Assessing the Interest and Cultural Congruence of Contingency Management as an Intervention for Alcohol Misuse among Younger American Indian Adults

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A qualitative study was conducted to assess the potential interest in contingency management (CM) for younger American Indian (AI) adults (18-29 years old), how to culturally and developmentally adapt CM for younger AI adults, and interest in CM relative to culturally grounded treatment approaches. We conducted a total of four focus groups with younger adults and families in two AI communities: a rural reservation and an urban Indian health clinic (n = 32). Four overarching themes emerged suggesting that offering prizes, cultural activities, and activities that capture the attention of younger adults integrated into the CM intervention is ideal for enhancing engagement.


Funding for this study was provided by a grant from the National Institute on Alcohol Abuse and Alcoholism, (R01 AA022070 and AA022070-03S1, PI: McDonell; T32AA018108, PI: McCrady).