A commercial tobacco and alcohol use intervention for urban Native American youth

IF 2.2 4区 医学 Q1 NURSING Archives of Psychiatric Nursing Pub Date : 2024-07-09 DOI:10.1016/j.apnu.2024.06.014
Rose Wimbish-Tompkins , John Lowe , Melessa Kelley , Eugenia Flores Millender , Huigang Liang
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Abstract

Objective

Westernized alcohol and commercial tobacco use prevention approaches for Native Americans have not been effective, or sustainable. The overall objective of this study examined the effect of the culturally based Urban Talking Circle (UTC) intervention versus standard education (SE) program for the prevention of alcohol and commercial tobacco use among urban Native American youth.

Design

The study employed a 2-condition quasi-experimental design and utilized convenience and snowball sampling methods for recruiting 100 urban Native American youth participants in two urban Native American community program locations in Florida. Study participants were randomized by their urban Native American community program location to one of the 2-conditions. These included the standard education (SE) program used within United States school systems (drug abuse resistance education) and the Urban Talking Circle (UTC) intervention, culturally tailored and developed for urban Native American youth from the culturally based Talking Circle Intervention for rural Native American Youth. The Native American Alcohol Measure for Youth (NAAMY) and Native Reliance Questionnaire were utilized to collect participants' data. Participants' data was analyzed using multivariate analysis of variance to determine differences between the scores on all measures at pre/post-intervention for the 2-conditions.

Results

Study findings indicate that a culturally based intervention was more effective for the reduction of commercial tobacco and alcohol use than a non-culturally based intervention for urban Native American youth.

Conclusion

The study findings emphasized that the utilization of the culturally tailored UTC intervention reduced involvement associated with alcohol and commercial tobacco use.

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针对美国城市原住民青少年的商业烟酒使用干预措施
目标针对美国原住民的西方化酒精和商业烟草使用预防方法并不有效,也不具有可持续性。本研究的总体目标是考察基于文化的 "城市谈话圈"(UTC)干预措施与标准教育(SE)计划在预防城市美国原住民青少年使用酒精和商业烟草方面的效果。研究采用了双条件准实验设计,并利用便利和滚雪球抽样方法在佛罗里达州的两个城市美国原住民社区计划地点招募了 100 名城市美国原住民青少年参与者。研究参与者按其所在的城市美国原住民社区项目地点被随机分配到两种条件之一。其中包括美国学校系统内使用的标准教育(SE)计划(抵制药物滥用教育)和城市谈话圈(UTC)干预计划,后者是根据美国农村原住民青少年谈话圈干预计划的文化背景为城市原住民青少年量身定制的。美国原住民青少年酒精测量(NAAMY)和原住民依赖性问卷用于收集参与者的数据。研究结果表明,对城市美国原住民青少年而言,基于文化的干预比非基于文化的干预更能有效减少商业烟草和酒精的使用。研究结果强调,使用基于文化的UTC干预能减少与酒精和商业烟草使用相关的参与。
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来源期刊
CiteScore
3.70
自引率
0.00%
发文量
131
审稿时长
160 days
期刊介绍: Archives of Psychiatric Nursing disseminates original, peer-reviewed research that is of interest to psychiatric and mental health care nurses. The field is considered in its broadest perspective, including theory, practice and research applications related to all ages, special populations, settings, and interdisciplinary collaborations in both the public and private sectors. Through critical study, expositions, and review of practice, Archives of Psychiatric Nursing is a medium for clinical scholarship to provide theoretical linkages among diverse areas of practice.
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