Centering culture in the treatment of opioid use disorder with American Indian and Alaska Native Communities: Contributions from a National Collaborative Board

American Indian/Alaska Native (AI/AN) communities are disproportionally impacted by the opioid overdose epidemic. There remains a dearth of research evaluating methods for effectively implementing treatments for opioid use disorder (OUD) within these communities. We describe proceedings from a 2-day Collaborative Board (CB) meeting tasked with developing an implementation intervention for AI/AN clinical programs to improve the delivery of medications to treat OUD (MOUD). The CB was comprised of Elders, cultural leaders, providers, individuals with lived experience with OUD, and researchers from over 25 communities, organizations, and academic institutions. Conversations were audio-recorded, transcribed, and coded by two academic researchers with interpretation oversight provided by the CB. These proceedings provided a foundation for ongoing CB work and a frame for developing the program-level implementation intervention using a strength-based and holistic model of OUD recovery and wellbeing. Topics of discussion posed to the CB included engagement and recovery strategies, integration of extended family traditions, and addressing stigma and building trust with providers and clients. Integration of traditional healing practices, ceremonies, and other cultural practices was recommended. The importance of centering AI/AN culture and involving family were highlighted as priorities for the intervention.     

Cross-task validation of functional measurement

Ss judged average heaviness of two unseen lifted weights on a 20-step rating scale. They also rated heaviness of a single visible object of variable size and weight. The data for each task obeyed the parallelism prediction of the linear integration model. This within-task consistency validates jointly the model and the response scale. Functional measurement procedure yielded independent scales of subjective heaviness from each task. These were linearly related, a criterion of external consistency. The plot of subjective heaviness against objective weight was slightly negatively accelerated. These results disagree with those that have been obtained with magnitude estimation. Since the rating data satisfy both internal and external consistency, they constitute the true measure of sensation. Magnitude estimation, in contrast, must be biased and invalid.     

REPEATED MEMORY OF ORAL PROSE IN GHANA AND NEW YORK1

On a lu en anglais un court passage de prose à difféients groupes d'étudiants ghanéens et new yorkais. Ensuite, et par trois fois, on leur demande de dire ce qu'ils ont retenu. Le premier rappel a lieu après 30–45 minutes, le second et le troisiàme après plusieurs semaines. On a utilisé trois histoires différentes, mais chaque groupe de sujets n'en entendait qu'une seule. Les résultats montrent que, conformément à L'idée que la tradition orale est plus forte en Afrique Occidentale qu'à New York, les étudiants ghanéens retenaient mieux que les américains. Pour deux des histoires, on a enregistré peu de perte de rétention des thèmes entre le 1^er et le 3^e rappel; pour la troisiéme, entre le 2^e et le 3^e rappel. Mais la capacité à reteñir les thèmes de L'histoire ne s'explique pas uniquement par puré routine de mémoire. On peut penser que L'ordonnancement de L'histoire, loin de constituer un obstacle comme c'est souvent le cas quand on doit retenir dans L'ordre des faits sans liaison entre eux, favorisait ici la rétention des thèmes.     

Geometrical representation of two methods of linear least squares multiple correlation

Geometrical properties and relationships of the Doolittle and square root methods of multiple correlation, as represented in the variable subspace of an orthogonal person space, are shown. The method of representation is also useful for depicting zero-order and partial correlations, as well as for the more general problem of the combination of variables.