School of Nursing, The University of Texas at Austin, Austin, Texas, USA.
UNC School of Nursing, Chapel Hill, North Carolina, USA.
Res Nurs Health. 2024 Apr;47(2):234-241. doi: 10.1002/nur.22372. Epub 2024 Jan 28.
The purpose of this study was to examine the impact of a culturally based intervention, the Intertribal Talking Circle program, compared to a standard alcohol and drug abuse education, the Be A Winner program. Community-based participatory research was used to implement a two-condition, quasi-experimental study. The sample included 540 Native American youth ages 10-12 years old from three tribal areas in the United States. Data were collected at baseline, 6 and 12-months post-intervention for both the intervention and control groups using demographic, cultural identity, alcohol use, and drug use questionnaires. Regression models evaluated participants' improvement in decreasing alcohol and drug use and increasing cultural identity. Findings revealed that alcohol and drug use decreased more significantly among youth who participated in the Intertribal Talking Circle (ITC) intervention program than youth who participated in a standard alcohol and drug abuse education Be A Winner (BAW) program. Cultural identity also increased more significantly among participants who completed the Talking Circle intervention program. Native American youth ages 10-12 years old respond positively to a culturally based intervention for the reduction of alcohol and drug use. The findings highlight the importance of cultural values and identity and their significance in preventing and reducing alcohol and drug use among Native American youth.
本研究旨在考察基于文化的干预措施——部落间对话圈项目(Intertribal Talking Circle program)与标准的酒精和药物滥用教育(Be A Winner program)相比,对减少美国三个部落地区 10-12 岁的 540 名美国原住民青少年的酒精和药物使用的影响。本研究采用社区参与式研究方法实施了一项两条件、准实验研究。在干预组和对照组中,基线、干预后 6 个月和 12 个月都使用人口统计学、文化认同、酒精使用和药物使用问卷收集数据。回归模型评估了参与者减少酒精和药物使用以及增强文化认同的改善情况。研究结果表明,与参加标准的酒精和药物滥用教育“成为赢家”(Be A Winner)项目的青少年相比,参加部落间对话圈(Intertribal Talking Circle)干预项目的青少年的酒精和药物使用减少更为显著。完成对话圈干预计划的参与者的文化认同也显著增强。10-12 岁的美国原住民青少年对基于文化的干预措施(用于减少酒精和药物使用)反应积极。研究结果强调了文化价值观和身份的重要性,以及它们在预防和减少美国原住民青少年的酒精和药物使用方面的重要性。