Showing papers by "Cynthia R. Pearson published in 2023"
TL;DR: In this article , the authors describe the process of selecting, adapting, and implementing motivational interviewing plus cognitive behavior therapy (motivational interviewing + skills training; MIST) for use in a combined substance use intervention with a rural, Northwest tribal community.
Abstract: Objective American Indian and Alaskan Natives (AIAN) are regenerating cultural knowledge and practices to adapt westernized evidence-based interventions to address health concerns such as substance use. This study describes the process of selecting, adapting, and implementing motivational interviewing plus cognitive behavior therapy (motivational interviewing + Skills Training; MIST) for use in a combined substance use intervention with a rural, Northwest tribal community. Methods An established community and academic partnership worked together to make culturally mindful changes to MIST. The partnership incorporated community leaders/Elders (n = 7), providers (n = 9), and participants (n = 50) to implement an iterative process of adapting and implementing the adapted form of MIST. Results Key adaptations included presenting concepts grounded in tribal values, providing examples from the community perspective, and incorporating cultural customs and traditions. Overall, the MIST adaptation was favorably received by participants, and the adaptation appeared feasible. Conclusions Adapted MIST appeared to be an acceptable intervention for this Native American community. Future research should evaluate the interventions efficacy in reducing substance use among this and other Native American communities. Future clinical research should consider strategies outlined in this adaptation as a potential process for working with Native American communities to implement culturally appropriate interventions.
TL;DR: In this article , the impact of racism on stress among young men who have sex with men (YMSM) is sparse, and the authors examined associations between perceived stress and interpersonal and vicarious racism, adjusting for covariates.
TL;DR: In this paper , the feasibility of HIV self-testing for young men who have sex with men (YMSM) as young as 14 years of age was demonstrated, which suggests potential for increasing HIV testing in this young age group and promoting health equity.
Abstract: ABSTRACT Studies on HIV self-testing (HIV-ST) have been limited to adults (age 18+). The study assessed use of HIV-ST among a diverse group of young men who have sex with men (YMSM) in the United States (US) and assessed differences in uptake by demographic characteristics and requirements for parental consent. This study demonstrated feasibility of HIV-ST for YMSM as young as 14 years of age, which suggests potential for increasing HIV testing in this young age group and promoting health equity.