CSAP Cultural Competence Series 3: The Challenge of Participatory Research: Preventing Alcohol-Related Problems in Ethnic Communities, Special Collaborative NIAAA/CSAP Monograph Based on an NIAAA Conference, May 18-19, 1992

476 Pages·1995·30 MB·English

by  U.S. Department of Health and Human Services, Public Health Service, Substance Abuse and Mental Health Services Administration, Center for Substance Abuse Prevention

CSAP
Compet
The Challenge of
Participatory Research:
Preventing Alcohol-Related
Problems Ethnic
in
Communities
Special Collaborative NIAAA/CSAP Monograph
Based on an NIAAA Conference, May 18-19, 1992
SAMHSA
3
U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
.
t Public Health Service
SubstanceAbuseandMental HealthServicesAdministration
Centerfor SubstanceAbuse Prevention

Mtt*Sj^p2Xfo3
CSAP Cultural Competence Series 3
The Challenge
of
Participatory
Research: Preventing
Alcohol-Related
Problems Ethnic
in
Communities
Special Collaborative NIAAA/
CSAP Monograph
Based on a NIAAA Conference
May ^^
18-19, 1992.
Office of Minority Health
Resource Center
P0B0X37337 ^„
Editor: DC 20013o-7337
Phyllis a. Langtoa Ph.D Washington,
The George Washington University
Sociology Department
Washington, D.C.
Managing Editor:
Leonard G. Epstein, M.S.W.
Division of Community Prevention and Training
Center for Substance Abuse Prevention
U.S. Department of Health and Human Services
Series Editor:
Mario A. Orlandi, Ph.D., M.P.H.
Chief, Division of Health Promotion Research
American Health Foundation
The primary objective ofthe Center forSubstanceAbuse Preven-
tion (CSAP) Cultural Competence Series is to promote the devel-
opment and dissemination of a scientific knowledge base that
assists prevention program evaluators, researchers, and prac-
titioners in working with multicultural communities.
CSAP supports the rigorous scientific analysis of programs
designed to promote health and prevent alcohol, tobacco and
other drug (ATOD) problems for all people. All positions taken
on specific approaches to conducting research and evaluation
on ATOD problem prevention programs are positions of the
researchers, communities, prevention experts, and authors who
contributed to this monograph and may not necessarily reflect
the opinions, official policy, or position of CSAP; the Substance
Abuse and Mental Health Services Administration; the Public
Health Service; or the U.S. Department of Health and Human
Services. Other groups that developed and/or implemented
specific methods for researching or evaluating ATOD abuse pre-
ventionprograms are documentedinthetextofthismonograph.
All material in this volume, except quoted passages from
copyrighted sources, is in the public domain and may be used
or reproduced without permission from CSAP or the authors.
Citation of the source is appreciated.
DHHS
Publication No. (SMA)95-3042
Printed 1995
Project Officer:
Leonard G. Epstein, M.S.W.
CSAP Cultural Competence Series:
Elaine M. Johnson, Ph.D., Director, CSAP
Ruth Sanchez-Way, Ph.D, Director, Division ofCommunity Pre-
vention and Training, CSAP
RobertW. Denniston, Director, DivisionofPublic Education and
Dissemination, CSAP
Prologue
With The Challenge of Participatory Research: Preventing Alcohol-
Related Problems in Ethnic Communities, the Center for Substance
Abuse Prevention (CSAP) continues its ground-breaking series
of cultural competence publications. This volume in the Series
represents a collaborationbetweenCSAP and the National Insti-
tute on Alcohol Abuse and Alcoholism (NIAAA).
This compelling volume offers both theoretical and practical
applications related to the field of alcohol prevention research
and its responsiveness to the pressing concerns of this country's
diverse ethnic and racial communities. Underlying each of the
chapters is the premise that good behavioral science recognizes
the importance of cultural competence as a significant factor in
the quality of data collected.
CSAP's Cultural Competence Series has as its primary goal
the scientific advancement of evaluation methodology designed
specifically for alcohol, tobacco, and other drug abuse (ATOD)
problempreventionapproacheswithin the multiculturalcontext
of United States community settings. The various multicultural
communities which make up our country comprise a rich and
diverse ethnicheritage. The CulturalCompetence Series is dedi-
cated to exploring and understanding this heritage and its criti-
cally important role in the development of ATOD problem pre-
vention programs.
The Cultural Competence Series provides CSAP with a
unique opportunity to formulate effective strategies that will
have applicability for ATOD prevention professionals working
inwidely diverse settings. This unprecedented Series has estab-
lished a framework for the transfer of innovative, cutting-edge
technology in this area and a forum for the exchange of knowl-
edge between program developers, implementors, and evalua-
tors. It is the sincere hope of those who have contributed to this
Series that it will stimulate new ideas and further prevention
efforts among all Americans.
Elaine M. Johnson, Ph.D., Director
Centerfor Substance Abuse Prevention
For Loran Archer
Colleague, Researcher, former Administrator, NIAAA
Foreword
This volume is the third in a series of publications on cultural compe-
tence sponsored by the Division ofCommunity Prevention and Train-
ing of the Center for Substance Abuse Prevention (CSAP). It includes
the proceedings of a working group, "Alcohol Abuse Prevention
Research in Ethnic Communities/' held in Washington, D.C., May
18-19, 1992, sponsored by the National Institute on Alcohol Abuse
and Alcoholism (NIAAA). NIAAA and CSAP share the mission of
encouraging the advancement ofknowledge in the prevention ofalco-
hol-relatedproblemsandhaveworkedcollaborativelytowardthisgoal.
For example, in 1990, a Request for Applications (RFA) was issued on
"Community-Based Research on the Prevention of Alcohol-Related
Problems" which resulted in the joint funding by NIAAA and CSAP
oftwocommunitygrants.Thisjointlyproducedmonographrepresents
another form of collaboration between research and service agencies
thatfacilitates communicationbetweenpreventionresearchers, service
professionals, and others dedicated to prevention.
Throughout the volume, the concepts of participatory research,
cultural competence, cultural sensitivity, and community provide the
anchorsforthediscussionofthepreventionofalcohol-relatedproblems
in ethnic/racial communities. An underlying premise of this volume
is that prevention research mustbe based upon a clear understanding
of the cultural factors that influence the processes of prevention
researchand thedevelopmentofcommunitypreventioninterventions.
Thisunderstandingcanbedevelopedmoreeffectivelythroughcollabo-
ration between the community and researchers.
A review of the state of the art of community alcohol prevention
researchshowsthatwehavemuchtolearnabouteffectiveinterventions
andprotectivemechanismsagainstalcohol-relatedproblemsinethnic/
racial communities. Itis likely thatthe state ofthe artwill change little
unless new alliances are built between academic researchers and the
community, andunlessthesealliancesencourageparticipationbyboth
groups in the various stages of the research process. As is true for
this CSAP Series as a whole, this volume is dedicated to furthering
that effort.
Phyllis A. Langton
Leonard G. Epstein
V

