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The Efficacy of a Multicultural Prevention Intervention among Urban American Indian Youth in the Southwest U.S.

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Abstract

This study explored how a non-targeted group of ethnic minority youth might or might not benefit from a prevention intervention focused on other cultural groups. The study specifically evaluated the effects of an evidence-based drug prevention curriculum with a sample of urban American Indian youth in the southwest U.S., most of whom self-reported multi-ethnic heritages. Using growth curve modeling, this research examined the developmental trajectory of drug use for these youth, and compared it with the trajectory of youth from other racial/ethnic groups at pre-intervention, post-intervention, and two follow up time periods. Results indicate that alcohol and marijuana use increased from pre-intervention across subsequent time periods for all youth. The drug use of the American Indian youth in the treatment group increased on some measures. Specifically, they reported a steeper trajectory in the amount and frequency of alcohol and marijuana use compared to the youths in the treatment groups with other racial/ethnic identifications. The implications of these findings for the development of culturally grounded prevention programs for multi-ethnic, urban American Indian youth are discussed. Editors’ Strategic Implications: This research provides a specific example, but also makes a strong global argument, for the need to develop and evaluate prevention programs that are culturally grounded in the worldview of the target group.

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References

  • Altman, D. G. (2000). Statistics in medical journals: Some recent trends. Statistics in Medicine, 19, 3275–3289.

    Article  PubMed  CAS  Google Scholar 

  • Aneshensel, C, Becerra, R. M., Fielder, E. P., & Schuler, R. H. (1989). Participation of Mexican American female adolescents in a longitudinal panel survey. The Public Opinion Quarterly, 53, 548–562.

    Article  Google Scholar 

  • Bates, S. C., Beauvais, F., & Trimble, J. E. (1997). American Indian adolescent alcohol involvement and ethnic identification. Substance Use & Misuse, 32(14), 2013–2131.

    CAS  Google Scholar 

  • Beauvais, F. (1998). American Indians and alcohol. Alcohol Health and Research World, 22, 253–259.

    PubMed  CAS  Google Scholar 

  • Beauvais, F., & Trimble, J. E. (2003). The effectiveness of alcohol and drug abuse prevention among American-Indian youth. In Z. Sloboda & W. J. Bukoski (Eds.), Handbook of drug abuse prevention: Theory, science, and practice (pp. 393–410). New York: Kluwer.

    Google Scholar 

  • Bogenschneider, K. (1996). An ecological risk protective theory for building prevention programs, policies, and community capacity to support youth. Family Relations, 45, 127–138.

    Article  Google Scholar 

  • Botvin, G. J., Epstein, J. A., Baker, E., Diaz, T., & Ifill-Williams, M. (1997). School-based drug abuse prevention with inner-city minority youth. Journal of Child & Adolescent Substance Abuse, 6, 5–19.

    Article  Google Scholar 

  • Brestan, E. V., & Eyberg, S. M. (1998). Effective psychosocial treatments of conduct-disordered children and adolescents: 29 years, 82 studies, and 5,272 kids. Journal of Clinical Child Psychology, 27, 180–189.

    Article  PubMed  CAS  Google Scholar 

  • Bureau of Indian Affairs. (2003). Indian entities recognized and eligible to receive services from the United States Bureau of Indian affairs. Federal Register, 67, 1–6.

    Google Scholar 

  • Cabape, P., & Howley, C. B. (Eds.). (1992). Indian nations at risk: Listening to the people (Summaries of papers commissioned by the Indian Nations at Risk Task Force). Charleston, WV: ERIC Clearinghouse on Rural Education and Small Schools.

  • Castro, F. G., Barrera, M., & Martinez, C. R. (2004). The cultural adaptation of prevention interventions: Resolving tensions between fidelity and fit. Prevention Science, 5, 41–45.

    Article  PubMed  Google Scholar 

  • Chorpita, B. F., Barlow, D. H., Albano, A. M., & Daleiden, E. L. (1998). Methodological strategies in child clinical trials: Advancing the efficacy and effectiveness of psychosocial treatments. Journal of Abnormal Child Psychology, 26, 1–10.

    Article  Google Scholar 

  • Clarke, A. S. (2002). Social and emotional distress among American Indian and Alaska Native students: Research findings. [Electronic Version]. Charleston, WV: ERIC Digest. Retrieved March 14, 2005, from www.ael.org/page.htm?&id=503&pd=res8721

  • Dishion, T. J., McCord, J., & Poulin, F. (1999). When interventions harm: Peer groups and problem behavior. American Psychologist, 54(9), 755–764.

