背景:最近的研究表明,酒精使用障碍可能在聋人社区更为普遍,一个多样化的社会语言少数群体。然而,聋人寻求治疗的比率甚至低于一般社会。这项研究使用计划行为理论来识别聋人对治疗的信念,这可能会阻止他们寻求治疗的行为。
方法:本研究对16名聋人进行了启发访谈。研究小组招募了来自美国各地的参与者,并对Zoom进行了采访。参与者年龄为27至67岁(M=40,SD=10.8)。75%的样本是男性,75%是白人,西班牙裔/拉丁裔占12.5%。这项研究以美国手语进行了访谈,随后由国家认证的口译员翻译成英语,并转录用于数据分析。该研究使用框架方法分析了转录本。研究小组对访谈进行分组编码,并在整个分析过程中评估主题的饱和度(新主题≤5%)。该研究在第三组(总共六个组)中达到饱和。
结果:确定的主题遵循计划行为结构理论。该研究确定了九种行为信念,具有寻求治疗的四个优点和五个缺点,四个规范信念,一个支持和三个反对寻求治疗,和十三个控制信念,五个促进者和八个寻求治疗的障碍。总的来说,聋人参与者根据他们的文化和语言观点报告了几种独特的信仰,包括对不合格提供者的担忧,在听力提供者的治疗中遇到压力,聋人社区内的耻辱,较少获得关于酒精和心理健康的文化信息,对边缘化社区传统治疗的鼓励较少,和额外的障碍(例如,通信,有限的聋人治疗选择,歧视,等。).
结论:对个人关于治疗的信念的透彻理解对于制定可能增加寻求治疗行为的干预措施是必要的。先前的研究表明,可以使用认知行为治疗技术来修改个人信念,以增加听力个体中寻求治疗的行为。类似的干预措施可能对聋人有用;然而,他们必须考虑社区独特的文化和语言观点。
Recent research suggests that alcohol use disorder may be more prevalent in the Deaf community, a diverse sociolinguistic minority group. However, rates of treatment-seeking among Deaf individuals are even lower than in the general society. This study used the Theory of Planned Behavior to identify Deaf adults\' beliefs about treatment that may prevent their treatment-seeking behaviors.
This study conducted elicitation interviews with 16 Deaf adults. The study team recruited participants from across the U.S. and conducted interviews on Zoom. Participant ages ranged from 27 to 67 years (M = 40, SD =10.8). Seventy-five percent of the sample was male, 75 % were White, and 12.5 % were Hispanic/Latine. The study conducted interviews in American Sign Language, subsequently interpreted into English by a nationally certified interpreter, and transcribed for data analyses. The study analyzed transcripts using the Framework Method. The study team coded the interviews in groups and assessed for saturation (≤ 5 % new themes) of themes throughout the analysis. This study reached saturation in the third group (six total groups).
Identified themes followed the Theory of Planned Behavior constructs. The study identified nine Behavioral Beliefs with four advantages and five disadvantages of seeking treatment, four Normative Beliefs with one support and three oppositions to seeking treatment, and thirteen Control Beliefs with five facilitators and eight barriers to seeking treatment. Overall, the Deaf participants reported several unique beliefs based on their cultural and linguistic perspectives, including a concern about unqualified providers, experiencing stress in treatment with hearing providers, stigma within the Deaf community, less access to cultural information about alcohol and mental health, less encouragement of traditional treatment in marginalized communities, and additional barriers (e.g., communication, limited Deaf treatment options, discrimination, etc.).
A thorough understanding of individual beliefs about treatment is necessary to develop interventions that may increase treatment-seeking behaviors. Previous research has demonstrated that individual beliefs may be modified using Cognitive Behavioral Therapy techniques to increase treatment-seeking behaviors among hearing individuals. Similar interventions may be useful with Deaf individuals; however, they must consider the unique cultural and linguistic perspectives of the community.