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

4 Scopus citations

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

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Keywords

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

ASJC Scopus subject areas

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

Cite this

Campbell, A. N. C., Turrigiano, E., Moore, M., Miele, G. M., Rieckmann, T., Hu, M. C., Kropp, F., Ringor-Carty, R., & Nunes, E. V. (2015). Acceptability of a Web-Based Community Reinforcement Approach for Substance Use Disorders with Treatment-Seeking American Indians/Alaska Natives. Community mental health journal, 51(4), 393-403. https://doi.org/10.1007/s10597-014-9764-1