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Acceptability of a Web-Based Psychosocial Intervention Among American Indian/Alaska Native Substance Users: Implications for Dissemination.

Poster presented at the 5th Annual NIH Conference on the Science of Dissemination and Implementation, Bethesda, MD, March 19-20, 2012.

Aimee N. C. Campbell, MSW, PhD (New York State Psychiatric Institute, GNY Node), Gloria M. Miele, PhD (New York State Psychiatric Institute, GNY Node), Frankie B. Kropp, MS (University of Cincinnati/CinARC, OV Node), Michelle Moore (City/County Alcohol and Drug Programs, OV Node), Traci R. Rieckmann, PhD (Oregon Health & Science University, WS Node), Edward V. Nunes, MD (New York State Psychiatric Institute, GNY Node).

Long standing disparities in substance use and treatment access exist among American Indian/Alaska Native (AI/AN) communities. A web-delivered intervention could address some of the access barriers and improve service delivery. The purpose of this CTN ancillary investigation (CTN-0044-A-2), was to assess the acceptability of the Therapeutic Education System (TES), a web-based version of the Community Reinforcement Approach, among AI/AN men and women enrolled in outpatient substance abuse treatment. Acceptability was measured by (a) proportion of participants who agreed to participate; (b) treatment retention; and (c) participant feedback collected after each TES module across seven acceptability indicators. Sixty-eight clients were approached for the study and 40 enrolled (58.8%). Participants completed an average of 19.5 modules. Results indicate high acceptability across seven indicators: interesting (M=8.3), useful (M=8.5); introduction of new material (M=8.3), easy to understand (M=7.4); satisfaction (M=8.5); relevance (M=8.4), and overall likability (M=8.2). Efficacious interventions often require context or population-specific adaptation to maintain effectiveness during implementation. Overall, these findings suggest that core TES content is acceptable among a diverse AI/AN client population who agreed to participate. Initial, lower acceptance rates may indicate that web-based interventions need more comprehensive introduction. Acceptability may improve for several modules with greater visibility and integration of AI/AN-specific culture. (Poster, PowerPoint slides, English, 2012)

Keywords: Alaska Natives | Cultural competence | Internet counseling | Minority groups | Native Americans | Therapeutic Education System (TES) | NIH Conference on the Science of Dissemination and Implementation, 2012

Document No: 801

Submitted by Aimee N. C. Campbell, PhD, (9/30/2011).

Campbell, Aimee N. C. search mail
Kropp, Frankie B. search mail
Miele, Gloria M. search mail
Moore, Michelle search
Nunes, Edward V. search mail
Rieckmann, Traci R. search mail
NIDA-CTN-0044-A-2 search www
Ohio Valley (Lead) search www
Western States search www

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