Cultural interventions to treat addictions in Indigenous populations: findings from a scoping study

Substance Abuse Treatment, Prevention, and Policy

Colleen Dell²  Christopher Mushquash⁴  Laura Hall²  Carol Hopkins⁵  Marwa Farag³  David Mykota⁸  Joseph P Gone⁶  Beverley Shea⁷  Nancy Poole¹  Margo Rowan² 

[1] British Columbia Centre of Excellence for Women’s Health, E311-4500 Oak St, Box 48, Vancouver, BC V6H 3N1, Canada;Department of Sociology, University of Saskatchewan, 1109 – 9 Campus Drive, Saskatoon, SK S7N 5A5, Canada;School of Public Health, University of Saskatchewan, 107 Wiggins Road, Room 2705, RUH Saskatoon, SK S7N 5ES, Canada;Department of Psychology and Northern Ontario School of Medicine, Lakehead University, 955 Oliver Rd, Thunder Bay, ON P7B 5E1, Canada;National Native Addictions Partnership Foundation Inc, Satellite Office 303 East River Road, Muncey, ON N0L 1Y0, Canada;Department of Psychology, University of Michigan, 530 Church Street, Ann Arbor, MI 48109-1043, USA;Bruyère Research Institute, 85 Primrose Avenue, Ottawa, ON K1R 6M1, Canada;Department of Educational Psychology and Special Education, College of Education, University of Saskatchewan, 28 Campus Drive, Saskatoon, SK S7N 0X1, Canada

关键词: Treatment interventions;    Indigenous;    Addictions;    Cultural interventions;    First Nations;   

Others  :  1139658
DOI  :  10.1186/1747-597X-9-34

 received in 2014-04-05, accepted in 2014-08-26,  发布年份 2014

【 摘 要 】

Background

Cultural interventions offer the hope and promise of healing from addictions for Indigenous people.^a However, there are few published studies specifically examining the type and impact of these interventions. Positioned within the Honouring Our Strengths: Culture as Intervention project, a scoping study was conducted to describe what is known about the characteristics of culture-based programs and to examine the outcomes collected and effects of these interventions on wellness.

Methods

This review followed established methods for scoping studies, including a final stage of consultation with stakeholders. The data search and extraction were also guided by the “PICO” (Patient/population, Intervention, Comparison, and Outcome) method, for which we defined each element, but did not require direct comparisons between treatment and control groups. Twelve databases from the scientific literature and 13 databases from the grey literature were searched up to October 26, 2012.

Results

The search strategy yielded 4,518 articles. Nineteen studies were included from the United States (58%) and Canada (42%), that involved residential programs (58%), and all (100%) integrated Western and culture-based treatment services. Seventeen types of cultural interventions were found, with sweat lodge ceremonies the most commonly (68%) enacted. Study samples ranged from 11 to 2,685 clients. Just over half of studies involved quasi-experimental designs (53%). Most articles (90%) measured physical wellness, with fewer (37%) examining spiritual health. Results show benefits in all areas of wellness, particularly by reducing or eliminating substance use problems in 74% of studies.

Conclusions

Evidence from this scoping study suggests that the culture-based interventions used in addictions treatment for Indigenous people are beneficial to help improve client functioning in all areas of wellness. There is a need for well-designed studies to address the question of best relational or contextual fit of cultural practices given a particular place, time, and population group. Addiction researchers and treatment providers are encouraged to work together to make further inroads into expanding the study of culture-based interventions from multiple perspectives and locations.

【 授权许可】

   
2014 Rowan et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

Figure 2.

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