The University of Sydney, Faculty of Medicine and Health, Central Clinical School, NHMRC Centre of Research Excellence in Indigenous Health and Alcohol, Camperdown, Australia.
The Edith Collins Centre (Translational Research in Alcohol Drugs and Toxicology), Sydney Local Health District, Camperdown, Australia.
Addict Sci Clin Pract. 2022 Mar 14;17(1):17. doi: 10.1186/s13722-022-00298-2.
Disadvantage and transgenerational trauma contribute to Aboriginal and Torres Strait Islander (Indigenous) Australians being more likely to experience adverse health consequences from alcohol and other drug use than non-Indigenous peoples. Addressing these health inequities requires local monitoring of alcohol and other drug use. While culturally appropriate methods for measuring drinking patterns among Indigenous Australians have been established, no similar methods are available for measuring other drug use patterns (amount and frequency of consumption). This paper describes a protocol for creating and validating a tablet-based survey for alcohol and other drugs ("The Drug Survey App").
The Drug Survey App will be co-designed with stakeholders including Indigenous Australian health professionals, addiction specialists, community leaders, and researchers. The App will allow participants to describe their drug use flexibly with an interactive, visual interface. The validity of estimated consumption patterns, and risk assessments will be tested against those made in clinical interviews conducted by Indigenous Australian health professionals. We will then trial the App as a population survey tool by using the App to determine the prevalence of substance use in two Indigenous communities.
The App could empower Indigenous Australian communities to conduct independent research that informs local prevention and treatment efforts.
劣势和代际创伤导致澳大利亚原住民和托雷斯海峡岛民(土著)比非土著更有可能因酗酒和使用其他药物而遭受不良健康后果。要解决这些健康不平等问题,需要对酒精和其他药物的使用进行当地监测。虽然已经制定了针对澳大利亚土著居民的测量饮酒模式的文化适宜方法,但还没有用于测量其他药物使用模式(消费数量和频率)的类似方法。本文介绍了一种用于创建和验证基于平板电脑的酒精和其他药物测量工具(“药物调查应用程序”)的方案。
该药物调查应用程序将与利益相关者共同设计,包括澳大利亚土著卫生专业人员、成瘾专家、社区领袖和研究人员。该应用程序将允许参与者使用交互式视觉界面灵活地描述其药物使用情况。估计的消费模式和风险评估的有效性将与由澳大利亚土著卫生专业人员进行的临床访谈中得出的结果进行测试。然后,我们将通过使用该应用程序在两个土著社区中确定物质使用的流行程度,来试用该应用程序作为人群调查工具。
该应用程序可以赋予澳大利亚土著社区权力,使其能够进行独立的研究,从而为当地的预防和治疗工作提供信息。