    Article  PubMed  CAS  Google Scholar 

  • Flynn, K., Clark, R., Aragon, M., Stanzell, S., & Evans, T. (1998). At risk American Indian and Alaska Native youth in Los Angeles County. Los Angeles: United American Indian Involvement.

    Google Scholar 

  • Forquera, R. (2001). Urban Indian Health. Report prepared by The Seattle Indian Health Board for the Henry J. Kaiser Family Foundation. Retrieved March 16, 2005, from www.kff.org/minorityhealth/loader.cfm?url=/commonspot/security/getfile.cfm&PageID=13909.

  • Frank, J. W., Moore, R. S., & Ames, G. M. (2000). Historical and cultural roots of drinking problems among American Indians. American Journal of Public Health, 90, 344–351.

    Article  PubMed  CAS  Google Scholar 

  • Garrett, M. T., & Herring, R. D. (2001). Honoring the power of relation: Counseling native adults. Journal for Humanistic Counseling, Education, and Development, 40, 139–151.

    Google Scholar 

  • Gosin, M., Marsiglia, F. F., & Hecht, M. L. (2003). keepin’it R.E.A.L.: A drug resistance curriculum tailored to the strengths and needs of pre-adolescents of the southwest. Journal of Drug Education, 33, 119–142.

    Article  PubMed  Google Scholar 

  • Graham, J. W., Roberts, M. M., Tatterson, J. W., & Johnston, S. E. (2002). Data quality in evaluation of an alcohol-related harm prevention program. Evaluation Review, 26, 147–189.

    Article  PubMed  Google Scholar 

  • Green, J. (1999). Cultural awareness in the human services: A multiethnic approach (3rd ed.). Boston: Allyn and Bacon.

    Google Scholar 

  • Harris, D. R., & Sim, J. J. (2002). Who is multiracial? Assessing the complexity of lived race. American Sociological Review, 67, 614–627.

    Article  Google Scholar 

  • Harthun, M. L., Drapeau, A. E., Dustman, P. A., & Marsiglia, F. F. (2002). Implementing a prevention curriculum: An effective researcher-teacher partnership. Education and Urban Society, 34, 353–364.

    Article  Google Scholar 

  • Hawkins, E. H., Cummins, L. H., & Marlatt, G. A. (2004). Preventing substance abuse in American Indian and Alaska Native youth: Promising strategies for healthier communities. Psychological Bulletin, 130, 304–323.

    Article  PubMed  Google Scholar 

  • Hecht, M. L., Marsiglia, F. F., Elek, E., Wagstaff, D. A., Kulis, S., Dustman, P., & Miller-Day, M. (2003). Culturally grounded substance use prevention: An evaluation of the keepin’ it R.E.A.L. curriculum. Prevention Science, 4, 233–248.

    Article  PubMed  Google Scholar 

  • Hecht, M. L., & Ribeau, S. (1984). Ethnic communication: A comparative analysis of satisfying communication. International Journal of Intercultural Relations, 8, 135–151.

    Article  Google Scholar 

  • Hecht, M. L., Ribeau, S., & Sedano, M. V. (1990). A Mexican American perspective on interethnic communication. International Journal of Intercultural Relations, 14, 31–55.

    Article  Google Scholar 

  • Herring, R. D. (1994). Substance use among Native American Indian youth: A selected review of causality. Journal of Counseling and Development, 72, 578–584.

    Google Scholar 

  • Herring, R. D. (1997). Counseling indigenous American youth. In C. C. Lee (Ed.), Multicultural issues in counseling: New approaches to diversity (2nd ed., pp. 53–70). Alexandria: American Counseling Association.

    Google Scholar 

  • Hurdle, D. E., Okamoto, S. K., & Miles, B. (2003). Family influences on alcohol and drug use by American Indian youth: Implications for prevention. Journal of Family Social Work, 7, 53–68.

    Article  Google Scholar 

  • Indian Health Service. (2005). Facts on Indian health disparities. Rockville, MD: Department of Health and Human Services, Public Health Service.

    Google Scholar 

  • Josephson, E., & Rosen, M.A. (1978). Panel loss in a high school drug study. In D. B. Kandel (Ed.), Longitudinal research on drug use (pp. 115–133). Washington, DC: Hemisphere.

    Google Scholar 

  • Kandel, D. B. (1995). Ethnic differences in drug use: Patterns, paradoxes. In G. J. Botvin, S. Schinke, & M. A. Orlandi (Eds.), Drug abuse prevention with multiethnic youth (pp. 81–104). Thousand Oaks: Sage.

