An opioid and substance use disorder needs assessment study for American Indian and Alaska Native youth in California.

2021 ◽  
Author(s):  
Amy E. West ◽  
Victoria Telles ◽  
Valentine Antony ◽  
Ingrid Zeledon ◽  
Lou Moerner ◽  
...  
Keyword(s):  
Substance Use ◽  
American Indian ◽  
Needs Assessment ◽  
Substance Use Disorder ◽  
Alaska Native ◽  
Assessment Study ◽  
Native Youth

Correlates of Substance Use Among American Indian/Alaska Native Adolescents

2018 ◽  
Vol 18 (3) ◽  
pp. 674-692
Author(s):  
Holly E. R. Morrell ◽  
Blake T. Hilton ◽  
Kelli L. Rugless
Keyword(s):  
Substance Use ◽  
American Indian ◽  
Alaska Native

scholarly journals Strengths-Based Assessment for Suicide Prevention: Reasons for Life as a Protective Factor From Yup’ik Alaska Native Youth Suicide

Assessment ◽  
2019 ◽  
pp. 107319111987578 ◽  
Author(s):  
James Allen ◽  
Stacy M. Rasmus ◽  
Carlotta Ching Ting Fok ◽  
Billy Charles ◽  
Joseph Trimble ◽  
...  
Keyword(s):  
Protective Factors ◽  
American Indian ◽  
Suicide Prevention ◽  
Cause Of Death ◽  
Alaska Native ◽  
Suicide Risk ◽  
Protective Factor ◽  
Well Being ◽  
Health Crisis ◽  
Native Youth

Suicide is the second leading cause of death among American Indian and Alaska Native youth, and within the Alaska Native youth subpopulation, the leading cause of death. In response to this public health crisis, American Indian and Alaska Native communities have created strategies to protect their young people by building resilience using localized Indigenous well-being frameworks and cultural strengths. These approaches to suicide prevention emphasize promotion of protective factors over risk reduction. A measure of culturally based protective factors from suicide risk has potential to assess outcomes from these strengths-based, culturally grounded suicide prevention efforts, and can potentially address several substantive concerns regarding direct assessment of suicide risk. We report on the Reasons for Life (RFL) scale, a measure of protective factors from suicide, testing psychometric properties including internal structure with 302 rural Alaska Native Yup’ik youth. Confirmatory factor analyses revealed the RFL is best described through three distinct first-order factors organized under one higher second-order factor. Item response theory analyses identified 11 satisfactorily functioning items. The RFL correlates with other measures of more general protective factors. Implications of these findings are described, including generalizability to other American Indian and Alaska Native, other Indigenous, and other culturally distinct suicide disparities groups.

scholarly journals Recruitment and retention in randomized controlled trials with urban American Indian/Alaska Native adolescents: Challenges and lessons learned

2020 ◽  
pp. 174077452097177
Author(s):  
Daniel L Dickerson ◽  
Jennifer Parker ◽  
Carrie L Johnson ◽  
Ryan A Brown ◽  
Elizabeth J D’Amico
Keyword(s):  
Substance Use ◽  
American Indian ◽  
Randomized Controlled Trials ◽  
Alaska Native ◽  
Controlled Trials ◽  
Substance Use Prevention ◽  
Recruitment And Retention ◽  
Native Communities ◽  
Randomized Controlled ◽  
Urban American Indian

Background: Although the majority of American Indians/Alaska Natives reside in urban areas, there are very few randomized controlled trials analyzing culturally centered substance use prevention interventions for this population. Methods: We describe methods employed to recruit and retain urban American Indian/Alaska Native adolescents into a randomized controlled trial, which was focused on testing the potential benefits of a substance use prevention intervention for this population. We also report challenges encountered in recruitment and retention of participants and strategies employed addressing these challenges. Data collection occurred from August 2014 to October 2017. Results: We partnered with two community-based organizations in different cities in California. We utilized American Indian/Alaska Native recruiters from communities, placed flyers in community-based organizations, and asked organizations to post flyers on their web and social media sites. We also offered gift cards for participants. Our initial recruitment and retention model was moderately successful; however, we encountered five main challenges: (1) transportation, (2) increasing trust and interest, (3) adding research sites, (4) getting the word out about the project, and (5) getting youth to complete follow-up surveys. Strategies employed to overcome transportation challenges included shortening the number of sessions, offering sessions on both weekends and weekdays, and increasing bus tokens and transportation options. We hired more staff from American Indian/Alaska Native communities, added more research sites from our previously established relationships, and were more proactive in getting the word out on the project in American Indian/Alaska Native communities. We also utilized more field tracking and emailed and mailed survey invitations to reach more participants for their follow-up surveys. Because of our efforts, we were nearly able to reach our initial recruitment and retention goals. Conclusion: Although our research team had previously established relationships with various urban American Indian/Alaska Native communities, we encountered various recruitment and retention challenges in our study. However, by identifying challenges and employing culturally appropriate strategies, we were able to collect valuable data on the potential effectiveness of a substance use prevention intervention for urban American Indian/Alaska Native adolescents. Findings from this study assist toward the development of potentially successful strategies to successfully recruit and retain urban American Indian/Alaska Native adolescents in randomized controlled trials.

scholarly journals Suicide Attempts Among American Indian and Alaska Native Youth

1999 ◽  
Vol 153 (6) ◽  
Author(s):  
Iris Wagman Borowsky ◽  
Michael D. Resnick ◽  
Marjorie Ireland ◽  
Robert W. Blum
Keyword(s):  
American Indian ◽  
Alaska Native ◽  
Suicide Attempts ◽  
Native Youth

scholarly journals Spirituality, Ethnic Identity, and Substance Use among American Indian/Alaska Native Adolescents in California

2020 ◽  
Vol 55 (7) ◽  
pp. 1194-1198
Author(s):  
Jennifer B. Unger ◽  
Steve Sussman ◽  
Cynthia Begay ◽  
Lou Moerner ◽  
Claradina Soto
Keyword(s):  
Substance Use ◽  
Ethnic Identity ◽  
American Indian ◽  
Alaska Native
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