Motivational interviewing and culture for urban Native American youth (MICUNAY): A randomized controlled trial

D’Amico, Elizabeth J.; Dickerson, Daniel; Brown, Ryan Andrew; Johnson, Carrie L.; Klein, David J.; Agniel, Denis

doi:10.1016/j.jsat.2019.12.011

Cited by 42 publications

(52 citation statements)

References 69 publications

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“…AWARE incorporates education, skills building, and personalized feedback. It includes components that have been utilized in effective programs for young people experiencing homelessness [ 11 , 51 ], as well as our own intervention work with other at-risk youth populations [ 47 , 52 – 55 ]. These components include: 1.…”

Section: Methodsmentioning

confidence: 99%

“…AWARE is designed to be facilitated by interventionists who have received training on both the curriculum and the use of motivational interviewing, and have demonstrated proficiency in delivering the sessions. As with other MI-based interventions developed by our team members (e.g., [48,50,54,55]), it is not necessary for facilitators to have a specific college degree or education background to fill this role. However, AWARE facilitators should be knowledgeable, enthusiastic, and comfortable working with this population.…”

Section: Description Of the Interventionmentioning

confidence: 99%

“…Reinforcing skills [64][65][66][67]; and 5. Providing information in a non-judgmental and non-confrontational manner [55,[68][69][70][71], which is important for young people experiencing homelessness who often report negative experiences with adults in "helping" roles (e.g., police, case managers, therapists, foster parents) [3,35] and limited use of available services when they perceive staff to be judgmental [72]. These young people are often distrustful of adults offering assistance, and resistant to messages that appear to challenge their autonomy, so they may be more receptive to programs that are delivered using an MI approach [73].…”

Section: Description Of the Interventionmentioning

confidence: 99%

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Study protocol for a group-based motivational interviewing brief intervention to reduce substance use and sexual risk behavior among young adults experiencing homelessness

Tucker

D’Amico

Pedersen

et al. 2020

Addict Sci Clin Pract

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Background: Young people experiencing homelessness have alarmingly high rates of alcohol and other drug (AOD) use, which is associated with sexual risk behaviors such as unprotected sex, trading sex, and sex with multiple casual partners. Few risk reduction programs for this population have been developed and rigorously evaluated, particularly those that address both of these interrelated behaviors, use a collaborative and non-judgmental approach, and are feasible to deliver in settings where homeless young people seek services. This paper describes the protocol of a study evaluating a four-session Motivational Interviewing (MI)-based group risk reduction intervention for this population. The protocol has been shown to be efficacious in pilot work over 3 months with 200 homeless young adults [1]. The current study seeks to refine the intervention protocol and evaluate the program on a larger scale. Methods/design: In a cluster-cross-over randomized controlled trial, 18-25 year olds will receive the AWARE risk reduction program (n = 200) or standard care (n = 200) at one of three drop-in centers serving homeless youth in the Los Angeles area. We will evaluate intervention effects on primary outcomes of AOD use and sexual risk behavior, as well as secondary outcomes of health-related quality of life and social stability, over a 12-month period. Discussion: This project has the potential to fill a significant gap in prevention services by demonstrating that a brief intervention, feasible to deliver within settings where young people experiencing homelessness typically seeks services, can significantly reduce the interrelated problems of AOD use and sexual risk behavior. Trial registration ClinicalTrials.gov Identifier: NCT03735784. Registered November 18, 2018, https ://clini caltr ials.gov/ct2/ show/recor d/NCT03 73578 4 (retrospectively registered)

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Section: Methodsmentioning

confidence: 99%

Section: Description Of the Interventionmentioning

confidence: 99%

Section: Description Of the Interventionmentioning

confidence: 99%

See 1 more Smart Citation

Study protocol for a group-based motivational interviewing brief intervention to reduce substance use and sexual risk behavior among young adults experiencing homelessness

Tucker

D’Amico

Pedersen

et al. 2020

Addict Sci Clin Pract

View full text Add to dashboard Cite

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“…Our team worked together with several AI/AN communities in the state of California to develop and test Motivational Interviewing and Culture for Urban Native American Youth (MICUNAY), an alcohol and other drug (AOD) use prevention intervention program that integrates motivational interviewing (MI) and AI/AN traditional practices [15,16]. The foundation of MICUNAY is based on extensive community-based work conducted by Daniel Dickerson and Carrie Johnson [18,19,20], Kurt Schweigman [21], Ryan Brown [22,23,24], and Elizabeth D'Amico [25,26,27,28].…”

Section: Motivational Interviewing and Culture For Urban Native Amerimentioning

confidence: 99%

“…We asked all youth to complete follow-ups at 3-and 6months. Youth completed follow-up surveys via web or on paper [16].…”

Section: Research Overviewmentioning

confidence: 99%

Recruitment and retention in randomized controlled trials with urban American Indian/Alaska Native adolescents: Challenges and lessons learned

