Abstract: Assessing Interest and Cultural Acceptability of Contingency Management As an Intervention for Alcohol Misuse Among American Indian Young Adults (Society for Prevention Research 27th Annual Meeting)

Schedule:

Wednesday, May 29, 2019

Pacific D/L (Hyatt Regency San Francisco)

* noted as presenting author

Katherine Hirchak, PhD, MHPA, Postdoctoral Fellow, University of New Mexico, Albuquerque, NM

Jalene Herron, BA, P O Box 1495, Washington State University, Spokane, NM

Sean Murphy, PhD, Associate Professor of Research, Cornell University, New York, NY

Dennis Donovan, PhD, Professor Emeritus, University of Washington, Seattle, WA

John Roll, PhD, Professor and Vice Dean for Research Associate Vice President for Health Sciences Research, WSU, Washington State University, Spokane, WA

Dedra Buchwald, M.D., Professor, Washington State University, Spokane, WA

Michael G. McDonell, PhD, Associate Professor, Washington State University, Spokane, WA

Sterling M. McPherson, PhD, Associate Professor, Washington State University, Spokane, WA

Background: American Indian communities have high alcohol abstinence prevalence rates compared to the general U.S. population. Currently, no alcohol use disorder (AUD) treatments are available that are specifically designed for young American Indian adults (18-29 years old). A clinical trial of contingency management (CM) for alcohol is currently ongoing in three American Indian communities. However, the intervention was not optimized for younger American Indian adults. A qualitative study was conducted to assesses the potential interest in CM for younger American Indian adults.

Methods: A total of four focus groups were conducted in two American Indian communities: an urban Indian Center and a rural reservation. Participants were emerging adults (18-29 year old) in recovery as well as family members (n=32). Focus group questions were related to younger American Indian adults’ interest in CM, cultural adaptation of CM, and interest in CM relative to other available treatments or culturally grounded approaches. Focus groups were audio-recorded, transcribed, and independently coded and analyzed by two study team members.

Results: The focus groups consisted of thirteen tribal nations. The sample was primarily male, high school graduates, living with family and unemployed. Eight people on average participated in each focus group and the transcript length was on average sixteen pages. Four overarching themes emerged: 1) interest in CM for younger American Indian adults; 2) importance of culture; 3) potential treatment barriers; and 4) marketing and outreach to engage younger American Indian adults and the community in a recovery environment.

Conclusion: Findings suggest that younger American Indian adults are interested in CM to address AUDs. Prizes, cultural activities, and activities that capture the attention of young adults should be integrated into the CM intervention to enhance intervention engagement. Challenges to retention and engagement among American Indian young adults included: transportation, social networks and peer-support. These results underscore the need for continued research in how to better meet the treatment needs of younger American Indian people.

Abstract: Assessing Interest and Cultural Acceptability of Contingency Management As an Intervention for Alcohol Misuse Among American Indian Young Adults (Society for Prevention Research 27th Annual Meeting)

239 Assessing Interest and Cultural Acceptability of Contingency Management As an Intervention for Alcohol Misuse Among American Indian Young Adults