Contingency management intervention targeting co-addiction of alcohol and drugs among American Indian adults: Design, methodology, and baseline data

Burduli, Ekaterina; Skalisky, Jordan; Hirchak, Katherine; Orr, Michael F.; Foote, Albert; Granbois, Alexandria; Ries, Richard K.; Buchwald, Dedra; McDonell, Michael G.; McPherson, Sterling

doi:10.1177/1740774518796151

Cited by 10 publications

(28 citation statements)

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“…c RCT = randomized control trial. Ã Quality assessment could not be performed because there was no clearly defined research question(Hong et al, 2018); CBSB = cognitive-behavioral skills building; CPT = cognitive processing therapy; PTSD = post traumatic stress disorder; SCF = Southcentral Foundation; MICRA = motivational interviewing and the community reinforcement approach The majority (n = 11; 61.11%) of the interventions took place in strictly rural or tribal settings(Burduli et al, 2018;Gone and Calf Looking, 2015;Gray et al, 2010;Hanson and Pourier, 2015;Kanate et al, 2015;Kelley et al, 2018;Naquin et al, 2006;Ray et al, 2020;Running Bear et al, 2017;van der Woerd et al, 2010;Venner et al, 2021). Fewer (n = 5; 27.78%) took place strictly in urban contexts…”

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confidence: 99%

Culturally tailored substance use interventions for Indigenous people of North America: a systematic review

Richer

Roddy

2022

JMHTEP

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Purpose The purpose of the current study is to conduct a systematic review of peer-reviewed work on culturally tailored interventions for alcohol and drug use in Indigenous adults in North America. Substance use has been reported as a health concern for many Indigenous communities. Indigenous groups experienced the highest drug overdose death rates in 2015, the largest percentage increase in the number of deaths over time from 1999 to 2015 compared to any other racial group. However, few Indigenous individuals report participating in treatment for alcohol or drug use, which may reflect the limited engagement that Indigenous groups have with treatment options that are accessible, effective and culturally integrative. Design/methodology/approach Electronic searches were conducted from 2000 to April 21, 2021, using PsycINFO, Cumulative Index to Nursing and Allied Health Literature, MEDLINE and PubMed. Two reviewers classified abstracts for study inclusion, resulting in 18 studies. Findings Most studies were conducted in the USA (89%). Interventions were largely implemented in Tribal/rural settings (61%), with a minority implemented in both Tribal and urban contexts (11%). Study samples ranged from 4 to 742 clients. Interventions were most often conducted in residential treatment settings (39%). Only one (6%) intervention focused on opioid use among Indigenous people. Most interventions addressed the use of both drugs and alcohol (72%), with only three (17%) interventions specifically intended to reduce alcohol use. Originality/value The results of this research lend insight into the characteristics of culturally integrative treatment options for Indigenous groups and highlight the need for increased investment in research related to culturally tailored treatment across the diverse landscape of Indigenous populations.

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confidence: 99%

Culturally tailored substance use interventions for Indigenous people of North America: a systematic review

Richer

Roddy

2022

JMHTEP

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“…This study was approved by the Washington State University Institutional Review Board and by a Tribal Resolution from the community's Tribal Council. Our study protocol was published previously [26].…”

Section: Study Overviewmentioning

confidence: 99%

“…Alcohol abstinence was defined as ethyl glucuronide (EtG) < 150 ng/ml and analyzed using the ThermoFisher (Waltham, MA, USA) EtG immunoassay on an Indiko benchtop analyzer [22,26]. At study entry a most-used drug was identified.…”

Section: Criteria For Reinforcement For Alcohol and Drug Abstinencementioning

confidence: 99%

“…Consistent with previous studies, participants in the NC control group received prize draws each time they submitted a urine sample. The number of prize draws was equal to the average number of prize draws earned by individuals in the CM conditions in the previous week, but never fewer than three prize draws per urine sample [21,22,26].…”

