Acceptability of a Web-Based Community Reinforcement Approach for Substance Use Disorders with Treatment-Seeking American Indians/Alaska Natives

Campbell, Aimee N.C.; Turrigiano, Eva; Moore, Michelle; Miele, Gloria M.; Rieckmann, Traci; Hu, Mei Chen; Kropp, Frankie; Ringor-Carty, Roz; Nunes, Edward V.

doi:10.1007/s10597-014-9764-1

Cited by 35 publications

(49 citation statements)

References 44 publications

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“…The culturally adapted MICRA appears to be effective as was a previous implementation of MI and aspects of CRA in Project COMBINE with general U.S. samples ( Anton et al, 2006 ). Results from the current study are further corroborated by a previous study of internet-based CRA delivered to urban AIs that found high rates of acceptability for CRA, though participants noted several suggestions to increase cultural relevance ( Campbell et al, 2015 ). For AI/ANs who are facing substantial substance use related health disparities, cultural adaptations of EBTs represent an important avenue for reducing these health disparities.…”

Section: Discussionsupporting

confidence: 86%

Pilot outcome results of culturally adapted evidence-based substance use disorder treatment with a Southwest Tribe

Venner

Greenfield

Hagler

et al. 2016

Addictive Behaviors Reports

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Introduction Although American Indians/Alaska Natives (AI/ANs) have exhibited high rates of alcohol and drug use disorders, there is a paucity of substance use disorder treatment outcome research. In addition, there exists controversy about whether evidence-based treatments (EBTs) are culturally appropriate given they were derived mainly by and for non-Hispanic White populations and do not explicitly include aspects of AI/AN culture and worldview. Methods In this pilot study, we collaboratively culturally adapted two EBTs, Motivational Interviewing and Community Reinforcement Approach (MICRA), and evaluated substance use and psychological outcomes at 4- and 8-months post baseline assessment. In preparation for a larger randomized clinical trial (RCT), eight tribal members (75% male) participated in this pilot treatment study. Measures included substance use, urine screens, self-efficacy, psychological distress, and hopelessness. All participants completed follow-up assessments at 4- and 8-months. Due to small sample size, effect sizes were calculated to evaluate outcomes pre- and post-treatment. Results Despite high rates of abstinence at baseline, percent days abstinent (PDA) increased at the 8-month time point for the most commonly used substances (alcohol, Hedges’s g = 0.59, and marijuana, g = 0.60) and for all substances combined (excluding tobacco, g = 0.56). Improvements in psychological distress (g = −0.66) and 5 of the 7 Addiction Severity Index domains (range of g = −0.42 to −0.98) also emerged. Conclusions Results suggest that culturally adapted EBTs yield significant improvements in alcohol use, psychological distress, and legal problems among AI/ANs. Future research using RCT methodology is needed to examine efficacy and effectiveness.

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Section: Discussionsupporting

confidence: 86%

Pilot outcome results of culturally adapted evidence-based substance use disorder treatment with a Southwest Tribe

Venner

Greenfield

Hagler

et al. 2016

Addictive Behaviors Reports

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“…As shown in Table 3, 11 (34%) sources were from the USA [15][16][17][18][19][20][21][22][23][24][25] and nine (28%) sources were from New Zealand [26][27][28][29][30][31][32][33][34], with the remainder from Australia (12, 38%) [35][36][37][38][39][40][41][42][43][44][45]. As there were no studies from Canada, the findings reported from here on pertain to New Zealand, the USA and Australia.…”

Section: Characteristics Of Sourcesmentioning

confidence: 84%

Use and uptake of web-based therapeutic interventions amongst Indigenous populations in Australia, New Zealand, the United States of America and Canada: a scoping review

