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J Ethn Cult Divers Soc Work. 2021;30(1):149-162. doi: 10.1080/15313204.2020.1770654. Epub 2020 Jun 8.
Native American (NA) youth report greater charges of alcohol, marijuana, and drug use than U.S. adolescents from another racial/ethnic group. Addressing this well being disparity is a big analysis precedence throughout public well being, minority well being, and dissemination and implementation (D&I) sciences, underscoring the necessity for empirically-based interventions tailor-made for NA youth. Efficient D&I with NA youth incorporates NA cultural values and entails tribal elders and stakeholders. SACRED Connections (NIDA R01DA02977) was a university-tribal analysis partnership that utilized a culturally derived Native-Reliance theoretical framework and a community-based participatory analysis (CBPR) strategy. A major goal of this randomized managed trial was to shut D&I gaps using the RE-AIM Mannequin and Nationwide Culturally and Linguistically Applicable Providers (CLAS) in Well being and Well being Care Requirements (HHS, 2019). Findings of this 5-year RCT revealed a statistically vital protecting relationship between Native Reliance and baseline lifetime and previous month alcohol and marijuana use; moreover, the probability of reporting marijuana use at 3 months post-intervention was considerably decrease among the many energetic situation than among the many management situation. Implementation of a developmentally and NA culturally tailor-made transient protocol revealed: partnering with Native Individuals and using CBPR facilitated engagement with this hard-to-reach, underserved group; age and tradition are related to substance use severity amongst NA teenagers; a culturally tailored Motivational Interviewing (MI) transient intervention could also be efficient in lowering marijuana use amongst NA youth; the Native Reliance concept proved helpful as a framework for working with this inhabitants; and RE-AIM proved useful in conceptualizing well being fairness selling D&I.