Prevention. Intervention. Respect.
Tipis in a field

Acceptability of a web-based community reinforcement approach for substance use disorders with treatment-seeking American Indians/Alaska Natives.

Longstanding disparities in substance use disorders and treatment access exist among American Indians/Alaska Natives (AI/AN). Computerized, web-delivered interventions have potential to increase access to quality treatment and improve patient outcomes. Prior research supports the efficacy of a web-based version [therapeutic education system (TES)] of the community reinforcement approach to improve outcomes among outpatients in substance abuse treatment; however, TES has not been tested among AI/AN. The results from this mixed method acceptability study among a diverse sample of urban AI/AN (N = 40) show that TES was acceptable across seven indices (range 7.8-9.4 on 0-10 scales with 10 indicating highest acceptability). Qualitative interviews suggest adaptation specific to AI/AN culture could improve adoption. Additional efforts to adapt TES and conduct a larger effectiveness study are warranted.

Campbell AN; Turrigiano E; Moore M; Miele GM; Rieckmann T; Hu MC; Kropp F; Ringor-Carty R; Nunes EV
Community Mental Health Journal
Kluwer Academic/Plenum Publishers
Clinical Trial
Alaska; Indians, North American psychology; Internet; Patient Acceptance of Health Care ethnology; Substance-Related Disorders therapy; Therapy, Computer-Assisted methods; Adolescent; Adult; Aged; Aged, 80 and over; Alaska; Female; Health Services Accessibility; Humans; Interviews as Topic; Linear Models; Male; Middle Aged; Qualitative Research; Substance-Related Disorders ethnology; Young Adult; Adolescent: 13-18 years; Adult: 19-44 years; Aged: 65+ years; Aged, 80 and over; Middle Aged: 45-64 years; Young Adult: 19-24 years; All Child: 0-18 years; All Adult: 19+ years; Female; Male
Tribal Adaptation
  • mental health problems
  • parental substance abuse
access to health and social services