
Evidence suggests that this culturally focused health promotion intervention has a positive impact on alcohol use, alcohol abstinence self-efficacy, depressive symptoms, and self-esteem among American Indian women.
本研究考察了一种以文化为重点的健康干预对美国西南部一个小型印第安人社区女性的饮酒量、戒酒自信、抑郁和自尊的影响。比较了两种干预方法的效果：基于课程的健康促进方法和健康促进与认知行为技能建设（CBSB）相结合的方法。
采用前瞻性、随机、两群组设计，重复测量。没有对照组。
美国西南部的一个印第安人社区。
年龄在 18 至 50 岁的印第安女性（N=268）。
一种 10 节的以文化为重点的基于课程的健康促进干预措施，结合 CBSB 组件，使用社区参与式研究方法开发。比较了参加健康促进加 CBSB 干预的人与参加没有 CBSB 组件的干预的人。
通过结构化访谈收集有关人口统计学、物质使用、饮酒量、戒酒自信、抑郁症状和自尊的信息。
回归用于评估干预对 CBSB 和非 CBSB 组的饮酒量、戒酒自信、抑郁症状和自尊的影响。
尽管 CBSB 组和非 CBSB 组之间没有显著差异，但结果表明，两组在 6 个月的随访中，饮酒量和抑郁症状均显著减少，戒酒自信和自尊均显著增加。
有证据表明，这种以文化为重点的健康促进干预对印第安女性的饮酒行为、戒酒自信、抑郁症状和自尊有积极影响。
