This study provides an empirical test of a culturally grounded theoretical model for prevention of alcohol abuse and suicide risk with Alaska Native youth, using a promising set of culturally appropriate measures for the study of the process of change and outcome. This model is derived from qualitative work that generated an heuristic model of protective factors from alcohol (Allen et al. in J Prev Interv Commun 32:41-59, 2006; Mohatt et al. in Am J Commun Psychol 33:263-273, 2004a; Harm Reduct 1, 2004b). Participants included 413 rural Alaska Native youth ages 12-18 who assisted in testing a predictive model of Reasons for Life and Reflective Processes about alcohol abuse consequences as co-occurring outcomes. Specific individual, family, peer, and community level protective factor variables predicted these outcomes. Results suggest prominent roles for these predictor variables as intermediate prevention strategy target variables in a theoretical model for a multilevel intervention. The model guides understanding of underlying change processes in an intervention to increase the ultimate outcome variables of Reasons for Life and Reflective Processes regarding the consequences of alcohol abuse.
Bibliographical noteFunding Information:
Acknowledgments This research was funded by the National Institute of Alcohol Abuse and Alcoholism, the National Institute for Minority Health and Health Disparities, and the National Center for Research Resources [R21AA016098-01, RO1AA11446; R21AA016 098; R24MD001626; P20RR061430]. We also want to thank all of the People Awakening Team including participants, community coresearchers, community planning groups, our councils and our project staff for their assistance in completing this research.
Copyright 2014 Elsevier B.V., All rights reserved.
- Alcohol prevention
- American Indian and Alaska Native
- Community based participatory research
- Community intervention
- Path analysis
- Suicide prevention