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Meta-Analysis
. 2023 Jun-Jul;29(6-7):408-419.
doi: 10.1089/jicm.2022.0655. Epub 2023 Apr 10.

Traditional Ceremonial Practices as a Strategy to Reduce Problem Substance Use in American Indian Communities: A Systematic Review

Damian M Chase-Begay  1 , Jeffery Chaichana Peterson  1 , Jessica Liddell  2 , Annie Belcourt  1
Affiliations
Meta-Analysis

Traditional Ceremonial Practices as a Strategy to Reduce Problem Substance Use in American Indian Communities: A Systematic Review

Damian M Chase-Begay et al. J Integr Complement Med. 2023 Jun-Jul.

Abstract

Objective: This systematic review assessed the feasibility of American Indian traditional ceremonial practices (TCPs) to address problem substance use in both reservation and urban settings. Methods: Between September 24, 2021, and January 14, 2022, culturally specific review protocols were applied to articles retrieved from over 160 electronic databases-including PubMed, Global Health, Global Health Archive, CINAHL Complete, PsychInfo, Web of Science, Health and Wellness (Gale), Sage Online Journals, and ScienceDirect. Results: A total of 10 studies met the criteria for inclusion in the review. Studies were conducted with both urban (n = 7) and reservation (n = 3) American Indian and Alaska Native (AIAN) populations. The most common TCP activities reported were drumming (n = 9), sweat lodge (n = 7), and talking circles (n = 6). All 10 studies reported some type of quantitative data showing a reduction of substance use associated with TCP interventions or activities. Conclusions: The current status of the literature is emerging and does not allow for meta-analysis of existing studies. However, the existing literature does indicate promise for the use of TCPs to address problem substance use in AIAN communities in a way that is effective and also culturally congruent.

Keywords: American Indian; Native American; ceremony; substance use; systematic review; traditional practices.

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Conflict of interest statement

No competing financial interests exist.

Figures

FIG. 1.
FIG. 1.
PRISMA Flow Diagram for the systematic review.
See this image and copyright information in PMC

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