Contents
Foreword v
Phyllis A. Langton and Leonard G. Epstein
Preface xi
Phyllis A. Langton
Part I. Introduction and Overview
CHAPTER
1
Applying a Participatory Research Model to Alcohol
Prevention Research in Ethnic Communities 1
Phyllis A. Langton and Elsie G. Taylor
Part II. Cultural Issues in Community-Based
Prevention Research
CHAPTER
2
Conducting Culturally Competent Alcohol Prevention
Research in Ethnic Communities 21
M. Jean Gilbert
CHAPTER
3
Culturally Sensitive Alcohol Prevention Research in Ethnic
Communities 43
James R. Moran
CHAPTER 4
Discussion Paper: The Relevancy of Cultural Sensitivity in
Alcohol Prevention Research in Ethnic/Racial
Communities 57
Robert G. Robinson
Part III. Conceptual and Methodological Issues in
Community-Based Prevention Research
CHAPTER
5
Alternative Models of Community Prevention Research in
Ethnically and Culturally Diverse Communities 67
Mary Ann Pentz
Vll
CHAPTER
6
Ethnic Communities and Research: Building a
New
Alliance 105
Fred Beauvais
CHAPTER
7
Methodological Issues in Conducting Alcohol Abuse
Prevention Research in Ethnic Communities 129
Steven P. Schinke and Kristin C. Cole
CHAPTER
8
Methods to Create and Sustain Cross-Cultural Prevention
Research Partnerships: The NAPPASA Project's American
Indian-Anglo American Example 149
Jon Rolf
Part IV. Alcohol Prevention Research in Ethnic/Racial
Communities: Case Studies
A. American Indians and Alaska Natives
CHAPTER
9
The Prevention of Alcohol and Other Drug Abuse
Among American Indians: A Review and Analysis of the
Literature 183
Philip A. May
CHAPTER
10
Native American Community Alcohol Prevention
Research 245
Pamela Thurman
J.
CHAPTER
11
Discussion Paper: American Indian Alcohol Prevention
Research: A Community Advocate's Perspective 259
Jerry D. Stubben
B. Hispanics
CHAPTER
12
The Prevention of Alcohol-Related Problems Among
United States Hispanics: A Review 279
Raul Caetano
Vlll