{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T06:52:42Z","timestamp":1781679162415,"version":"3.54.5"},"reference-count":42,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T00:00:00Z","timestamp":1781654400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>There are high rates of both alcohol abstinence and hazardous drinking among American Indian and Alaska Native (AI\/AN) communities compared with non-Hispanic Whites. Few measures exist that examine alcohol use consequences within a relevant historical and cultural context for Indigenous populations, hindering the ability of communities, researchers, and practitioners to effectively address alcohol misuse. In the present study, we discuss a research collaboration to culturally re-center alcohol-use consequence measures among AI\/AN adults.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We convened a national and local Scientific Review Panel (SRP) with AI\/AN research and clinical experts to reexamine the Drinker Inventory of Consequences (DrInC) and the companion measure, the Short Inventory of Problems (SIP;\n                      <jats:italic>N<\/jats:italic>\n                      \u202f=\u202f5). We then completed 20 interviews with AI\/AN adults currently in alcohol recovery or misusing alcohol. Interview questions included the alignment of items within measures to be more culturally relevant, identifying missing content, and a review of the research team\u2019s adaptations. We completed a thematic analysis.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The SRP focused their adaptations on re-centering culture, assessing risk and protective factors, and important missing item content elements. Ultimately, the SRP recommended removing 20 items from the DrInC and adding 12 items to the SIP and adding 3 sub-scales, with an emphasis on the addition of items that were strengths-based and removal of stigmatizing language. Interviews were then completed to further refine the measures. In total, three themes emerged from these data: (1) Direct Reflections on Original and Adapted Items; (2) Negative Alcohol Consequences Specific to AI\/AN Communities; and (3) Recovery Supports.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Findings underscored the need to emphasize culture, prevention, and recovery supports when addressing alcohol misuse with AI\/AN adults. The SRP also identified areas to expand the culturally centered framing of these measures by removing stigmatizing language, focusing on systemic factors, and prioritizing strengths-based approaches. The subsequent culturally centered tools will be validated with 150 nationally recruited AI\/AN adults.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1834637","type":"journal-article","created":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T05:57:29Z","timestamp":1781675849000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Culturally centering alcohol use assessments: insight from indigenous adults with lived and living experience"],"prefix":"10.3389","volume":"14","author":[{"given":"Katherine A.","family":"Hirchak","sequence":"first","affiliation":[{"name":"Department of Community and Behavioral Health, Elson S. Floyd College of Medicine, Washington State University","place":["Spokane, WA, United States"]},{"name":"Promoting Research Initiatives in Substance Use and Mental Health Collaborative, Washington State University","place":["Spokane, WA, United States"]},{"name":"Connections in Indigenous Research, Cultural Leadership, Equity, & Solidarity, Washington State University","place":["Spokane, WA, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelsey","family":"Bajet","sequence":"additional","affiliation":[{"name":"Department of Community and Behavioral Health, Elson S. Floyd College of Medicine, Washington State University","place":["Spokane, WA, United States"]},{"name":"Promoting Research Initiatives in Substance Use and Mental Health Collaborative, Washington State University","place":["Spokane, WA, United States"]},{"name":"Connections in Indigenous Research, Cultural Leadership, Equity, & Solidarity, Washington State University","place":["Spokane, WA, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kellie","family":"Webb","sequence":"additional","affiliation":[{"name":"Tribal Healing Center","place":["Wyoming, WY, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sharon","family":"Wagon","sequence":"additional","affiliation":[{"name":"Tribal Healing Center","place":["Wyoming, WY, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ray","family":"Daw","sequence":"additional","affiliation":[{"name":"Behavioral Health Consultant","place":["Albuquerque, NM, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. Scott","family":"Tonigan","sequence":"additional","affiliation":[{"name":"Department