School of Nursing, The University of Texas at Austin, 1710 Red River Street, Austin, TX, USA.
College of Nursing, Florida State University, Tallahassee, FL, USA.
Contemp Nurse. 2022 Feb;58(1):95-107. doi: 10.1080/10376178.2022.2080087. Epub 2022 Jun 16.
: As a result of the intergenerational trauma impact and experience, Native Americans continue to exhibit trauma-related issues such as high rates of substance use. After leaving high school, the pressures and stress of continuing an education, finding work/employment, and the responsibilities related to family and tribal community obligations result in the Native American young adult being more vulnerable to substance use.: The purpose of this paper is to report findings of the Talking Circle intervention impact on the outcome variables of Native-Reliance, substance use, stress, and behavioural health, depression, and cumulative trauma.: Native-Reliance was the theoretical underpinning for the study, demonstrating culturally safe research. A pre-test/post-test one-group design was utilised to examine how the Talking Circle intervention influenced the outcome variables. In total, 75 Native American participants, ages 18-24, participated in the Talking Circle intervention sessions. Baseline pre-intervention measures were completed and were repeated at 6-month post-intervention.: At 6-month post-intervention, Native-Reliance significantly revealed an increase of 40.55 ( = 22.13, < .001), sources of stress (SS) revealed a significant decline of 3.68 (= -18.39, < .001), behavioural health issues (BH) showed a significant decline of 3.63 ( = -15.36, < .001), substance-related issues (SR) showed a significant decline of 3.57 ( = -15.24, < .001), depression (PHQ-9) showed a significant decline of 4.85 ( = -17.02, < .001), and cumulative trauma revealed a significant decline of 2.77 (= -13.39, < .001).: The use of a culturally safe Talking Circle intervention evidenced a research approach that resulted in a positive impact on reducing substance use and increasing the well-being of young Native American young adults. Culturally safer intervention environments are conducive to results in outcomes that are positive and effective.
由于代际创伤的影响和经历，美洲原住民继续表现出与创伤相关的问题，例如高物质使用率。高中毕业后，继续接受教育、寻找工作/就业以及与家庭和部落社区义务相关的压力和压力会使美洲原住民年轻人更容易滥用物质。本文旨在报告谈话圈干预对原住民依赖、物质使用、压力和行为健康、抑郁和累积创伤等结果变量的影响发现。原住民依赖是该研究的理论基础，展示了文化安全的研究。采用预测试/后测试的单组设计来检验谈话圈干预如何影响结果变量。共有 75 名年龄在 18-24 岁之间的美洲原住民参与者参加了谈话圈干预课程。完成了基线预干预措施，并在 6 个月的干预后重复进行了测量。在 6 个月的干预后，原住民依赖显著增加了 40.55（ = 22.13， < .001），压力源（SS）显著下降了 3.68（ = -18.39， < .001），行为健康问题（BH）显著下降了 3.63（ = -15.36， < .001），物质相关问题（SR）显著下降了 3.57（ = -15.24， < .001），抑郁（PHQ-9）显著下降了 4.85（ = -17.02， < .001），累积创伤显著下降了 2.77（ = -13.39， < .001）。使用文化安全的谈话圈干预措施证明了一种研究方法，该方法对减少年轻人的物质使用和提高美洲原住民年轻人的幸福感产生了积极影响。文化上更安全的干预环境有利于产生积极有效的结果。
