title: Acceptability of a web-based community reinforcement approach for substance use disorders with treatment-seeking American Indians/Alaska Natives.
abstract: Longstanding disparities in substance use disorders and treatment access exist among American Indians/Alaska Natives (AI/AN). Computerized, web-delivered interventions have potential to increase access to quality treatment and improve patient outcomes. Prior research supports the efficacy of a web-based version [therapeutic education system (TES)] of the community reinforcement approach to improve outcomes among outpatients in substance abuse treatment; however, TES has not been tested among AI/AN. The results from this mixed method acceptability study among a diverse sample of urban AI/AN (N = 40) show that TES was acceptable across seven indices (range 7.8-9.4 on 0-10 scales with 10 indicating highest acceptability). Qualitative interviews suggest adaptation specific to AI/AN culture could improve adoption. Additional efforts to adapt TES and conduct a larger effectiveness study are warranted.
authors.affiliation: Department of Psychiatry, New York State Psychiatric Institute, Columbia University College of Physicians and Surgeons, 1051 Riverside Drive, Room 3732, Box 120, New York, NY, 10032, USA, anc2002@columbia.edu.
authors.forename: Aimee N C
authors.initials: AN
authors.lastname: Campbell
authors.forename: Eva
authors.initials: E
authors.lastname: Turrigiano
authors.forename: Michelle
authors.initials: M
authors.lastname: Moore
authors.forename: Gloria M
authors.initials: GM
authors.lastname: Miele
authors.forename: Traci
authors.initials: T
authors.lastname: Rieckmann
authors.forename: Mei-Chen
authors.initials: MC
authors.lastname: Hu
authors.forename: Frankie
authors.initials: F
authors.lastname: Kropp
authors.forename: Roz
authors.initials: R
authors.lastname: Ringor-Carty
authors.forename: Edward V
authors.initials: EV
authors.lastname: Nunes
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000413:Alaska; D005260:Female; D006297:Health Services Accessibility; D006801:Humans; D007198:Indians, North American / Q000523:psychology*; D020407:Internet; D007407:Interviews as Topic; D016014:Linear Models; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000208:ethnology*; D036301:Qualitative Research; D019966:Substance-Related Disorders / Q000208:ethnology / Q000628:therapy*; D013813:Therapy, Computer-Assisted / Q000379:methods*; D055815:Young Adult