    Google Scholar 

  • Kulis, S., Marsiglia, F. F., Elek, E., Dustman, P., Wagstaff, D. A., & Hecht, M. L. (2005). Mexican/Mexican American adolescents and keepin’ in R.E.A.L.: An evidence-based, substance use prevention program. Children and Schools, 27, 133–145.

    Google Scholar 

  • Kulis, S., Okamoto, S. K., Dixon Rayle, A., & Nyakoe, S. (2006). Social contexts of drug offers among American Indian youth and their relationship to drug use: An exploratory study. Cultural Diversity and Ethnic Minority Psychology, 12, 30–44.

    Article  PubMed  Google Scholar 

  • LaFromboise, T. D., Trimble, J. E., & Mohatt, G. V. (1990). Counseling intervention and American Indian tradition: An integrative approach. Counseling Psychologist, 18, 628–654.

    Article  Google Scholar 

  • Little, R. J. A., & Rubin, D. B. (2002). Statistical analysis with missing data (2nd ed.). New York: Wiley.

    Google Scholar 

  • Mail, P. D. (1995). Early modeling of drinking behavior by Native American elementary school children playing drunk. International Journal of the Addictions, 30, 1187–1197.

    PubMed  CAS  Google Scholar 

  • Marlatt, G. A., Larimer, M. E., Mail, P. D., Hawkins, E. H., Cummins, L. H., Blume, A. W., et al. (2003). Journeys of the circle: A culturally congruent life skills intervention for adolescent Indian drinking. Alcoholism: Clinical and Experimental Research, 27, 1–3.

    Article  Google Scholar 

  • Marsiglia, F. F., Kulis, S., Wagstaff, D., Elek, E., & Dran, D. (2005). Acculturation status and substance use prevention with Mexican and Mexican-American youth. Journal of Social Work Practice in the Addictions, 5, 85–111.

    Article  Google Scholar 

  • Moncher, M. S., Holden, G. W., & Trimble, J. E. (1990). Substance abuse among Native-American youth. Journal of Consulting and Clinical Psychology, 58, 408–415.

    Article  PubMed  CAS  Google Scholar 

  • National Institute on Alcohol Abuse and Alcoholism. (2002). Research Monograph No. 37: Alcohol use among American Indians and Alaska Natives: Multiple perspectives on a complex problem (NIH Pub. No. 02-4231). Bethesda, MD: National Institutes of Health.

  • Novins, D. K., & Mitchell, C. M. (1998). Factors associated with marijuana use among American Indian adolescents. Addiction, 93, 1693–1702.

    Article  PubMed  CAS  Google Scholar 

  • Oetting, E. R., Beauvais, F., & Edwards, R. W. (1988). Alcohol and Indian youth: Social and psychological correlates and prevention. Journal of Drug Issues, 18(1), 87–101.

    Google Scholar 

  • Oetting, E. R., Donnermeyer, J. F., Trimble, J. E., & Beauvais, F. (1998). Primary socialization theory: Culture, ethnicity, and cultural identification. The links between culture and substance use. IV. Substance Use & Misuse, 33(10), 2075–2107.

    CAS  Google Scholar 

  • Oetting, E. R., Edwards, R. W., & Beauvais, F. (1989). Drugs and Native-American youth. Drugs & Society, 3, 5–38.

    Article  Google Scholar 

  • Office of Applied Studies. (2004). Results from the 2003 national survey on drug use and health: National findings (DHHS Publication No. SMA 04-3964, NSDUH Series H-25). Rockville, MD: Substance Abuse and Mental Health Services Administration.

  • Okamoto, S. K., & LeCroy, C. W. (2004). Evidence-based practice and manualized treatment with children. In A. R. Roberts & K. R. Yeager (Eds.), Evidence-based practice manual: Research and outcome measures in health and human services (pp. 246–252). New York: Oxford.

    Google Scholar 

  • Perneger, T. J. (1998). What’s wrong with Bonferroni adjustments. British Medical Journal, 316, 1236–1238.

    PubMed  CAS  Google Scholar 

  • Raudenbush, S. W., & Bryk, A. S. (2002). Hierarchical linear models (2nd ed.). Thousand Oaks: Sage.

    Google Scholar 

  • Raw, S. D. (1998). Who is to define effective treatment for social work clients? Social Work, 43, 81–86.

    Google Scholar 

  • Rothman, K. J. (1998). No adjustments are needed for multiple comparisons. Epidemiology, 1(1), 43–6.

