{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:43:00Z","timestamp":1787013780192,"version":"build-2736575974"},"reference-count":89,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2021,10,5]],"date-time":"2021-10-05T00:00:00Z","timestamp":1633392000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000057","name":"National Institute of General Medical Sciences","doi-asserted-by":"publisher","award":["1P20GM121341"],"award-info":[{"award-number":["1P20GM121341"]}],"id":[{"id":"10.13039\/100000057","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["1R24MD008087"],"award-info":[{"award-number":["1R24MD008087"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100005239","name":"Indian Health Service","doi-asserted-by":"publisher","award":["H1UIHS300419"],"award-info":[{"award-number":["H1UIHS300419"]}],"id":[{"id":"10.13039\/100005239","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Alcoholism Clin &amp;amp; Exp Res"],"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Alcohol\u2010exposed pregnancy (AEP) is an ongoing concern, especially within low\u2010resource, high\u2010risk areas such as rural American Indian\/Alaska Native (AIAN) communities. Brief, preconceptual AEP\u2010reduction interventions are popular in such areas but have a small impact on alcohol use. Developing a strategic alcohol change plan is a key program component; however, there is little research on strategy selection, especially within contexts that positively or negatively impact selection (e.g., cultural strengths, trauma, collective efficacy within AIAN communities). This study qualitatively analyzed strategies chosen to reduce alcohol use by AIAN women participating in a culturally tailored, brief, preconceptual AEP\u2010reduction intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>One hundred\u2010sixty\u00a0Northern Plains AIAN women who were participating in a brief AEP\u2010reduction program developed a plan to accomplish an alcohol reduction\/abstention goal at the first and last program sessions. The plan included choosing 1 or more strategies to (1) achieve the goal, (2) mitigate barriers, and (3) use cultural strengths. Qualitative analysis of the data involved thematic open and structured coding of all 3\u00a0strategies separately. We also examined how many different themes (different individual strategies) participants reported for each strategy component.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Most participants reported only 1 strategy (theme) for each of the 3 components. Common goal\u2010achieving and barrier\u2010mitigation strategies included positive social supports and avoiding negative or alcohol\u2010involved social environments. Other strategies involved circular logic (e.g., the strategy to reduce drinking was to drink less). Both traditional and western cultural strengths were reported as important resources, although many participants had no cultural resource strategy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Programs aimed at reducing AEPs may need to provide participants more support to develop strong strategies to reduce alcohol use when implemented within areas with high levels of trauma and contextual barriers that can impact strategy selection. Such support could include ways to improve health on both interpersonal and community levels.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/acer.14721","type":"journal-article","created":{"date-parts":[[2021,9,29]],"date-time":"2021-09-29T05:26:15Z","timestamp":1632893175000},"page":"2383-2395","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Where there\u2019s a will, there\u2019s a way? Strategies to reduce or abstain from alcohol use developed by Northern Plains American Indian women participating in a brief, alcohol\u2010exposed pregnancy preconceptual intervention"],"prefix":"10.1111","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9941-5297","authenticated-orcid":false,"given":"Arielle R.","family":"Deutsch","sequence":"first","affiliation":[{"name":"Avera Research Institute Sioux Falls South Dakota USA"},{"name":"School of Medicine University of South Dakota Vermillion South Dakota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca","family":"Lustfield","sequence":"additional","affiliation":[{"name":"Avera Research Institute Sioux Falls South Dakota USA"},{"name":"School of Medicine University of South Dakota Vermillion South Dakota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8867-2300","authenticated-orcid":false,"given":"Jessica D.","family":"Hanson","sequence":"additional","affiliation":[{"name":"Department of Applied Human Sciences University of Minnesota Duluth Duluth Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,10,5]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.15288\/jsad.2016.77.272"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsat.2015.09.001"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1037\/0021-9010.88.1.87"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.162.9.1723"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11121-018-0916-3"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2016.08.031"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.5820\/aian.2303.2016.24"},{"key":"e_1_2_8_9_1","unstructured":"deBrey C. 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