of Psychology and Center on Alcohol, Substance use, And Addictions (CASAA), University of New Mexico","place":["Albuquerque, NM, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa","family":"Walls","sequence":"additional","affiliation":[{"name":"Center for Indigenous Health, Johns Hopkins University","place":["Baltimore, MD, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kamilla L.","family":"Venner","sequence":"additional","affiliation":[{"name":"Department of Psychology and Center on Alcohol, Substance use, And Addictions (CASAA), University of New Mexico","place":["Albuquerque, NM, United 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Psychol"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"65","DOI":"10.1016\/j.drugalcdep.2015.12.015","article-title":"Alcohol use among native Americans compared to whites: examining the veracity of the \u2018native American elevated alcohol consumption\u2019 belief","volume":"160","author":"Cunningham","year":"2016","journal-title":"Drug Alcohol Depend"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"7","DOI":"10.35946\/arcr.v38.1.02","article-title":"Alcohol consumption in demographic subpopulations: an epidemiologic overview","volume":"38","author":"Delker","year":"2016","journal-title":"Alcohol Res Curr Rev"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"131","DOI":"10.1146\/annurev-clinpsy-032511-143127","article-title":"American Indian and Alaska native mental health: diverse perspectives on enduring disparities","volume":"8","author":"Gone","year":"2012","journal-title":"Annu Rev Clin Psychol"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"987","DOI":"10.1017\/S0033291706007690","article-title":"Race\/ethnic differences in the prevalence and co-occurrence of substance use disorders and independent mood and anxiety disorders: results from the National Epidemiologic Survey on alcohol and related conditions","volume":"36","author":"Smith","year":"2006","journal-title":"Psychol Med"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"223","DOI":"10.1080\/15332640903110443","article-title":"Some thoughts about the epidemiology of alcohol and drug use among American Indian\/Alaska native populations","volume":"8","author":"Young","year":"2009","journal-title":"J Ethn Subst Abus"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"498","DOI":"10.3109\/00952990.2012.694530","article-title":"American Indians with substance use disorders: treatment needs and comorbid conditions","volume":"38","author":"Rieckmann","year":"2012","journal-title":"Am J 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intervention","volume":"71","author":"Allen","year":"2023","journal-title":"Am J Community Psychol"},{"key":"ref12","author":"Carise","year":"1999"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"100","DOI":"10.1007\/s10464-014-9647-1","article-title":"People awakening: collaborative research to develop cultural strategies for prevention in community intervention","volume":"54","author":"Allen","year":"2014","journal-title":"Am J Community Psychol"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"468","DOI":"10.3109\/00952990.2012.702169","article-title":"Umyuangcaryaraq \u201creflecting\u201d: multidimensional assessment of reflective processes on the consequences of alcohol use among rural Yup\u2019ik Alaska native youth","volume":"38","author":"Allen","year":"2012","journal-title":"Am J Drug Alcohol Abuse"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"41","DOI":"10.1300\/J005v32n01_04","article-title":"The tools to understand: community as 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Drugs"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"503","DOI":"10.1080\/10550490701641058","article-title":"Assessing negative consequences in patients with substance use and bipolar disorders: psychometric properties of the short inventory of problems (SIP)","volume":"16","author":"Bender","year":"2007","journal-title":"Am J Addict"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"948","DOI":"10.1016\/j.addbeh.2009.06.004","article-title":"An item response theory (IRT) analysis of the short inventory of problems-alcohol and drugs (SIP-AD) among non-treatment seeking men-who-have-sex-with-men: evidence for a shortened 10-item SIP-AD","volume":"34","author":"Hagman","year":"2009","journal-title":"Addict Behav"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"75","DOI":"10.1016\/j.jsat.2008.05.007","article-title":"Patient predictors of alcohol treatment outcome: a systematic review","volume":"36","author":"Adamson","year":"2009","journal-title":"J 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149","volume":"45","author":"Olmos-Vega","year":"2023","journal-title":"Med Teach"},{"key":"ref26","volume-title":"The Drinker Inventory