PURPOSE To develop a culturally-tailored American Indian/Alaska Native (AI/AN) women's Facebook group supporting opioid recovery as an adjunct to medication. DESIGN Community-based, qualitative approach. SETTING Minnesota, U.S. PARTICIPANTS AI/AN women in opioid recovery, interested parties, and a Community Advisory Committee (CAC) of AI/AN women with lived experience, health care providers, and community members. INTERVENTION We developed evidence-based content focusing on stress/trauma and substance use, mindfulness, responding to triggers, and supportive community resources. Additional content centered on AI/AN culture was also selected. METHOD Interviews were conducted by two women, then transcribed and coded using content analysis with NVivo software. Results were presented to CAC for further content refinement. RESULTS CAC members (n = 10) guided study methods, intervention development, and dissemination activities. 14 AI/AN women (mean age 36.4 years; mean 6.7 months opioid abstinence) and 12 interested parties (7 men, 5 women) were receptive to an AI/AN gender-specific Facebook group, preferring content with AI/AN people and/or text resonating with AI/AN culture (e.g., Native traditions, family, personal stories, historical trauma). Recommendations included (1) protect confidentiality, (2) retain positivity, (3) incorporate resources and exercises to build coping skills, and (4) moderators should be authentic and relatable to build trust. CONCLUSIONS Our approach provides a model for developing culturally tailored, appealing and effective social media interventions to support AI/AN women in recovery from opioid use disorder.

中文翻译：

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Wiidookaage'Win：一种基于社区的定性方法，为原住民妇女制定 Facebook 群组干预措施，以支持从阿片类药物使用中恢复。

目的 建立一个适合文化的美洲印第安人/阿拉斯加原住民 (AI/AN) 女性 Facebook 群组，支持阿片类药物作为药物治疗的辅助手段进行康复。设计 基于社区的定性方法。设置明尼苏达州、美国参与者 参与阿片类药物康复的 AI/AN 妇女、感兴趣的各方以及由具有生活经验的 AI/AN 妇女、医疗保健提供者和社区成员组成的社区咨询委员会 (CAC)。干预 我们开发了基于证据的内容，重点关注压力/创伤和药物使用、正念、对触发因素的反应以及支持性社区资源。还选择了以 AI/AN 文化为中心的其他内容。方法 由两名女性进行采访，然后使用 NVivo 软件进行内容分析进行转录和编码。结果提交给 CAC 进一步细化内容。结果 CAC 成员 (n = 10) 指导研究方法、干预措施开发和传播活动。14 名 AI/AN 女性（平均年龄 36.4 岁；平均阿片类药物戒断时间为 6.7 个月）和 12 名相关方（7 名男性，5 名女性）接受 AI/AN 特定性别的 Facebook 群组，更喜欢与 AI/AN 人群相关的内容和/或与 AI/AN 文化产生共鸣的文本（例如，本土传统、家庭、个人故事、历史创伤）。建议包括 (1) 保护机密性，(2) 保持积极性，(3) 整合资源和练习来培养应对技能，(4) 主持人应该真实可信，以建立信任。结论 我们的方法提供了一个模型，用于开发适合文化的、有吸引力的和有效的社交媒体干预措施，以支持 AI/AN 妇女从阿片类药物使用障碍中康复。