Risk, resilience, and natural recovery: a model of recovery from alcohol abuse for Alaska Natives.
AIM: The People Awakening (PA) study explored an Alaska Native (AN) understanding of the recovery process from alcohol abuse and consequent sobriety. DESIGN: PA utilized a cross-sectional, qualitative research design and community-based participatory research methods. SETTING AND PARTICIPANTS: The s...
| Publicado en: | Addiction Vol. 103; no. 2; pp. 205 - 216 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Feb2008
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105916015&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105916015 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09652140 AIO jtl: Addiction issn: 09652140 maglogo: Y pubinfo: dt: Feb2008 vid: 103 iid: 2 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 105916015 105916015 2009770949 10.1111/j.1360-0443.2007.02057.x NLM18042193 105916015 ppf: 205 ppct: 11 formats: fmt: @attributes: type: P tig: atl: Risk, resilience, and natural recovery: a model of recovery from alcohol abuse for Alaska Natives. aug: au: Mohatt GV Rasmus SM Thomas L Allen J Hazel K Marlatt GA affil: University of Alaska Fairbanks, Alaska sug: subj: Alcohol Abuse Ethnology Alcohol Abuse Psychosocial Factors Native Americans Psychosocial Factors Recovery Psychosocial Factors Adult Aged Alaska Alcohol Abuse Rehabilitation Coding Convenience Sample Coping Cross Sectional Studies Exploratory Research Female Funding Source Grounded Theory Interrater Reliability Life Histories Male Middle Age Models, Theoretical Narratives Purposive Sample Qualitative Studies Semi-Structured Interview Snowball Sample Triangulation Human Adult: 19-44 years Aged: 65+ years Middle Aged: 45-64 years Female Male ab: AIM: The People Awakening (PA) study explored an Alaska Native (AN) understanding of the recovery process from alcohol abuse and consequent sobriety. DESIGN: PA utilized a cross-sectional, qualitative research design and community-based participatory research methods. SETTING AND PARTICIPANTS: The study included a state-wide convenience sample of 57 participants representing all five major AN groups: Aleut/Alutiiq, Athabascan, Inupiaq, Yup'ik/Cup'ik and Tlingit/Haida/Tsimshian. Participants were nominated and self-identified as being alcohol-abstinent at least five years following a period of problem drinking. MEASUREMENTS: Open-ended and semistructured interviews gathered extensive personal life histories. A team of university and community co-researchers analyzed narratives using grounded theory and consensual data analysis techniques. FINDINGS: A heuristic model of AN recovery derived from our participants' experiences describes recovery as a development process understood through five interrelated sequences: (i) the person entered into a reflective process of continually thinking over the consequences of his/her alcohol abuse; (ii) that led to periods of experimenting with sobriety, typically, but not always, followed by repeated cycling through return to drinking, thinking it over, and experimenting with sobriety; culminating in (iii) a turning point, marked by the final decision to become sober. Subsequently, participants engaged in (iv) Stage 1 sobriety, active coping with craving and urges to drink followed for some participants, but not all, by (v) Stage 2 sobriety, moving beyond coping to what one participant characterized as 'living life as it was meant to be lived. CONCLUSIONS: The PA heuristic model points to important cultural elements in AN conceptualizations of recovery. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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