Cited by 102Indigenous Health, Education, and RightsSuicide and Self-Harm StudiesSubstance Abuse Treatment and Outcomes

Multi-Level Cultural Intervention for the Prevention of Suicide and Alcohol Use Risk with Alaska Native Youth: a Nonrandomized Comparison of Treatment Intensity

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Qungasvik Team, Allen, James, Rasmus, Stacy M., Fok, Carlotta Ching Ting, Charles, Billy, Henry, David·2018·Prevention Science

Abstract

Suicide and alcohol use disorders are primary determinants of health disparity among Alaska Native people in contrast to the US general population. Qungasvik, a Yup'ik word for toolbox, is a strengths-based, multi-level, community/cultural intervention for rural Yup'ik youth ages 12-18. The intervention uses "culture as intervention" to promote reasons for life and sobriety in young people using local expertise, high levels of community direction, and community based staff. The intervention is grounded in local practices and adaptive to local cultural differences distinctive to rural Yup'ik communities. The current study compares the effectiveness of high-intensity intervention in one community (treatment), operationalized as a high number of intervention activities, or modules, implemented and attended by youth, contrasted to a lower intensity intervention in a second community (comparison) that implemented fewer modules. A Yup'ik Indigenous theory of change developed through previous qualitative and quantitative work guides intervention. In the model, direct intervention effects on proximal or intermediate variables constituting protective factors at the individual, family, community, and peer influences levels lead to later change on the ultimate prevention outcome variables of Reasons for Life protective from suicide risk and Reflective Processes about alcohol use consequences protective from alcohol risk. Mixed effects regression models contrasted treatment and comparison arms, and identified significant intervention effects on Reasons for Life (d = 0.27, p < .05) but not Reflective Processes.

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Research works printed but not linked: 2

  1. Fienup-Riordan A 2000 Hunting tradition in a changing world: Yup’ik lives in Alaska New Brunswick, NJ Rutgers University Press
  2. Moos RH Moos BS 1994 Family Environment Scale 3 Palo Alto, CA Consulting Psychologists Press

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Authors
Qungasvik Team, Allen, J., Rasmus, S. M., Fok, C. C. T., Charles, B., & Henry, D.
Affiliations
  • University of Minnesota (US)
  • University of Alaska Fairbanks (US)
  • University of Illinois Chicago (US)
Corresponding author
Allen, James
Venue
Prevention Science
Published
2017-08-07
Volume
19
Issue
2
Pages
174-185
ISSN
  • 1389-4986 (ISSN-L)
  • 1573-6695
OpenAlex
W2742519560
Cited by
102
References
43
Citations by year
2026: 6 · 2025: 10 · 2024: 15 · 2023: 10 · 2022: 24 · 2021: 13 · 2020: 11 · 2019: 6 · 2018: 5 · 2017: 1
FWCI
7.00
Type
journal article
Language
en
Open access
Locations
  • Prevention Science (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institute on Minority Health and Health Disparities (R24MD001626)
  • National Institute on Alcohol Abuse and Alcoholism (R01AA023754)
  • National Institute for General Medical Services (P20RR061430)
Topics
  • Social Sciences › Health › Indigenous Health, Education, and Rights
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Keywords
suicide prevention, alcohol prevention, Alaska Native youth, Yup'ik, multilevel interventions, treatment intensity, reflective processes, protective factors, community-based prevention, health disparities, rural indigenous communities
MeSH terms
Underage Drinking, Alaska Natives, Alaskan Natives, Suicide Prevention, Adolescent, Alaska, Child, Female, Humans, Male, Psychometrics, Surveys and Questionnaires, Community Networks, Community-Based Participatory Research

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