SRFP110: Understanding Culturally Tailored Approaches in Males of Punjabi Ancestry with Alcohol Use Disorder at Roshni Clinic

Abnashi Randhawa, BSc; Nitasha Puri

Abstract

Learning Objectives: 1.Identify and describe factors that are important to the care of patients of Punjabi ancestry suffering from AUD. 2.Explain the importance of culturally tailored approaches to primary care in the context of AUD. Context: Structural and institutional racism in the healthcare system, language barriers, and stigma have resulted in people of color (POC) facing increased barriers to healthcare access, even though POC are often experiencing greater severity with their substances use disorders. There is limited research on the evaluation or description of culturally tailored interventions and limited culturally tailored centers serving racialized populations struggling with AUD, especially for the Punjabi population. Therefore, it is crucial for primary care providers to understand the importance of culturally tailored approaches to this patient population, as they are often the first point of contact. Objective: To understand and describe what aspects of care provided at Roshni Clinic was beneficial to patients by conducting a qualitative analysis of interviews. Study Design: Qualitative study. Interviews translated from Punjabi to English. Responses transcribed and coded, occurrences of themes were tabulated. Setting: Study completed at Roshni Clinic, a culturally tailored center located in Surrey, Canada that addresses problems associated with alcohol and other substances for adults >18 years old in a holistic, culturally tailored approach. Population Studied: Eight participants recruited and consented. Inclusion criteria: cis-male of Punjabi ancestry, communicate in English/Punjabi, diagnosed with AUD, hospitalized for alcohol related harms, and presented for care at Roshni. No exclusion criteria. Results: Nearly half the responses identified culturally tailored approaches as most helpful. Over one third of the responses indicated structural factors intrinsically tied to Roshni such as counseling, and accountability, as helpful. Approximately 10% was attributable to medications and patient education. Conclusions: Culturally tailored approaches and providers fluent in the Punjabi language proved to be the most beneficial factors to patients at Roshni Clinic. There are limited culturally tailored, primary care addictions centers such as Roshni Clinic serving Punjabi males with AUD in BC’s Lower Mainland. Thus, this study stresses the importance of investment in research and development of patient informed culturally tailored care centers.
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Jack Westfall
jwestfall@aafp.org 11/21/2021

Great poster and abstract. Thanks for sharing at NAPCRG

Gillian Bartlett
gillian.bartlett@health.missouri.edu 11/21/2021

Great presentation and aligns so closely with the EDI strategic priorities for NAPCRG - culturally -tailored interventions are definitely critical and I hope you will continue your work in this area.

William R. Phillips
wphllps@uw.edu 11/22/2021

Very effective poster on a great project that can help you meet the needs of the folks you serve. Your data, however, do not support the notion that this culturally adapted approach is more effective. That will require more research and I hope you pursue that scholarly work. Please bring back to NAPCRG more info about the intervention you design design with these insights and the patient outcomes you achieve. Thanks for sharing your work here at NAPCRG. - Bill Phillips

Diane Harper
harperdi@med.umich.edu 11/22/2021

Thank you for sharing your work with NAPCRG!

Louise Acheson
11/30/2021

Thanks you for this wonderful work. simple, in a way, but profoundly important example.

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