Impact and Integration of Culturally Centered American Indian/Alaska Native Practices and Training During COVID-19 on Tele-Behavioral Substance Use Treatment: Protocol for a Community-Derived Mixed Methods Study
(1) Background: American Indian and Alaska Native (AI/AN) communities faced disproportionate COVID-19 infection rates and a higher prevalence of substance use disorders (SUDs). Telehealth emerged as a key strategy to address these health disparities. (2) Objective: In response to a call to action fr...
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MDPI AG
2025-02-01
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| Series: | Genealogy |
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| Online Access: | https://www.mdpi.com/2313-5778/9/1/23 |
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| author | Neshay S. D’Silva Melissa Wheeler Juliette Roddy Shane Haberstroh Julie A. Baldwin Ramona N. Mellott Chesleigh Keene |
| author_facet | Neshay S. D’Silva Melissa Wheeler Juliette Roddy Shane Haberstroh Julie A. Baldwin Ramona N. Mellott Chesleigh Keene |
| author_sort | Neshay S. D’Silva |
| collection | DOAJ |
| description | (1) Background: American Indian and Alaska Native (AI/AN) communities faced disproportionate COVID-19 infection rates and a higher prevalence of substance use disorders (SUDs). Telehealth emerged as a key strategy to address these health disparities. (2) Objective: In response to a call to action from an urban Indian organization (UIO), our multidisciplinary team conducted a community-based participatory study to (1) examine the integration of Native practices in SUD treatment during COVID-19, and (2) develop provider training modules based on these findings. (3) Methods: Using a mixed methods approach, we conducted semi-structured interviews with six community SUD providers, surveyed 91 clients, and analyzed 278 de-identified health records from the UIO Native-serving facility in the Southwest U.S. from May 2020 to May 2021. (4) Results: As of October 2024, analysis of Aim 1 is ongoing. With UIO engagement, findings from Aim 1 are being translated into training modules for Aim 2. (5) Conclusion: This community-driven study lays the foundation for future research on Indigenous mental well-being, centering strength, resilience, and cultural knowledge in substance use treatment. Findings will be disseminated through presentations and publications with Native and non-Native communities, treatment centers, educators, and leaders. Future studies will assess the effectiveness of the training modules among clinicians. |
| format | Article |
| id | doaj-art-90ffd3c1b1d045edba0a8c6016ec11a5 |
| institution | OA Journals |
| issn | 2313-5778 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Genealogy |
| spelling | doaj-art-90ffd3c1b1d045edba0a8c6016ec11a52025-08-20T02:11:23ZengMDPI AGGenealogy2313-57782025-02-01912310.3390/genealogy9010023Impact and Integration of Culturally Centered American Indian/Alaska Native Practices and Training During COVID-19 on Tele-Behavioral Substance Use Treatment: Protocol for a Community-Derived Mixed Methods StudyNeshay S. D’Silva0Melissa Wheeler1Juliette Roddy2Shane Haberstroh3Julie A. Baldwin4Ramona N. Mellott5Chesleigh Keene6Center for Community Health and Engaged Research, Northern Arizona University, Flagstaff, AZ 86011, USACenter for Community Health and Engaged Research, Northern Arizona University, Flagstaff, AZ 86011, USACenter for Community Health and Engaged Research, Northern Arizona University, Flagstaff, AZ 86011, USACenter for Community Health and Engaged Research, Northern Arizona University, Flagstaff, AZ 86011, USACenter for Community Health and Engaged Research, Northern Arizona University, Flagstaff, AZ 86011, USACenter for Community Health and Engaged Research, Northern Arizona University, Flagstaff, AZ 86011, USACenter for Community Health and Engaged Research, Northern Arizona University, Flagstaff, AZ 86011, USA(1) Background: American Indian and Alaska Native (AI/AN) communities faced disproportionate COVID-19 infection rates and a higher prevalence of substance use disorders (SUDs). Telehealth emerged as a key strategy to address these health disparities. (2) Objective: In response to a call to action from an urban Indian organization (UIO), our multidisciplinary team conducted a community-based participatory study to (1) examine the integration of Native practices in SUD treatment during COVID-19, and (2) develop provider training modules based on these findings. (3) Methods: Using a mixed methods approach, we conducted semi-structured interviews with six community SUD providers, surveyed 91 clients, and analyzed 278 de-identified health records from the UIO Native-serving facility in the Southwest U.S. from May 2020 to May 2021. (4) Results: As of October 2024, analysis of Aim 1 is ongoing. With UIO engagement, findings from Aim 1 are being translated into training modules for Aim 2. (5) Conclusion: This community-driven study lays the foundation for future research on Indigenous mental well-being, centering strength, resilience, and cultural knowledge in substance use treatment. Findings will be disseminated through presentations and publications with Native and non-Native communities, treatment centers, educators, and leaders. Future studies will assess the effectiveness of the training modules among clinicians.https://www.mdpi.com/2313-5778/9/1/23community-engaged researchcommunity-based participatory researchculturally centered treatmentNative Americanindigenous healthindigenous health research |
| spellingShingle | Neshay S. D’Silva Melissa Wheeler Juliette Roddy Shane Haberstroh Julie A. Baldwin Ramona N. Mellott Chesleigh Keene Impact and Integration of Culturally Centered American Indian/Alaska Native Practices and Training During COVID-19 on Tele-Behavioral Substance Use Treatment: Protocol for a Community-Derived Mixed Methods Study Genealogy community-engaged research community-based participatory research culturally centered treatment Native American indigenous health indigenous health research |
| title | Impact and Integration of Culturally Centered American Indian/Alaska Native Practices and Training During COVID-19 on Tele-Behavioral Substance Use Treatment: Protocol for a Community-Derived Mixed Methods Study |
| title_full | Impact and Integration of Culturally Centered American Indian/Alaska Native Practices and Training During COVID-19 on Tele-Behavioral Substance Use Treatment: Protocol for a Community-Derived Mixed Methods Study |
| title_fullStr | Impact and Integration of Culturally Centered American Indian/Alaska Native Practices and Training During COVID-19 on Tele-Behavioral Substance Use Treatment: Protocol for a Community-Derived Mixed Methods Study |
| title_full_unstemmed | Impact and Integration of Culturally Centered American Indian/Alaska Native Practices and Training During COVID-19 on Tele-Behavioral Substance Use Treatment: Protocol for a Community-Derived Mixed Methods Study |
| title_short | Impact and Integration of Culturally Centered American Indian/Alaska Native Practices and Training During COVID-19 on Tele-Behavioral Substance Use Treatment: Protocol for a Community-Derived Mixed Methods Study |
| title_sort | impact and integration of culturally centered american indian alaska native practices and training during covid 19 on tele behavioral substance use treatment protocol for a community derived mixed methods study |
| topic | community-engaged research community-based participatory research culturally centered treatment Native American indigenous health indigenous health research |
| url | https://www.mdpi.com/2313-5778/9/1/23 |
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