Health care utilisation changes among Alaska Native adults after participation in an indigenous community programme to address adverse life experiences: a propensity score-matched analysis
The aim of this study was to investigate whether participation in Family Wellness Warriors Initiative (FWWI), an Alaska Native program that addresses adverse life experiences, is associated with changes in health care utilisation. The study method was a propensity score-matched cohort analysis using...
Published in: | International Journal of Circumpolar Health |
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Taylor & Francis Group
2020
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ftdoajarticles:oai:doaj.org/article:3446a4ba63d742ec9a7315a53791b5ad 2023-05-15T15:10:04+02:00 Health care utilisation changes among Alaska Native adults after participation in an indigenous community programme to address adverse life experiences: a propensity score-matched analysis Lily Ray Bobbi Outten Katherine Gottlieb 2020-01-01T00:00:00Z https://doi.org/10.1080/22423982.2019.1705048 https://doaj.org/article/3446a4ba63d742ec9a7315a53791b5ad EN eng Taylor & Francis Group http://dx.doi.org/10.1080/22423982.2019.1705048 https://doaj.org/toc/2242-3982 2242-3982 doi:10.1080/22423982.2019.1705048 https://doaj.org/article/3446a4ba63d742ec9a7315a53791b5ad International Journal of Circumpolar Health, Vol 79, Iss 1 (2020) adverse childhood experiences adverse life experiences health disparities post-traumatic stress alaska native community wellness programmes indigenous Arctic medicine. Tropical medicine RC955-962 article 2020 ftdoajarticles https://doi.org/10.1080/22423982.2019.1705048 2022-12-31T16:29:55Z The aim of this study was to investigate whether participation in Family Wellness Warriors Initiative (FWWI), an Alaska Native program that addresses adverse life experiences, is associated with changes in health care utilisation. The study method was a propensity score-matched cohort analysis using retrospective electronic health record data from Southcentral Foundation, a tribal health care system, from 2012 to 2017. Ninety p\articipants in FWWI trainings were identified as the intervention cohort and were propensity matched with 90 people who participated in other emotional wellness-related interventions. The primary outcome was the number of total health system visits. Secondary outcomes included emergency department (ED) visits, substance-use visits and visits with somatisation potential. After adjustment for covariates, FWWI participants showed a 36% reduction in total system visits (incidence rate ratio 0.64, 95% CI 0.49–0.84) and a 70% reduction in substance use visits (incidence rate ratio 0.30, 95% CI 0.10–0.93) when compared to the control. FWWI participants showed a 40% reduction in ED visits (incidence rate ratio 0.60, 95%CI 0.35–1.02) when compared to the control that was borderline significant. No significant differences were found for visits with somatisation potential (incidence rate ratio 1.25, 95% CI 0.79–1.99). Article in Journal/Newspaper Arctic Circumpolar Health International Journal of Circumpolar Health Alaska Directory of Open Access Journals: DOAJ Articles Arctic International Journal of Circumpolar Health 79 1 1705048 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
adverse childhood experiences adverse life experiences health disparities post-traumatic stress alaska native community wellness programmes indigenous Arctic medicine. Tropical medicine RC955-962 |
spellingShingle |
adverse childhood experiences adverse life experiences health disparities post-traumatic stress alaska native community wellness programmes indigenous Arctic medicine. Tropical medicine RC955-962 Lily Ray Bobbi Outten Katherine Gottlieb Health care utilisation changes among Alaska Native adults after participation in an indigenous community programme to address adverse life experiences: a propensity score-matched analysis |
topic_facet |
adverse childhood experiences adverse life experiences health disparities post-traumatic stress alaska native community wellness programmes indigenous Arctic medicine. Tropical medicine RC955-962 |
description |
The aim of this study was to investigate whether participation in Family Wellness Warriors Initiative (FWWI), an Alaska Native program that addresses adverse life experiences, is associated with changes in health care utilisation. The study method was a propensity score-matched cohort analysis using retrospective electronic health record data from Southcentral Foundation, a tribal health care system, from 2012 to 2017. Ninety p\articipants in FWWI trainings were identified as the intervention cohort and were propensity matched with 90 people who participated in other emotional wellness-related interventions. The primary outcome was the number of total health system visits. Secondary outcomes included emergency department (ED) visits, substance-use visits and visits with somatisation potential. After adjustment for covariates, FWWI participants showed a 36% reduction in total system visits (incidence rate ratio 0.64, 95% CI 0.49–0.84) and a 70% reduction in substance use visits (incidence rate ratio 0.30, 95% CI 0.10–0.93) when compared to the control. FWWI participants showed a 40% reduction in ED visits (incidence rate ratio 0.60, 95%CI 0.35–1.02) when compared to the control that was borderline significant. No significant differences were found for visits with somatisation potential (incidence rate ratio 1.25, 95% CI 0.79–1.99). |
format |
Article in Journal/Newspaper |
author |
Lily Ray Bobbi Outten Katherine Gottlieb |
author_facet |
Lily Ray Bobbi Outten Katherine Gottlieb |
author_sort |
Lily Ray |
title |
Health care utilisation changes among Alaska Native adults after participation in an indigenous community programme to address adverse life experiences: a propensity score-matched analysis |
title_short |
Health care utilisation changes among Alaska Native adults after participation in an indigenous community programme to address adverse life experiences: a propensity score-matched analysis |
title_full |
Health care utilisation changes among Alaska Native adults after participation in an indigenous community programme to address adverse life experiences: a propensity score-matched analysis |
title_fullStr |
Health care utilisation changes among Alaska Native adults after participation in an indigenous community programme to address adverse life experiences: a propensity score-matched analysis |
title_full_unstemmed |
Health care utilisation changes among Alaska Native adults after participation in an indigenous community programme to address adverse life experiences: a propensity score-matched analysis |
title_sort |
health care utilisation changes among alaska native adults after participation in an indigenous community programme to address adverse life experiences: a propensity score-matched analysis |
publisher |
Taylor & Francis Group |
publishDate |
2020 |
url |
https://doi.org/10.1080/22423982.2019.1705048 https://doaj.org/article/3446a4ba63d742ec9a7315a53791b5ad |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic Circumpolar Health International Journal of Circumpolar Health Alaska |
genre_facet |
Arctic Circumpolar Health International Journal of Circumpolar Health Alaska |
op_source |
International Journal of Circumpolar Health, Vol 79, Iss 1 (2020) |
op_relation |
http://dx.doi.org/10.1080/22423982.2019.1705048 https://doaj.org/toc/2242-3982 2242-3982 doi:10.1080/22423982.2019.1705048 https://doaj.org/article/3446a4ba63d742ec9a7315a53791b5ad |
op_doi |
https://doi.org/10.1080/22423982.2019.1705048 |
container_title |
International Journal of Circumpolar Health |
container_volume |
79 |
container_issue |
1 |
container_start_page |
1705048 |
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1766341135933898752 |