Christine E. Lynn College of Nursing, Florida Atlantic University , Davie, FL 33314, USA.
Am J Drug Alcohol Abuse. 2012 Sep;38(5):450-5. doi: 10.3109/00952990.2012.694534.
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.
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.
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.
Significant improvements were found among all measurement outcomes for the CTC culturally-based intervention.
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.
This study suggests that cultural considerations may enhance the degree to which specific interventions address substance abuse problems among Native American adolescents.
药物滥用是国家主要关注的健康问题之一。美国原住民青年的药物滥用率高于其他青年。关于在美洲原住民青少年中使用基于文化的干预措施，实证证据很少。
本研究采用基于社区的参与式研究方法，开发和评估针对美洲原住民青少年药物滥用的创新基于文化的学校干预措施，并对其进行评估。
采用两条件准实验设计，比较切罗基会谈圈（CTC）基于文化的干预组（n=92）与 Be A Winner 标准教育（SE）组（n=87）。在干预前、即时干预后和 90 天干预后，使用切罗基自力更生问卷、个体需求快速全球评估和压力故事书面测量收集数据。
CTC 基于文化的干预组在所有测量结果方面均有显著改善。
数据表明，与非基于文化的干预措施相比，基于文化的美洲原住民青少年干预措施在减少药物滥用和相关问题方面更有效。
本研究表明，文化因素可能会增强特定干预措施解决美洲原住民青少年药物滥用问题的程度。