Dickerson

Parker

Johnson³

et al. 2020

Clinical Trials

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Background: Although the majority of American Indians/Alaska Natives reside in urban areas, there are very few randomized controlled trials analyzing culturally centered substance use prevention interventions for this population. Methods: We describe methods employed to recruit and retain urban American Indian/Alaska Native adolescents into a randomized controlled trial, which was focused on testing the potential benefits of a substance use prevention intervention for this population. We also report challenges encountered in recruitment and retention of participants and strategies employed addressing these challenges. Data collection occurred from August 2014 to October 2017. Results: We partnered with two community-based organizations in different cities in California. We utilized American Indian/Alaska Native recruiters from communities, placed flyers in community-based organizations, and asked organizations to post flyers on their web and social media sites. We also offered gift cards for participants. Our initial recruitment and retention model was moderately successful; however, we encountered five main challenges: (1) transportation, (2) increasing trust and interest, (3) adding research sites, (4) getting the word out about the project, and (5) getting youth to complete follow-up surveys. Strategies employed to overcome transportation challenges included shortening the number of sessions, offering sessions on both weekends and weekdays, and increasing bus tokens and transportation options. We hired more staff from American Indian/Alaska Native communities, added more research sites from our previously established relationships, and were more proactive in getting the word out on the project in American Indian/Alaska Native communities. We also utilized more field tracking and emailed and mailed survey invitations to reach more participants for their follow-up surveys. Because of our efforts, we were nearly able to reach our initial recruitment and retention goals. Conclusion: Although our research team had previously established relationships with various urban American Indian/Alaska Native communities, we encountered various recruitment and retention challenges in our study. However, by identifying challenges and employing culturally appropriate strategies, we were able to collect valuable data on the potential effectiveness of a substance use prevention intervention for urban American Indian/Alaska Native adolescents. Findings from this study assist toward the development of potentially successful strategies to successfully recruit and retain urban American Indian/Alaska Native adolescents in randomized controlled trials.

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Sleep Problems and Health Outcomes Among Urban American Indian and Alaska Native Adolescents

Troxel,

Klein,

Dong

et al. 2024

JAMA Netw Open

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ImportanceAdolescent sleep problems are prevalent, particularly among racial and ethnic minority groups, and can increase morbidity. Despite the numerous strengths of their racial and ethnic group, urban American Indian and Alaska Native adolescents face significant health disparities but are rarely included in health research. Understanding how sleep problems are associated with health outcomes among American Indian and Alaska Native adolescents may elucidate novel targets for interventions to promote health equity.ObjectiveTo assess whether baseline sleep problems are associated with changes in behavioral and cardiometabolic health outcomes among urban American Indian and Alaska Native adolescents 2 years later.Design, Setting, and ParticipantsAmerican Indian and Alaska Native adolescents were recruited via flyers and community events for an observational cohort study in California. Baseline assessments were conducted among 142 adolescents from March 1, 2018, to March 31, 2020, and follow-ups were conducted among 114 adolescents from December 1, 2020, to June 30, 2022.ExposuresBaseline actigraphy-assessed sleep duration and efficiency and self-reported sleep disturbances and social jet lag (absolute value of the difference in sleep midpoint on weekends vs weekdays; indicator of circadian misalignment).Main Outcomes and MeasuresMain outcome measures included self-reported depression (measured using the Patient Health Questionnaire), anxiety (measured using the Generalized Anxiety Disorder 7-item scale), past year alcohol and cannabis use, body mass index, systolic blood pressure (SBP) and diastolic blood pressure (DBP), waist circumference, and glycosylated hemoglobin (HbA1c). Analyses examined whether baseline sleep was associated with health outcomes at follow-up, controlling for age, sex, and baseline outcome measures.ResultsThe baseline sample included 142 urban American Indian and Alaska Native adolescents (mean [SD] age, 14.0 [1.4] years; 84 girls [59%]), 80% of whom (n = 114; mean [SD] age, 14.1 [1.3] years; 71 girls [62%]) completed follow-ups. Linear or logistic regressions showed significant negative associations between shorter sleep duration and depression (β = −1.21 [95% CI, −2.19 to −0.24]), anxiety (β = −0.89 [95% CI, −1.76 to −0.03]), DBP (β = −2.03 [95% CI, −3.79 to −0.28]), and HbA1c level (β = −0.15 [95% CI, −0.26 to −0.04]) and likelihood of alcohol (odds ratio [OR], 0.57 [95% CI, 0.36-0.91]) and cannabis use (full week: OR, 0.59 [95% CI, 0.35-0.99]) at follow-up. Greater social jet lag was associated with significantly higher SBP (β = 0.06 [95% CI, 0.01-0.11]) at follow-up.Conclusions and RelevanceThis cohort study found significant associations between poor sleep and adverse changes in health outcomes. Findings highlight the importance of developing culturally responsive interventions that target sleep as a key modifiable risk factor to improve the health of American Indian and Alaska Native adolescents.

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Motivational interviewing and culture for urban Native American youth (MICUNAY): A randomized controlled trial

Cited by 42 publications

References 69 publications

Study protocol for a group-based motivational interviewing brief intervention to reduce substance use and sexual risk behavior among young adults experiencing homelessness

Study protocol for a group-based motivational interviewing brief intervention to reduce substance use and sexual risk behavior among young adults experiencing homelessness

Recruitment and retention in randomized controlled trials with urban American Indian/Alaska Native adolescents: Challenges and lessons learned

Sleep Problems and Health Outcomes Among Urban American Indian and Alaska Native Adolescents

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