Academic Journal
Culturally centering alcohol use assessments: insight from indigenous adults with lived and living experience.
| Τίτλος: | Culturally centering alcohol use assessments: insight from indigenous adults with lived and living experience. |
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| Συγγραφείς: | Hirchak KA; Department of Community and Behavioral Health, Elson S. Floyd College of Medicine, Washington State University, Spokane, WA, United States.; Promoting Research Initiatives in Substance Use and Mental Health Collaborative, Washington State University, Spokane, WA, United States.; Connections in Indigenous Research, Cultural Leadership, Equity, & Solidarity, Washington State University, Spokane, WA, United States., Bajet K; Department of Community and Behavioral Health, Elson S. Floyd College of Medicine, Washington State University, Spokane, WA, United States.; Promoting Research Initiatives in Substance Use and Mental Health Collaborative, Washington State University, Spokane, WA, United States.; Connections in Indigenous Research, Cultural Leadership, Equity, & Solidarity, Washington State University, Spokane, WA, United States., Webb K; Tribal Healing Center, Wyoming, WY, United States., Wagon S; Tribal Healing Center, Wyoming, WY, United States., Daw R; Behavioral Health Consultant, Albuquerque, NM, United States., Tonigan JS; Department of Psychology and Center on Alcohol, Substance use, And Addictions (CASAA), University of New Mexico, Albuquerque, NM, United States., Walls M; Center for Indigenous Health, Johns Hopkins University, Baltimore, MD, United States., Venner KL; Department of Psychology and Center on Alcohol, Substance use, And Addictions (CASAA), University of New Mexico, Albuquerque, NM, United States. |
| Πηγή: | Frontiers in public health [Front Public Health] 2026 Jun 17; Vol. 14, pp. 1834637. Date of Electronic Publication: 2026 Jun 17 (Print Publication: 2026). |
| Τύπος έκδοσης: | Journal Article |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Frontiers Editorial Office Country of Publication: Switzerland NLM ID: 101616579 Publication Model: eCollection Cited Medium: Internet ISSN: 2296-2565 (Electronic) Linking ISSN: 22962565 NLM ISO Abbreviation: Front Public Health Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: Lausanne : Frontiers Editorial Office |
| Ιατρικοί όροι (MeSH): | Alcohol Drinking*/ethnology , Alcoholism*/ethnology , American Indian or Alaska Native*/psychology , Cultural Competency*, Adult ; Female ; Humans ; Male ; Middle Aged ; Alcohol Abstinence ; Interviews as Topic |
| Περίληψη: | Objectives: There are high rates of both alcohol abstinence and hazardous drinking among American Indian and Alaska Native (AI/AN) communities compared with non-Hispanic Whites. Few measures exist that examine alcohol use consequences within a relevant historical and cultural context for Indigenous populations, hindering the ability of communities, researchers, and practitioners to effectively address alcohol misuse. In the present study, we discuss a research collaboration to culturally re-center alcohol-use consequence measures among AI/AN adults. Methods: We convened a national and local Scientific Review Panel (SRP) with AI/AN research and clinical experts to reexamine the Drinker Inventory of Consequences (DrInC) and the companion measure, the Short Inventory of Problems (SIP; N = 5). We then completed 20 interviews with AI/AN adults currently in alcohol recovery or misusing alcohol. Interview questions included the alignment of items within measures to be more culturally relevant, identifying missing content, and a review of the research team's adaptations. We completed a thematic analysis. Results: The SRP focused their adaptations on re-centering culture, assessing risk and protective factors, and important missing item content elements. Ultimately, the SRP recommended removing 20 items from the DrInC and adding 12 items to the SIP and adding 3 sub-scales, with an emphasis on the addition of items that were strengths-based and removal of stigmatizing language. Interviews were then completed to further refine the measures. In total, three themes emerged from these data: (1) Direct Reflections on Original and Adapted Items; (2) Negative Alcohol Consequences Specific to AI/AN Communities; and (3) Recovery Supports. Conclusion: Findings underscored the need to emphasize culture, prevention, and recovery supports when addressing alcohol misuse with AI/AN adults. The SRP also identified areas to expand the culturally centered framing of these measures by removing stigmatizing language, focusing on systemic factors, and prioritizing strengths-based approaches. The subsequent culturally centered tools will be validated with 150 nationally recruited AI/AN adults. (Copyright © 2026 Hirchak, Bajet, Webb, Wagon, Daw, Tonigan, Walls and Venner.) |
| Competing Interests: | KV has a conflict-of-interest management plan at the University of New Mexico for delivering training on evidence-based interventions. KH and KB have received funding for research, training, and technical assistance for contingency management. The remaining author(s) declared that this work was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. |
| Contributed Indexing: | Keywords: American Indian and Alaska Native communities; alcohol assessments; community engaged; culturally adapted measures; qualitative |
| Entry Date(s): | Date Created: 20260702 Date Completed: 20260702 Latest Revision: 20260804 |
| Update Code: | 20260805 |
| PubMed Central ID: | PMC13319085 |
| DOI: | 10.3389/fpubh.2026.1834637 |
| PMID: | 42388773 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 2296-2565 |
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| DOI: | 10.3389/fpubh.2026.1834637 |