Preventing Substance Use Among Indigenous Adolescents in the USA, Canada, Australia and New Zealand: a Systematic Review of the Literature
| Autor: | Patricia J. Conrod, Katrina E. Champion, Lexine Stapinski, Cath Chapman, Lorenda Belone, Maree Teesson, Christopher J. Mushquash, James Ward, Nicola C. Newton, Briana Lees, Mieke Snijder |
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| Rok vydání: | 2019 |
| Předmět: |
Program evaluation
medicine.medical_specialty Native Hawaiian or Other Pacific Islander Adolescent Substance-Related Disorders Resistance (psychoanalysis) Context (language use) Substance use Article Indigenous 03 medical and health sciences 0302 clinical medicine medicine Health Services Indigenous Humans 030212 general & internal medicine Evaluation Aboriginal American Indian or Alaska Native 030505 public health Prevention Public health Australia Public Health Environmental and Occupational Health Grey literature United States Health psychology Family medicine General partnership 0305 other medical science Psychology Native New Zealand Program Evaluation |
| Zdroj: | Prevention Science |
| ISSN: | 1573-6695 1389-4986 |
| Popis: | This systematic review assessed the current evidence base of substance use prevention programs for Indigenous adolescents in the USA, Canada, Australia and New Zealand. The authors investigated (a) the outcomes, type, setting and context of prevention programs; (b) the common components of beneficial prevention programs; and (c) the methodological quality of evaluations of included prevention programs. The authors searched eight peer-reviewed and 20 grey literature databases for studies published between 1 January 1990 and 31 August 2017. Data extracted included type of program (culturally adapted, culture-based or unadapted), the setting (school, community, family or multi-setting), delivery (computerised or traditional), context (Indigenous-specific or multi-cultural environment) and common components of the programs. Program evaluation methodologies were critically appraised against standardised criteria. This review identified 26 eligible studies. Substance use prevention programs for Indigenous youth led to reductions in substance use frequency and intention to use; improvements in substance-related knowledge, attitudes and resistance strategies; and delay in substance use initiation. Key elements of beneficial programs included substance use education, skills development, cultural knowledge enhancement and community involvement in program development. Five programs were rated as methodologically strong, seven were moderate and fourteen were weak. Prevention programs have the potential to reduce substance use among Indigenous adolescents, especially when they are developed in partnership with Indigenous people. However, more rigorously conducted evaluation trials are required to strengthen the evidence base. |
| Databáze: | OpenAIRE |
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