of Consequences for Alaska Natives (DrInC-AN): An Instrument for Assessing Adverse Consequences of Alcohol Abuse","author":"Allen","year":"2007"},{"key":"ref27","doi-asserted-by":"publisher","first-page":"S40","DOI":"10.2105\/ajph.2009.184036","article-title":"Community-based participatory research contributions to intervention research: the intersection of science and practice to improve health equity","volume":"100","author":"Wallerstein","year":"2010","journal-title":"Am J Public Health"},{"key":"ref28","volume-title":"Community-Based Participatory Research for Health: Advancing Social and Health Equity","author":"Wallerstein","year":"2018"},{"key":"ref29","doi-asserted-by":"publisher","first-page":"372","DOI":"10.1093\/her\/cyz021","article-title":"Culture-centeredness in community-based participatory research: contributions to health education intervention research","volume":"34","author":"Wallerstein","year":"2019","journal-title":"Health Educ Res"},{"key":"ref30","doi-asserted-by":"publisher","first-page":"440","DOI":"10.1080\/19371918.2013.774811","article-title":"Does cultural adaptation have a role in substance abuse treatment?","volume":"28","author":"Burlew","year":"2013","journal-title":"Soc Work Public Health"},{"key":"ref31","doi-asserted-by":"publisher","first-page":"183","DOI":"10.1002\/jcop.20094","article-title":"Some guiding assumptions and a theoretical model for developing culturally specific preventions with native American people","volume":"34","author":"Whitbeck","year":"2006","journal-title":"J Community Psychol"},{"key":"ref32","doi-asserted-by":"publisher","first-page":"217","DOI":"10.1080\/07481756.2017.1339564","article-title":"Cognitive interviewing for item development: validity evidence based on content and response processes","volume":"50","author":"Peterson","year":"2017","journal-title":"Meas Eval Counsel Dev"},{"key":"ref33","doi-asserted-by":"publisher","first-page":"110","DOI":"10.1002\/ajcp.12803","article-title":"\u201cSomeday, I\u2019ll be an ancestor:\u201d understanding indigenous intergenerational connectedness through qualitative research to inform measure development","volume":"76","author":"O\u2019Keefe","year":"2025","journal-title":"Am J Community Psychol"},{"key":"ref34","doi-asserted-by":"publisher","first-page":"123","DOI":"10.1037\/ser0000019","article-title":"Cultural adaptation, psychometric properties, and outcomes of the native American spirituality scale","volume":"12","author":"Greenfield","year":"2015","journal-title":"Psychol Serv"},{"key":"ref35","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1080\/15332640.2024.2401863","article-title":"Assessing the validity of the American Indian enculturation scale in Alaska native adults interested in reducing alcohol use","volume":"25","author":"Herron","year":"2024","journal-title":"J Ethn Subst Abus"},{"key":"ref36","doi-asserted-by":"publisher","first-page":"129","DOI":"10.1080\/15332640.2017.1310640","article-title":"Research with American Indian and Alaska native populations: measurement matters","volume":"18","author":"Walls","year":"2019","journal-title":"J Ethn Subst Abus"},{"key":"ref37","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1080\/16066359.2024.2329580","article-title":"Whole person recovery from substance use disorder: a call for research examining a dynamic behavioral ecological model of contexts supportive of recovery","volume":"33","author":"Witkiewitz","year":"2025","journal-title":"Addict Res Theory"},{"key":"ref38","doi-asserted-by":"publisher","first-page":"121","DOI":"10.1177\/1177180119828114","article-title":"For the love of our children: an indigenous connectedness framework","volume":"15","author":"Ullrich","year":"2019","journal-title":"Altern-Native Int J Indig Peoples"},{"key":"ref39","doi-asserted-by":"publisher","first-page":"335","DOI":"10.1007\/s42844-023-00119-8","article-title":"The indigenous connectedness framework for understanding the causes, consequences, and solutions to substance misuse in indigenous children\u2019s development","volume":"4","author":"Ivanich","year":"2023","journal-title":"Advers Resil Sci"},{"key":"ref40","doi-asserted-by":"publisher","first-page":"171","DOI":"10.1377\/hlthaff.2021.01394","article-title":"Systemic and structural racism: definitions, examples, health damages, and approaches to dismantling","volume":"41","author":"Braveman","year":"2022","journal-title":"Health Aff (Millwood)"},{"key":"ref41","volume-title":"Cases and Materials on Federal Indian Law","author":"Getches","year":"2025"},{"key":"ref42","volume-title":"Section 1115 Waiver Watch: Medicaid Services for Traditional American Indian and Alaska Native Health Care Practices","author":"Pillai","year":"2024"}],"container-title":["Frontiers in 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