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Tailoring an Alcohol Intervention for American Indian Alaska Native Women of Childbearing Age: Listening to the Community
Author(s) -
Montag Annika C.,
Dusek Marlené L.,
Ortega Marina L.,
CampMazzetti Alexandrea,
Calac Dan J.,
Chambers Christina D.
Publication year - 2017
Publication title -
alcoholism: clinical and experimental research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.267
H-Index - 153
eISSN - 1530-0277
pISSN - 0145-6008
DOI - 10.1111/acer.13485
Subject(s) - motivational interviewing , psychological intervention , intervention (counseling) , medicine , indigenous , focus group , brief intervention , referral , family medicine , gerontology , clinical psychology , psychology , psychiatry , ecology , marketing , business , biology
Background Reduction of risky drinking in women of childbearing age is 1 strategy that may be employed to prevent fetal alcohol spectrum disorder, a sequela of prenatal alcohol exposure. Communities differ in risk and protective factors, necessitating culturally informed interventions for maximal efficacy. This article describes the modification of an existing web‐based screening, brief intervention, and referral to treatment intervention to reduce risky drinking among American Indian Alaska Native ( AIAN ) women of childbearing age in Southern California into a peer‐to‐peer–based intervention using motivational interviewing (MI). Methods The modification process was iterative and included various community focus groups, interviews, and a final review. Results Intervention modification was required for cultural congruence. Components of the peer‐to‐peer intervention designed by this project included a flip chart used to guide the motivational interviewing, charts of the financial and physical costs of alcohol consumption, revised baseline and follow‐up questionnaires, and guidance regarding the application of MI techniques. Conclusions This study may inform the modification of future interventions among AIAN communities.