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10,609 result(s) for "cultural interventions"
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Cultural interventions to treat addictions in Indigenous populations: findings from a scoping study
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.
Effect of Teté dance on lactation session duration in irritable infants in Peru assessed in a randomized controlled trial
 Infant irritability often shortens breastfeeding sessions, contributing to early weaning. The “Teté Dance,” inspired by Peruvian Amazonian traditions, combines rhythmic maternal movements with cheerful music to soothe infants and extend feeding sessions. Objective To evaluate the impact of the “Teté Dance” on breastfeeding session duration. Design Single-blind, parallel, randomized controlled trial within a volunteer initiative providing virtual breastfeeding counseling to Peruvian mothers. Infants aged 4–20 weeks (N = 150) with unexplained irritability were randomized (1:1) to the intervention (n = 75) or control (n = 75) groups. The intervention group practiced the Teté Dance, while controls used usual consolation methods. Mothers recorded breastfeeding durations in diaries. The primary outcome was the change in breastfeeding session duration from baseline to 7 days. Staff blinded to group assignments verified entries. Compared to baseline, the intervention group showed a significant increase in breastfeeding session duration after 7 days (36.4 vs. 29.6 min; mean difference + 6.8, 95% CI 4.7–8.9). The “Teté Dance” increased breastfeeding duration by 23%, offering a community-based, low-cost intervention to support lactating mothers. Future studies should explore its long-term effects and applicability in diverse settings.
Cultural Identity and Intervention Strategies of Arab Minority Social Workers in Israel
This paper examines the associations between the cultural identity of Arab social workers in Israel and their intervention preferences. The Arab cultural identity was assessed by means of four scales measuring attributes that are central to Arab culture: religiosity, collectivism, belief in gender hierarchy and attitudes towards sexual behaviour. The choice of intervention strategies was ascertained using hypothetical vignettes of cases that social workers might encounter. The findings are based on the responses of 491 Arab social workers employed in the municipal social services of the Arab communities who completed a self-administered questionnaire. The findings point both to the predominance of the professional strategies the Arab social workers learned in their social work training and, at the same time, indicate the social workers' readiness to avail themselves of strategies anchored in their own culture and society, whether separately or in combination with professional ones. The findings suggest that Arab social workers in Israel adopt cultural strategies that are appropriate to the circumstances in which they live and in situations in which Western interventions would have been insufficient, irrelevant or harmful.
Family-Based, Culturally Responsive Intervention for Chinese Americans With Diabetes: Lessons Learned From a Literature Review to Inform Study Design and Implementation
Background:The prevalence of diabetes in the United States is very high, and Chinese peoples with diabetes are estimated to comprise 50% of the total cases. Rates of diabetes continue to rise among Chinese and Chinese American people; however, research regarding effective diabetes interventions for this minority group is sparse.Objective:A literature review was conducted to determine a study design and interventions for future studies investigating the efficacy of a family-based intervention to improve diabetes care for Chinese Americans.Methods:The review was conducted from January 2023 to April 2023. The PubMed, CINAHL, ScienceDirect, ProQuest, Google Scholar, Scopus, and Cochrane Central Register of Controlled Trials databases were searched. The key search terms were “diabetes type 2,” “Chinese patients,” “minority patients,” “interventions for diabetes,” “diabetes and family,” “culturally responsive interventions for diabetic patients,” “family education for diabetes,” and “diabetes in China.”Results:The initial search retrieved 2335 articles, and 10 articles met the selection criteria to examine the efficacy of family-based interventions for Chinese American people. The review showed that providing multiple sessions of education and counseling for both patients and family members is promising for improving diabetes care. Recruitment of 20 to 60 dyads consisting of a patient and a family member can help assess family dynamics in the process of diabetes care, such as food shopping and preparation, and of diabetes management to further evaluate the efficacy of an intervention. Glycated hemoglobin (HbA1c) was the most often used primary outcome. Other secondary outcomes included knowledge and efficacy in diabetes management and self-care activities related to diabetes care.Conclusions:A family-based intervention is essential for optimizing diabetes care for Chinese Americans. Thus, recruitment of a dyad consisting of a patient and a family member is important to investigate the efficacy of a family-based intervention for improving diabetes care in this population. Strategies for improving recruitment and retention of dyads were identified. In addition, technology can be used to promote the delivery of interventions to patients, which in turn increases efficacy. This review can help researchers investigate the efficacy of family-based interventions for promoting diabetes management by designing culturally appropriate study protocols and interventions.
A Rapid Review of Sociocultural Dimensions in Nigeria’s Solid Waste Management Approach
Against the background of an arguable dearth of scholarship on the sociocultural dimensions of Nigeria’s solid waste management strategies and practices, this rapid review searched for evidence in the literature. A rapid evidence review and qualitative meta-summary procedure were implemented to utilize the rigor of systematic literature review that met the timelines and limited funding available for this study. It is more appropriate to identify, extract, and synthesize a mixture of qualitative and/or quantitative empirical evidence in the literature. This rapid review found little substantive evidence of scholarly sociocultural approaches in Nigeria’s solid waste management. It also discovered constant factors of inadequate and weak multidisciplinary or non-holistic approaches to driving innovation and effective social impact in Nigeria’s solid waste management practices. The results were interpreted vis-à-vis the need to leverage the social sciences, particularly the range and scope of social work practice configurations and possibilities, to scientifically advance and substantially accelerate the implementation of evidence-based policy and practice in Nigeria’s solid waste management system. This rapid review concluded that the negative results are due to the insufficient conceptual and theoretical bases for Nigeria’s solid waste management strategies and/or practices.