Section: Non-contingent (Nc) Control Conditionmentioning

confidence: 99%

“…Our primary model compared alcohol and drug use in the three CM conditions to the control condition. Notably, while the design was a 2 × 2 factorial, we planned a priori to analyze our data using a collapsed four-group variable for increased clarity, parsimony and clinical utility [26]. Secondarily, we compared the three CM groups to one another across outcomes as a set of planned comparisons using the Bonferroni correction procedure to protect against Type I error.…”

Section: Statistical Analysesmentioning

confidence: 99%

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The rewarding recovery study: a randomized controlled trial of incentives for alcohol and drug abstinence with a rural American Indian community

et al. 2021

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Aims To test if contingency management (CM) interventions for alcohol and drug abstinence were associated with increased alcohol and drug abstinence among American Indian adults with alcohol dependence who also use drugs. Design In this 2 × 2 factorial randomized controlled trial, American Indian adults with alcohol dependence who also used drugs were randomized to four conditions: (1) incentives for submission of urine samples only (control condition), (2) CM incentives for alcohol abstinence, (3) CM incentives for drug abstinence or (4) CM incentives for abstinence from both alcohol and drugs. Setting A Northern Plains Reservation in the United States. Participants A total of 114 American Indian adults aged 35.8 years (standard deviation = 10.4); 49.1% were male. Intervention and comparator Participants received incentives if they demonstrated abstinence from alcohol (CM for alcohol, n = 30), abstinence from their most frequently used drug (CM for drugs, n = 27) or abstinence from both alcohol and their most frequently used drug (CM for alcohol and drugs, n = 32) as assessed by urine tests. Controls (n = 25) received incentives for submitting urine samples only. Measurements Primary outcomes were urine ethyl glucuronide (alcohol) and drug tests conducted three times per week during the 12‐week intervention period. Data analyses included listwise deletion and multiple imputation to account for missing data. Findings The three CM groups were significantly (P < 0.05) more likely to submit alcohol‐abstinent urine samples compared with the control condition, with odds ratios ranging from 2.4 to 4.8. The CM for drugs (OR = 3.2) and CM for alcohol and drugs (OR = 2.5) were significantly more likely to submit urine samples that indicated drug abstinence, relative to the control condition (P < 0.05). However, these differences were not significant in multiple imputation analyses (P > 0.05). Conclusions Contingency management (CM) incentives for abstinence were associated with increased alcohol abstinence in American Indian adults diagnosed with alcohol dependence who also used drugs, living on a rural reservation. The effect of CM incentives on drug abstinence was inconclusive.

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Effect of Incentives for Alcohol Abstinence in Partnership With 3 American Indian and Alaska Native Communities

et al. 2021

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and Alaska Native communities are disproportionately affected by problems with alcohol use and seek culturally appropriate and effective interventions for individuals with alcohol use disorders.OBJECTIVE To determine whether a culturally tailored contingency management intervention, in which incentives were offered for biologically verified alcohol abstinence, resulted in increased abstinence among American Indian and Alaska Native adults. This study hypothesized that adults assigned to receive a contingency management intervention would have higher levels of alcohol abstinence than those assigned to the control condition. DESIGN, SETTING, AND PARTICIPANTSThis multisite randomized clinical trial, the Helping Our Native Ongoing Recovery (HONOR) study, included a 1-month observation period before randomization and a 3-month intervention period. The study was conducted at 3 American Indian and Alaska Native health care organizations located in Alaska, the Pacific Northwest, and the

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Contingency management intervention targeting co-addiction of alcohol and drugs among American Indian adults: Design, methodology, and baseline data

Cited by 10 publications

References 75 publications

Culturally tailored substance use interventions for Indigenous people of North America: a systematic review

Culturally tailored substance use interventions for Indigenous people of North America: a systematic review

The rewarding recovery study: a randomized controlled trial of incentives for alcohol and drug abstinence with a rural American Indian community

Effect of Incentives for Alcohol Abstinence in Partnership With 3 American Indian and Alaska Native Communities

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