A commercial tobacco and alcohol use intervention for urban Native American youth.
Rose Wimbish-Tompkins, John Lowe, Melessa Kelley and 2 others
PMID 39034090WHAT IT FOUND
A 10-week culturally tailored talking circle lowered reported commercial tobacco and alcohol use scores and raised cultural identity scores compared with standard drug education in urban Native American youth.
Key findings
01Before the intervention, the two groups did not differ significantly in commercial tobacco consumption, alcohol use, or Native Reliance scores.
02After the intervention, the Urban Talking Circle group had significantly lower commercial tobacco consumption and alcohol use scores and significantly higher Native Reliance scores than the standard education group.
03On average, Urban Talking Circle participants used -0.640 less commercial tobacco and -0.760 less alcohol than standard education participants, and their Native Reliance was 1.329 higher.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The design was quasi-experimental and used convenience and snowball sampling, so the findings may not apply to all urban Native American youth. The condition groups were assigned to whole community program locations, so differences could reflect location rather than the intervention. The paper does not report how many participants completed the intervention or how missing data were handled. The paper does not report blinding of participants, counselors, or outcome assessors. Outcomes are reported as score differences, but the paper does not state the scale or whether the differences are clinically meaningful. The intervention included several components, including a manual, counselor, cultural expert, and Native Reliance values, so the study cannot show which part mattered. The sample was limited to English-speaking urban Native American youth aged 10-12 in Florida.
Declared interests
The article is listed as supported by NIH extramural research. The supplied text does not include a conflicts-of-interest statement.
The easy way to misread this
Do not conclude that the talking circle format alone caused the reductions. The Urban Talking Circle included a manual, a counselor, an urban Native American cultural expert, and Native Reliance cultural values, and the study assigned conditions to whole community sites, so the contribution of any single component and site effects cannot be separated.