et al. 2020

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Background: Barriers to receiving optimal healthcare exist for Indigenous populations globally for a range of reasons. To overcome such barriers and enable greater access to basic and specialist care, developments in information and communication technologies are being applied. The focus of this scoping review is on web-based therapeutic interventions (WBTI) that aim to provide guidance, support and treatment for health problems. Objectives: This review identifies and describes international scientific evidence on WBTI used by Indigenous peoples in Australia, New Zealand, Canada and USA for managing and treating a broad range of health conditions. Eligibility criteria: Studies assessing WBTI designed for Indigenous peoples in Australia, Canada, USA and New Zealand, that were published in English, in peer-reviewed literature, from 2006 to 2018 (inclusive), were considered for inclusion in the review. Studies were considered if more than 50% of participants were Indigenous, or if results were reported separately for Indigenous participants. Sources of evidence: Following a four-step search strategy in consultation with a research librarian, 12 databases were searched with a view to finding both published and unpublished studies. Charting methods: Data was extracted, synthesised and reported under four main conceptual categories: (1) types of WBTI used, (2) community uptake of WBTI, (3) factors that impact on uptake and (4) conclusions and recommendations for practice.

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“…Five of the 11 integrated blended interventions with an Internet focus aimed at improving the delivery of evidence-based treatment in primary care [ 31 , 48 , 50 , 65 , 72 ], for instance, by assisting GPs in providing evidence-based mental health care programs [ 65 ]. Three of the studies aimed at integrating face-to-face sessions to maximize the effectiveness of iCBT [ 19 , 64 , 70 ].…”

Section: Resultsmentioning

confidence: 99%

“…Using blended interventions to improve the delivery of evidence-based treatment in primary care has been successful in acceptability and in reducing symptomatology [ 31 , 48 , 50 , 65 , 72 ]. However, two controlled studies [ 50 , 65 ] could not show a superiority of the blended intervention over an active nonblended control group.…”

Section: Resultsmentioning

confidence: 99%

Blending Face-to-Face and Internet-Based Interventions for the Treatment of Mental Disorders in Adults: Systematic Review

Erbe¹,

Eichert²,

Riper³

et al. 2017

J Med Internet Res

406

377

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BackgroundMany studies have provided evidence for the effectiveness of Internet-based stand-alone interventions for mental disorders. A newer form of intervention combines the strengths of face-to-face (f2f) and Internet approaches (blended interventions).ObjectiveThe aim of this review was to provide an overview of (1) the different formats of blended treatments for adults, (2) the stage of treatment in which these are applied, (3) their objective in combining face-to-face and Internet-based approaches, and (4) their effectiveness.MethodsStudies on blended concepts were identified through systematic searches in the MEDLINE, PsycINFO, Cochrane, and PubMed databases. Keywords included terms indicating face-to-face interventions (“inpatient,” “outpatient,” “face-to-face,” or “residential treatment”), which were combined with terms indicating Internet treatment (“internet,” “online,” or “web”) and terms indicating mental disorders (“mental health,” “depression,” “anxiety,” or “substance abuse”). We focused on three of the most common mental disorders (depression, anxiety, and substance abuse).ResultsWe identified 64 publications describing 44 studies, 27 of which were randomized controlled trials (RCTs). Results suggest that, compared with stand-alone face-to-face therapy, blended therapy may save clinician time, lead to lower dropout rates and greater abstinence rates of patients with substance abuse, or help maintain initially achieved changes within psychotherapy in the long-term effects of inpatient therapy. However, there is a lack of comparative outcome studies investigating the superiority of the outcomes of blended treatments in comparison with classic face-to-face or Internet-based treatments, as well as of studies identifying the optimal ratio of face-to-face and Internet sessions.ConclusionsSeveral studies have shown that, for common mental health disorders, blended interventions are feasible and can be more effective compared with no treatment controls. However, more RCTs on effectiveness and cost-effectiveness of blended treatments, especially compared with nonblended treatments are necessary.

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Acceptability of a Web-Based Community Reinforcement Approach for Substance Use Disorders with Treatment-Seeking American Indians/Alaska Natives

Cited by 35 publications

References 44 publications

Pilot outcome results of culturally adapted evidence-based substance use disorder treatment with a Southwest Tribe

Pilot outcome results of culturally adapted evidence-based substance use disorder treatment with a Southwest Tribe

Use and uptake of web-based therapeutic interventions amongst Indigenous populations in Australia, New Zealand, the United States of America and Canada: a scoping review

Blending Face-to-Face and Internet-Based Interventions for the Treatment of Mental Disorders in Adults: Systematic Review

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