A Culturally Focused Wellness Intervention for American Indian Women of a Small Southwest Community: Associations with Alcohol Use, Abstinence Self-Efficacy, Symptoms of Depression, and Self-Esteem
Abstract
Purpose This study examined the influence of a culturally focused wellness intervention on alcohol consumption, alcohol abstinence self-efficacy, depression, and self-esteem among women of a small American Indian community in the southwestern United States. Participation in two intervention approaches was compared: a curriculum-based health promotion–only approach and health promotion combined with cognitive-behavioral skills building (CBSB). Design The wellness intervention was tested in a prospective, randomized, two-group design with repeated measures. There was no control group. Setting An American Indian community in the Southwest. Subjects American Indian women, ages 18 to 50 (N = 268). Intervention A 10-session culturally focused curriculum-based health promotion intervention, with a CBSB component, was developed using a community-based participatory research process. Comparisons were made between those who attended the health promotion plus CBSB intervention and those who attended the intervention without the CBSB component. Measures Information regarding demographics, substance use, alcohol consumption, alcohol abstinence self-efficacy, depressive symptoms, and self-esteem was collected through a structured interview. Analysis Regression was used to evaluate the effect of the intervention on alcohol consumption, alcohol abstinence self-efficacy, depressive symptoms, and self-esteem in CBSB and non-CBSB groups. Results Although there were no significant differences be…
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In total, two studies (11.11%) were rated a bias rating of 3 (moderate bias).
“two studies (11.11%) were rated a bias rating of 3 (moderate bias) (Gray et al., 2010; Kanate et al., 2015)”
From Culturally tailored substance use interventions for Indigenous people of North America: a systematic review (2023) · cites this paper as Gray et al., 2010
Of the four RCT studies, one (25%) received a bias rating of 3.
“one (25%) was received a bias rating of 3 (Gray et al., 2010).”
From Culturally tailored substance use interventions for Indigenous people of North America: a systematic review (2023) · cites this paper as Gray et al., 2010
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References 53 · Cited by 49
- Authors
- Gray, N., Mays, M. Z., Wolf, D., & Jirsak, J.
- Affiliations
- University of Arizona (US)
- Corresponding author
- Gray, Norma
- ORCID
- Mays, Mary Z.
- Venue
- American Journal of Health Promotion
- Publisher
- SAGE Publications
- Published
- 2010-11
- Volume
- 25
- Issue
- 2
- Pages
- e1-e10
- ISSN
- 0890-1171 (ISSN-L)
- 2168-6602
- OpenAlex
- W2171154936
- Cited by
- 49
- References
- 53
- Citations by year
- 2026: 2 · 2022: 3 · 2021: 38 · 2019: 1 · 2016: 1 · 2015: 1 · 2013: 1 · 2012: 2
- FWCI
- 0.97
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Health Promotion (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Substance Abuse and Mental Health Services Administration
- Topics
- Social Sciences › Health › Indigenous Health, Education, and Rights
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Health Professions › General Health Professions › Community Health and Development
- Keywords
- American Indian women, wellness interventions, alcohol consumption, depressive symptoms, self-esteem, health promotion curriculum, community-based participatory research
- MeSH terms
- Adult, Alcohol Drinking, Depression, Female, Health Promotion, Humans, Indians, North American, Pilot Projects, Self Concept, Southwestern United States, Cognitive Behavioral Therapy, Self Efficacy, Cultural Competency, Community-Based Participatory Research
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