Historical memory in the management of cultural security system of Russian society
PurposeThe purpose of this paper is to develop a model of management of cultural security of Russian society.Design/methodology/approachThe methodological foundation of this research consists in comprehensive approach and activity approach, which make it possible to comprehend specific aspects of cultural security management as an element of the national security system. The research uses a riskologic approach, which reveals the nature of modern risks and threats to cultural security in the information society. A constructivist approach is used, from the perspective of which the interaction between cultural identity and historical memory of society is analyzed.FindingsIt has been found that historical memory is one of the factors that are able to ensure cultural security of society in the context of threats associated with the processes of cultural intervention, current geopolitical confrontation, during which information and psychological methods of destructive influence on the cultural identity of peoples are abundantly used. Therefore, in the system for managing cultural security of society, one should use a historical memory resource aimed at preserving the cultural identity of the people and transmitting it to the coming generations.Originality/valueIt has been substantiated that the growing geopolitical confrontation in the world and the crisis state of the spiritual realm of Russian society bring up the question of state responsibility for the cultural situation and the need to implement an effective national cultural policy. It has been established that only through the reliance on the cultural factor, crisis phenomena can be overcome and social stability and civil society consolidation can be achieved. The role of historical memory in the preservation of cultural identity of the people and ensuring cultural security of Russian society in the context of external and internal threats has been identified. In order to preserve and transmit historical memory, one should use all the structures responsible for the process of socialization of an individual: family, educational system, mass media, cultural establishments and leisure industry.
Research as Cultural Renewal
This article explores the application of two-eyed seeing in the first year of a three-year study about the effectiveness of cultural interventions in First Nations alcohol and drug treatment in Canada. Two-eyed seeing is recognized by Canada’s major health research funder as a starting point for bringing together the strengths of Indigenous and Western ways of knowing. With the aim of developing a culture-based measurement tool, our team carried out an Indigenous-centred research process with our interpretation of two-eyed seeing as a guiding principle. This enabled us to engage in a decolonizing project that prioritized Indigenous methodologies and ways of knowing and knowledge alongside those of Western science. By concentrating on Indigenous governance in the research process, our project supported efforts at Indigenous cultural renewal. Two illustrations are offered, our team’s reconceptualization of Western derived understandings of data collection through Indigenous storytelling and our research grant timeframe with Indigenous knowledge gardening. This article contributes to the Indigenous research and policy literature which is lacking documentation about how Indigenous communities and research teams are benefitting from two-eyed seeing.
Effectiveness of Native STAND: A Five-Year Study of a Culturally Relevant Sexual Health Intervention
Culturally relevant interventions have the potential to improve adolescent health and protective factors associated with sexual risk taking. We evaluated the impact of the Native STAND curriculum with American Indian and Alaska Native (AI/AN or Native) high school students living across the U.S. using a pre-post evaluation design. Native STAND is a comprehensive sexual health curriculum for Native high school students that focuses on sexually transmitted infections, HIV/AIDS, and teen pregnancy prevention, while also covering drug and alcohol use, suicide, and dating violence. The curriculum was implemented in 48 AI/AN communities from 2014 to 2019. A significantly higher percentage of youth reported at post-test having a serious conversation about sex with their friends (post 36% vs. pre 28%, p < 0.001), thinking about lessons learned (post 24% vs. pre 7%, p < 0.0001), and sharing lessons learned during the conversation (post 21% vs. pre 4%, p < 0.001). A lower percentage of AI/AN youth reported being bullied in the last year (post 31% vs. pre 37%, p < 0.001). Family social support was moderated by dose, with subscale scores of 3.75 at post-with <27 sessions vs. 3.96 at post-with all 27 sessions (p = 0.02). The results demonstrate the effectiveness of Native STAND when delivered in a variety of settings. Efforts are now underway to update Native STAND for medical accuracy, improve alignment with typical class periods, and promote its use and an effective EBI for AI/AN youth.
A scoping study of cultural interventions to treat addictions in Indigenous populations: methods, strategies and insights from a Two-Eyed Seeing approach
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.
A Dakota Cultural Intervention’s Influence on Native Students’ Sense of Belonging: A CBPR Case Study
This community-based participatory research case study demonstrates how Dakota Wicoḣaƞ utilized Indigenous and feminist epistemologies to create, implement, and evaluate a cultural intervention, the Mni Sota Makoce: Dakota Homelands Curriculum, to increase Native 6th- and 10th-grade social studies students’ peoplehood sense of belonging (Tachine et al., 2017). Findings demonstrate Native students liked the curriculum and reported an increase in support and a decrease in invalidation of their sense of belonging. While the curriculum provided a source of racial-ethnic socialization, some European American students criticized the curriculum, which likely negatively impacted 6th-grade students psychological sense of school membership (Goodenow, 1993). Results indicate Indigenous culture, epistemologies, and pedagogies should be infused throughout all curricula, teachers need to be prepared to effectively deal with racist and discriminatory behavior, and Indian education is important to Native students’ belonging. Implications and recommendations for funders, schools, researchers, teacher education programs, and Native communities are discussed.