Acceptability of a Web-Based Community Reinforcement Approach for Substance Use Disorders with Treatment-Seeking American Indians/Alaska Natives

Aimee N C Campbell, Eva Turrigiano, Michelle Moore, Gloria M. Miele, Traci Rieckmann, Mei Chen Hu, Frankie Kropp, Roz Ringor-Carty, Edward V. Nunes

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

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.

Original languageEnglish (US)
Pages (from-to)393-403
Number of pages11
JournalCommunity Mental Health Journal
Volume51
Issue number4
DOIs
StatePublished - May 1 2015

Fingerprint

North American Indians
American Indian
reinforcement
education system
Substance-Related Disorders
community
Education
Therapeutics
qualitative interview
substance abuse
Alaska Natives
Reinforcement (Psychology)
Outpatients
Interviews
Research

Keywords

  • Alaska Native
  • American Indian
  • Computer-assisted treatment
  • Substance use disorders

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health
  • Health(social science)

Cite this

Acceptability of a Web-Based Community Reinforcement Approach for Substance Use Disorders with Treatment-Seeking American Indians/Alaska Natives. / Campbell, Aimee N C; Turrigiano, Eva; Moore, Michelle; Miele, Gloria M.; Rieckmann, Traci; Hu, Mei Chen; Kropp, Frankie; Ringor-Carty, Roz; Nunes, Edward V.

In: Community Mental Health Journal, Vol. 51, No. 4, 01.05.2015, p. 393-403.

Research output: Contribution to journalArticle

Campbell, ANC, Turrigiano, E, Moore, M, Miele, GM, Rieckmann, T, Hu, MC, Kropp, F, Ringor-Carty, R & Nunes, EV 2015, 'Acceptability of a Web-Based Community Reinforcement Approach for Substance Use Disorders with Treatment-Seeking American Indians/Alaska Natives', Community Mental Health Journal, vol. 51, no. 4, pp. 393-403. https://doi.org/10.1007/s10597-014-9764-1
Campbell, Aimee N C ; Turrigiano, Eva ; Moore, Michelle ; Miele, Gloria M. ; Rieckmann, Traci ; Hu, Mei Chen ; Kropp, Frankie ; Ringor-Carty, Roz ; Nunes, Edward V. / Acceptability of a Web-Based Community Reinforcement Approach for Substance Use Disorders with Treatment-Seeking American Indians/Alaska Natives. In: Community Mental Health Journal. 2015 ; Vol. 51, No. 4. pp. 393-403.
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