American Indian Substance Abuse Prevention Efforts: A Review of Programs, 2003-2013

Walsh

17 citations0/0 files storedAmerican Indian and Alaska Native Mental Health Research

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Indigenous Health, Education, and Rights Substance Abuse Treatment and Outcomes Indigenous and Place-Based Education

Abstract

The purpose of the review was to assess substance abuse prevention (SAP) efforts in American Indian and Alaska Native (AI/AN) communities from 2003-2013. In the past, many SAP programs were unable to meet the unique cultural needs of AI/AN communities adequately. It has been suggested that a disconnect may exist between the theories that are used to guide development of prevention programs in AI/AN communities and culturally appropriate theoretical constructs of AI/AN worldviews. To explore this possible disconnect further, Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were used to assess a total of 18 articles (N = 31 programs) on program location and method, participant characteristics, described program cultural elements, use of theory, program outcomes, program measures, and future recommendations. Results indicated that SAP programs in AI/AN communities vary widely in their use of theory, implementation strategies, view and definition of cultural constructs, overall evaluational rigor, and reporting methods. Future research is needed to integrate appropriate theory and cultural elements into SAP programs to tie them to measurable outcomes for AI/AN communities.

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2009Preferred reporting items for systematic reviews and meta-analyses: the PRISMA Statement.2009The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: explanation and elaboration 1992Health Behavior and Health Education: Theory, Research, and Practice 1984Interpersonal communication competence 1999Patterns of individualism and collectivism across the United States.1997Theory‐based evaluation: Past, present, and future 1999Health Sciences Literature Review Made Easy: The Matrix Method 1996An Ecological Risk/Protective Theory for Building Prevention Programs, Policies, and Community Capacity to Support Youth

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