Drug Health Service, Royal Prince Alfred Hospital, New South Wales, Australia.
Health Promot J Austr. 2012 Dec;23(3):219-25. doi: 10.1071/he12219.
Although many Aboriginal Australians live in cities, minimal research has addressed community-based approaches to reduce alcohol problems in that setting.
We conducted a pilot study of community-based education and brief intervention. Existing Aboriginal community-based groups in an urban region were offered interactive education sessions with Aboriginal facilitators. The session was based around a World Health Organization brief intervention, with posters as visual aids. Before education, participants completed the Alcohol Use Disorders Identification Test (AUDIT) and questions on potential barriers to treatment access. After the session, feedback on AUDIT score and one- on- one brief intervention were offered.
Over 12 months, eight sessions were conducted and 58 individuals participated. The groups reached individuals with potential need for assistance: although 29.8% of the 47 questionnaire respondents were non-drinkers, 44.7% had an AUDIT score (of 8+) suggesting an alcohol problem, and 51.5% of drinkers reported 5+ (non-standardised) drinks per occasion. Participants showed considerable interest in the resources and most actively participated. All appeared unaware of recommended drinking limits, or of newer treatment options such as home detoxification or relapse prevention medicines. Participants were interested to receive their AUDIT score but not one-on- one intervention. Potential treatment access barriers were described.
Interactive group education and feedback of AUDIT score is labour intensive but promoted thoughtful discussion on drinking. Methods to empower and support urban Aboriginal communities to tackle drinking problems need further exploration.
尽管许多澳大利亚原住民居住在城市，但针对该环境下减少酒精问题的社区为基础的方法的研究很少。
我们进行了一项基于社区的教育和简短干预的试点研究。在一个城市地区，为现有的以原住民为基础的社区团体提供了由原住民协调员进行的互动式教育课程。该课程以世界卫生组织的简短干预为基础，使用海报作为视觉辅助。在教育之前，参与者完成了酒精使用障碍识别测试（AUDIT）和有关治疗途径潜在障碍的问题。在会议之后，提供了对 AUDIT 分数和一对一简短干预的反馈。
在 12 个月的时间里，进行了 8 次会议，有 58 人参加。这些团体接触到了有潜在需要帮助的个体：尽管 47 名问卷答复者中的 29.8％是非饮酒者，但 44.7％的人 AUDIT 得分（8+）表明存在酒精问题，51.5％的饮酒者报告每次饮酒 5+（非标准）杯。参与者对资源表现出极大的兴趣，并且大多数人积极参与。所有人似乎都不知道推荐的饮酒限量，或者不知道更新的治疗选择，例如家庭排毒或预防复发的药物。参与者有兴趣收到自己的 AUDIT 分数，但对一对一的干预不感兴趣。描述了潜在的治疗途径障碍。
互动式团体教育和 AUDIT 分数反馈虽然劳动强度大，但促进了对饮酒问题的深入讨论。需要进一步探索赋予和支持城市原住民社区解决饮酒问题的方法。