    Article  Google Scholar 

  • Scheier, L. M. (2001). Etiologic studies of adolescent drug use: A compendium of data resources and their implications for prevention. Journal of Primary Prevention, 22, 125–168.

    Article  Google Scholar 

  • Schinke, S. P., Orlandi, M. A., Botvin, G. J., Gilchrist, L. D., Trimble, J. E., & Locklear, V. S. (1988). Preventing substance abuse among American Indian adolescents: A bicultural competence skills approach. Journal of Counseling Psychology, 35, 87–90.

    Article  PubMed  Google Scholar 

  • Schinke, S. P., Tepavac, L., & Cole, K. C. (2000). Preventing substance use among Native American youth: Three-year results. Addictive Behaviors, 25, 387–397.

    Article  PubMed  CAS  Google Scholar 

  • Spencer, M. S., Icard, L. D., Harachi, T. W., Catalano, R. F., & Oxford, M. (2000). Ethnic identity among monoracial and multiracial early adolescents. Journal of Early Adolescence, 20, 365–387.

    Article  Google Scholar 

  • Spicer, P., Beals, J., Croy, C. D., Mitchell, C. M., Novins, D. K., Moore, L., Manson, S. M., & The AI-SUPERPFP Team. (2003). The prevalence of DSM-III-R alcohol dependence in two American Indian populations. Alcoholism: Clinical and Experimental Research, 27, 1785–1797.

  • Spitzberg, B. H., & Cupach, W. R. (1984). Interpersonal communication competence. Beverly Hills: Sage.

    Google Scholar 

  • Stiffman, A. R., Striley, C., Brown, E., Limb, G., & Ostmann, E. (2003). American Indian youth: Who southwestern urban and reservation youth turn to for help with mental health or addictions. Journal of Child and Family Studies, 12, 319–333.

    Article  Google Scholar 

  • Szapocznik, J., & Coatsworth, J. D. (1999). An ecodevelopmental framework for organizing the influences on drug abuse: A developmental model of risk and protection. In M. Glantz & C. R. Hartel (Eds.), Drug abuse: Origins and interventions (pp. 331–366). Washington: American Psychological Association.

    Chapter  Google Scholar 

  • Trimble, J. E. (1995). Toward an understanding of ethnicity and ethnic identity, and their relationship with drug use research. In G. J. Botvin, S. Schinke, & M. A. Orlandi (Eds.), Drug abuse prevention with multiethnic youth (pp. 3–27). Thousand Oaks: Sage.

    Google Scholar 

  • Trotter, R. T., Rolf, J. E., & Baldwin, J. A. (1997). Cultural models of inhalant abuse among Navajo youth. Drugs and Society, 10(1–2), 39–59.

    Google Scholar 

  • U.S. Bureau of the Census.(2000). The American Indian and Alaska Native population: 2000. Retrieved on November 15, 2005 from http://www.census.gov/prod/2002pubs/c2kbr01-15.pdf

  • U.S. Congress Office of Technology Assessment. (1990, January). Indian adolescent mental health (OTA-H 446). Washington, D.C.: U.S. Government Printing Office.

  • U.S. Department of Agriculture Food and Nutrition Service. (n.d.). National school lunch annual summary. Retrieved on March 14, 2005 from http://www.fns.usda.gov/pd/slsummar.htm

  • U.S. Department of Health and Human Services. (n.d.). SAMHSA model program: keepin’ it R.E.A.L. Retrieved on March 12, 2005 from http://www.modelprograms.samhsa.gov

  • Walters, K. L., Simoni, J. M., & Evans-Campbell, T. (2002). Substance use among American Indians and Alaska Natives: Incorporating culture in an “Indigenist” stress coping paradigm. Public Health Reports, 117(Suppl. 1), S104–S117.

    PubMed  Google Scholar 

  • Werch, C. E., & Owen, D. M. (2002). Iatrogenic effects of alcohol and drug prevention programs. Journal of Studies on Alcohol, 63, 581–590.

    PubMed  Google Scholar 

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Acknowledgments

This study was supported by National Institutes of Health/National Institute on Drug Abuse funding for the Southwest Interdisciplinary Research Center at Arizona State University (R-24 DA 13937-01), the Drug Resistance Strategies-3 project (R01 DA05629).

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Correspondence to Andrea L. Dixon.

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Dixon, A.L., Yabiku, S.T., Okamoto, S.K. et al. The Efficacy of a Multicultural Prevention Intervention among Urban American Indian Youth in the Southwest U.S.. J Primary Prevent 28, 547–568 (2007). https://doi.org/10.1007/s10935-007-0114-8

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