1956/08/05 by Aimee N. C. Campbell, Aimee Campbell, Eva Turrigiano +9
Health Professions · Medicine · Psychology · #Community Health and Development #Digital Mental Health Interventions #Health Policy Implementation Science #Substance Abuse Treatment and Outcomes
paper · doi:10.1007/s10597-014-9764-1
openalex publication_date 1956/08/05 · crossref created 2014/07/14 · crossref issued 2014/07/15 · crossref published 2014/07/15 · crossref published-online 2014/07/15 · crossref published-print 2015/05/01 · openalex created_date 2016/06/24 · crossref deposited 2020/08/22 · crossref indexed 2026/07/31 · openalex updated_date 2026/08/01
Longstanding disparities in substance use disorders and treatment access exist among American Indians/Alaska Natives (AI/AN). Computerized, web-delivered interventions have potential to increase access to quality treatment and improve patient outcomes. Prior research supports the efficacy of a web-based version [therapeutic education system (TES)] of the community reinforcement approach to improve outcomes among outpatients in substance abuse treatment; however, TES has not been tested among AI/AN. The results from this mixed method acceptability study among a diverse sample of urban AI/AN (N = 40) show that TES was acceptable across seven indices (range 7.8-9.4 on 0-10 scales with 10 indicating highest acceptability). Qualitative interviews suggest adaptation specific to AI/AN culture could improve adoption. Additional efforts to adapt TES and conduct a larger effectiveness study are warranted.