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Grubin F, Maudrie TL, Neuner S, Conrad M, Waugh E, Barlow A, Coser A, Hill K, Pioche S, Haroz EE, O'Keefe VM. Development and Cultural Adaptation of Psychological First Aid for COVID-19 Frontline Workers in American Indian/Alaska Native Communities. J Prev (2022) 2022; 43:697-717. [PMID: 35841432 PMCID: PMC9288204 DOI: 10.1007/s10935-022-00695-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Accepted: 06/24/2022] [Indexed: 11/07/2022]
Abstract
The coronavirus disease 19 (COVID-19) pandemic is broadly affecting the mental health and well-being of people around the world, and disproportionately affecting some groups with already pre-existing health inequities. Two groups at greater risk of physical and/or mental health detriments from COVID-19 and more profoundly impacted by the pandemic include frontline workers and American Indian/Alaska Native (AI/AN) communities. To provide support and prevent long-term mental health problems, we culturally adapted a psychological first aid guide specifically for COVID-19 frontline workers serving AI/AN communities. We engaged a diverse, collaborative work group to steer the adaptation content and process. We also held two focus group discussions with frontline workers in AI/AN communities to incorporate their perspectives into the adapted guide. Results from the group discussions and the collaborative work group were compiled, analyzed to extract themes and suggestions, and integrated into the adapted content of the guide. Main adaptations included updating language (i.e., to be more culturally appropriate, less prescriptive, and less text heavy), framing the guide from a harm-reduction lens, incorporating cultural activities, values, and teachings common across diverse AI/AN communities (e.g., importance of being a good relative), and validating feelings and experiences of frontline workers. The resulting adapted guide includes four modules and is available as a free online training. Our adaptation process may serve as a guiding framework for future adaptations of similar resources for specific groups. The adapted guide may stand as an enduring resource to support mental well-being, the prevention of mental health problems, and reduction of health inequities during the pandemic and beyond.
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Affiliation(s)
- Fiona Grubin
- Department of International Health, Social and Behavioral Interventions, Center for American Indian Health, Johns Hopkins Bloomberg School of Public Health, 415 N. Washington St. 4th Floor, Baltimore, MD, 21231, USA.
| | - Tara L Maudrie
- Department of International Health, Social and Behavioral Interventions, Center for American Indian Health, Johns Hopkins Bloomberg School of Public Health, 415 N. Washington St. 4th Floor, Baltimore, MD, 21231, USA
| | - Sophie Neuner
- Department of International Health, Social and Behavioral Interventions, Center for American Indian Health, Johns Hopkins Bloomberg School of Public Health, 415 N. Washington St. 4th Floor, Baltimore, MD, 21231, USA
| | - Maisie Conrad
- Department of International Health, Social and Behavioral Interventions, Center for American Indian Health, Johns Hopkins Bloomberg School of Public Health, 415 N. Washington St. 4th Floor, Baltimore, MD, 21231, USA
| | - Emma Waugh
- Department of International Health, Social and Behavioral Interventions, Center for American Indian Health, Johns Hopkins Bloomberg School of Public Health, 415 N. Washington St. 4th Floor, Baltimore, MD, 21231, USA
| | - Allison Barlow
- Department of International Health, Social and Behavioral Interventions, Center for American Indian Health, Johns Hopkins Bloomberg School of Public Health, 415 N. Washington St. 4th Floor, Baltimore, MD, 21231, USA
| | | | - Kyle Hill
- Department of Indigenous Health, School of Medicine and Health Sciences, University of North Dakota, Grand Forks, USA
| | - Shardai Pioche
- Department of International Health, Social and Behavioral Interventions, Center for American Indian Health, Johns Hopkins Bloomberg School of Public Health, 415 N. Washington St. 4th Floor, Baltimore, MD, 21231, USA
| | - Emily E Haroz
- Department of International Health, Social and Behavioral Interventions, Center for American Indian Health, Johns Hopkins Bloomberg School of Public Health, 415 N. Washington St. 4th Floor, Baltimore, MD, 21231, USA
| | - Victoria M O'Keefe
- Department of International Health, Social and Behavioral Interventions, Center for American Indian Health, Johns Hopkins Bloomberg School of Public Health, 415 N. Washington St. 4th Floor, Baltimore, MD, 21231, USA
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Coser A, Kominsky TK, White EJ. For the Good of the Community: Considering the Impact of Evidence-Based Treatment Adaptation on Tribal Communities. Behav Ther (N Y N Y) 2021; 44:161-170. [PMID: 34539031 PMCID: PMC8445390] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
Ongoing discussions among tribal communities, professionals, and mental health organizations have centered on the question of whether evidence-based interventions require adaptations to improve mental health outcomes among American Indian communities. Continued efforts to address these questions have resulted in the development of novel, culturally-grounded interventions, adapted interventions, use of original standard protocols, and/or limited use of evidence-based treatments. Consequently, mental health services in tribal communities may be highly variable from one community to another and the effectiveness of services relatively unknown. The current paper explored the state of the literature on adaptations and their utility among American Indian communities and the broader ethnic minority community. Considerations for the various impacts on tribal communities are presented and recommendations for researchers and practitioners are also discussed.
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Affiliation(s)
| | | | - Evan J. White
- Laureate Insitute for Brain Research, Tulsa, OK, USA
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Coser A, Sittner KJ, Walls ML, Handeland T. Caregiving Stress Among American Indians With Type 2 Diabetes: The Importance of Awareness of Connectedness and Family Support. J Fam Nurs 2018; 24:621-639. [PMID: 30497320 PMCID: PMC6510027 DOI: 10.1177/1074840718810550] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
American Indian (AI) communities experience a disproportionate rate of Type 2 diabetes (T2D) and cumulative exposure to stress. Although this link is well researched among various populations, it has not been examined among AI communities. Path analysis was used to examine a multiple-mediator model to explain how caregiver stress influences self-reported mental and physical health among 100 AI participants with T2D. Caregiver stress was negatively associated with physical and mental health. Physical health was positively associated with family/community connectedness and mental health was positively associated with both family support and connectedness. The relationship between caregiver stress and mental health was partially mediated by family/community connectedness; caregiver stress had no indirect effects on physical health via either hypothesized mediator. Findings demonstrate the importance of integrating individuals' connection to family and community and its influence on caregiver stress and mental health in intervention programs targeting diabetes management and care among AI communities.
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Quintarelli S, Marini M, Branzoli S, Pederzolli C, Graffigna A, Coser A, Guarracini F, Moggio P, Bonmassari R, Droghetti A, Valsecchi S, Bottoli M. 073_16762-K3 Minimally Invasive Thoracoscopic Technique for LV Lead Implantation IN CRT: Long-Term Outcome. JACC Clin Electrophysiol 2017. [DOI: 10.1016/j.jacep.2017.09.089] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Marini M, Pecora D, De Simone A, Parisi Q, Bertaglia E, Palmisano P, Coser A, Viscusi M, Spotti A, Canciello M, Pani A, Badolati S, Giovannini T, Malacrida M, Stabile G. P1511Electrocardiographic parameters during LV- and RV- pacing predict super-response in cardiac resynchronization therapy. Europace 2017. [DOI: 10.1093/ehjci/eux158.137] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Marini M, Branzoli S, Moggio P, Coser A, Gurracini F, Quintarelli S, Pederzolli C, Graffigna A, Bonmassari R, Bottoli MC, Droghetti A. P1510Minimally invasive thoracoscopic technique for LV lead implantation in CRT: long-term outcome. Europace 2017. [DOI: 10.1093/ehjci/eux158.136] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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