A scoping study of cultural interventions to treat addictions in Indigenous populations: methods, strategies and insights from a Two-Eyed Seeing approach

Substance Abuse Treatment, Prevention, and Policy

Colleen Anne Dell⁶  Barbara Fornssler⁶  Christopher Mushquash⁴  Laura Hall⁶  Carol Hopkins³  Marwa Farag¹  David Mykota⁷  Beverley Shea²  Nancy Poole⁵  Margo Rowan⁶ 

[1]School of Public Health, University of Saskatchewan, 107 Wiggins Road, Room 2705, RUH, Saskatoon S7N 5ES, SK, Canada

[2]Bruyère Research Institute, 85 Primrose Avenue, Ottawa K1R 6 M1, ON, Canada

[3]National Native Addictions Partnership Foundation Inc, Satellite Office 303 East River Road, Muncey, Ontario N0L 1Y0, Canada

[4]Department of Psychology and Northern Ontario School of Medicine, Lakehead University, 955 Oliver Rd., Thunder Bay P7B 5E1, ON, Canada

[5]British Columbia Centre of Excellence for Women’s Health, E311-4500 Oak St, Box 48, Vancouver V6H 3 N1, BC, Canada

[6]Department of Sociology, University of Saskatchewan, 1109 – 9 Campus Drive, Saskatoon S7N 5A5, SK, Canada

[7]Department of Educational Psychology and Special Education, College of Education, University of Saskatchewan, 28 Campus Drive, Saskatoon S7N 0X1, SK, Canada

关键词: Two-Eyed Seeing;    Systematic review;    Scoping study;    Treatment interventions;    Indigenous;    Addictions;    Cultural interventions;    First Nations;   

Others  :  1223065
DOI  :  10.1186/s13011-015-0021-6

 received in 2015-02-04, accepted in 2015-06-25,  发布年份 2015

【 摘 要 】

Background

This paper describes the methods, strategies and insights gained from a scoping study using a “Two-Eyed Seeing” approach. An evolving technique, Two-Eyed Seeing respects and integrates the strengths of Indigenous knowledge and Western sciences, often “weaving back and forth” between the two worldviews. The scoping study was used to inform a tool for measuring the impact of culturally based addictions treatment services on wellness in Indigenous populations. It formed part of a three-year study, Honouring Our Strengths: Indigenous Culture as Intervention in Addictions Treatment. The scoping study identified and mapped literature on cultural interventions in addictions treatment, and described the nature, extent and gaps in literature.

Methods

Using a Two-Eyed Seeing approach, we adapted, applied and enhanced a common framework of scoping studies. In the end stage of the scoping review process, an Ad Hoc Review Group, led by our project Elder, reviewed and interpreted Indigenous and Western understandings within the mapped information. Elements of the scoping study were joined with results from community focus groups with staff at treatment centres.

Results

Two-Eyed Seeing contributed differently at each stage of the scoping study. In early stages, it clarified team expertise and potential contributions. At the mid-point, it influenced our shift from a systematic to a scoping review. Near the end, it incorporated Western and Indigenous knowledge to interpret and synthesize evidence from multiple sources.

Conclusions

This paper adds to the collective work on augmenting the methodology of scoping studies. Despite the challenges of a Two-Eyed Seeing approach, it enables researchers using scoping studies to develop knowledge that is better able to translate into meaningful findings for Indigenous communities.

【 授权许可】

   
2015 Rowan et al.

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