@article{ref1,
title=""Keep up the messages, sometimes it was a lifesaver": effects of cultural adaptation on a suicide prevention clinical trial in American Indian/Alaska Native communities",
journal="Behaviour research and therapy",
year="2023",
author="Bogic, Marija and Hebert, Luciana E. and Evanson, Anna and Wright, Barbara D. and Petras, Anthippy and Jansen, Kelley and Shaw, Jennifer and Comtois, Katherine Anne and Nelson, Lonnie",
volume="166",
number="",
pages="e104333-e104333",
abstract="Suicide disproportionately affects many American Indian/Alaska Native (AI/AN) communities. Caring Contacts is one of the few suicide prevention interventions with demonstrated success in diverse populations, but its acceptability and effectiveness have not been evaluated in AI/AN communities. Using community-based participatory research (Phase 1), we conducted focus groups and semi-structured interviews with AI/AN adults, healthcare providers, and leaders in four communities to improve study design and maximize intervention acceptability and effectiveness for implementation in a randomized controlled trial (Phase 2). This paper describes how adaptations made during Phase 1 affected the acceptability, fit, and responsiveness of the study features to the communities' needs. Acceptability of the study procedures and materials in this community appears to be high, with 92% of participants indicating the initial assessment interview was a positive experience. Broadening eligibility criteria with regard to age and possession of a cellular device resulted in the recruitment of an additional 48% and 46% of participants, respectively. Inclusion of locally-informed methods of self-harm allowed us to capture a wider range of suicidal behavior than would have otherwise been identified. Clinical trials would benefit from community-engaged, cultural adaptation studies with populations in which the interventions would eventually be applied.<p /> <p>Language: en</p>",
language="en",
issn="0005-7967",
doi="10.1016/j.brat.2023.104333",
url="http://dx.doi.org/10.1016/j.brat.2023.104333"
}