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Acceptability of a web-based community reinforcement approach for substance use disorders with treatment-seeking American Indians/Alaska Natives.
Community Ment Health J. 2015 May;51(4):393-403
Publication Type
Aimee N C Campbell
Eva Turrigiano
Michelle Moore
Gloria M Miele
Traci Rieckmann
Mei-Chen Hu
Frankie Kropp
Roz Ringor-Carty
Edward V Nunes
Community Ment Health J. 2015 May;51(4):393-403
Publication Type
Aged, 80 and over
Health Services Accessibility
Indians, North American - psychology
Interviews as Topic
Linear Models
Middle Aged
Patient Acceptance of Health Care - ethnology
Qualitative Research
Substance-Related Disorders - ethnology - therapy
Therapy, Computer-Assisted - methods
Young Adult
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.
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PubMed ID
25022913 View in PubMed
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