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The acceptability to A boriginal A ustralians of a family‐based intervention to reduce alcohol‐related harms
Author(s) -
Calabria Bianca,
Clifford Anton,
Shakeshaft Anthony,
Allan Julaine,
Bliss Donna,
Doran Christopher
Publication year - 2013
Publication title -
drug and alcohol review
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.018
H-Index - 74
eISSN - 1465-3362
pISSN - 0959-5236
DOI - 10.1111/j.1465-3362.2012.00525.x
Subject(s) - craft , psychological intervention , harm , intervention (counseling) , medicine , preference , psychology , clinical psychology , gerontology , family medicine , nursing , social psychology , economics , history , microeconomics , archaeology
and Aims Cognitive–behavioural interventions that use familial and community reinforcers in an individual's environment are effective for reducing alcohol‐related harms. Such interventions have considerable potential to reduce the disproportionately high burden of alcohol‐related harm among A boriginal A ustralians if they can be successfully tailored to their specific needs and circumstances. The overall aim of this paper is to describe the perceived acceptability of two cognitive–behavioural interventions, the C ommunity R einforcement A pproach ( CRA ) and C ommunity R einforcement and F amily Training ( CRAFT ), to a sample of A boriginal people. Design and Methods Descriptive survey was administered to 116 A boriginal people recruited through an A boriginal C ommunity C ontrolled H ealth S ervice and a community‐based drug and alcohol treatment agency in rural N ew S outh W ales, A ustralia. Results Participants perceived CRA and CRAFT to be highly acceptable for delivery in their local A boriginal community. Women were more likely than men to perceive CRAFT as highly acceptable. Participants expressed a preference for counsellors to be someone they knew and trusted, and who has experience working in their local community. CRA was deemed most acceptable for delivery to individuals after alcohol withdrawal and CRAFT for people who want to help a relative/friend start alcohol treatment. There was a preference for five or more detailed sessions. Discussion and Conclusions Findings of this study suggest that CRA and CRAFT are likely to be acceptable for delivery to some rural A boriginal A ustralians, and that there is potential to tailor these interventions to specific communities.