Hastiin Bidziil Program for Substance Abuse

Recruiting at 1 trial location

Overseen By Marissa Begay, MA

Age: 18 - 65

Sex: Male

Trial Phase: Academic

Sponsor: Johns Hopkins Bloomberg School of Public Health

Disqualifiers: Profound disability, Planned move, others

Compensation: Varies

Number of Visits: Unknown

Duration: 6 months

160 Participants Needed

Trial Summary

What is the purpose of this trial?

The Hastiin Bidziil (Strong man) Intervention study is part of a larger project called, Community-Driven Indigenous Research, Cultural Strengths \& Leadership to Advance Equity in Substance Use Outcomes (CIRCLE) Center of Excellence. CIRCLE aims to address drug use related health problems in collaboration with diverse Indigenous communities. This study is a randomized controlled trial study to measure the effectiveness of a secondary prevention program, called Hastiin Bidziil (Strong Man), aimed at reducing substance use among Native American Indian (AI) men ages 18-26.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications.

What data supports the effectiveness of the Hastiin Bidziil (Strong Man) treatment for substance abuse?

Research shows that substance abuse treatments, including 12-step and cognitive-behavioral models, are effective in reducing substance use and improving overall functioning. These treatments have been shown to help patients make significant improvements in their lives, suggesting that similar programs like the Hastiin Bidziil Intervention could also be beneficial. ^{1 2 3 4 5}

How is the Hastiin Bidziil treatment different from other substance abuse treatments?

The Hastiin Bidziil (Strong Man) Intervention is unique because it likely incorporates culturally-based and community-based approaches, similar to those used in aboriginal and Indigenous programs, which focus on healing the community to heal the individual. This approach may differ from standard treatments by emphasizing cultural relevance and community involvement. ^{6 7 8 9 10}

Research Team

Jerreed D Ivanich, PhD

Principal Investigator

University of Colorado, Denver

Jennifer Richards, PhD

Principal Investigator

Johns Hopkins University

Eligibility Criteria

This trial is for Native American Indian men aged 18-26 who live near Fort Defiance or Chinle, AZ. Participants must identify a moderate risk of substance use (excluding tobacco only). It's not suitable for those outside this demographic or low-risk individuals.

Inclusion Criteria

Self-identify as American Indian

Screen positive for at least moderate risk on any substance, except for tobacco use only

Reside within ~60 miles of a study community (Fort Defiance, AZ; Chinle, AZ)

Exclusion Criteria

Any condition that would affect successful participation (e.g., planned move)

Participated in the preliminary phase of this study to adapt CETA for this project

I have a severe disability that prevents me from participating in certain activities.

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Adaptation

Adaptation of the CETA intervention for AI men ages 18-26 leading up to the implementation of the randomized controlled trial

4 weeks

Treatment

Participants receive the Hastiin Bidziil (Strong Man) intervention or participate in the active control group focusing on vehicle maintenance

6 months

Follow-up

Participants are monitored for substance use reduction effectiveness after treatment

6 months

Treatment Details

Interventions

• Hastiin Bidziil (Strong Man) Intervention

Trial Overview The Hastiin Bidziil (Strong Man) Intervention compares a program designed to reduce substance use against a control activity involving vehicle maintenance. The study randomly assigns participants to either the intervention or control group.

Participant Groups

Group I: Hastiin Bidziil (Strong Man) intervention Experimental Treatment 1 Intervention

CETA intervention adapted for AI men ages 18-26. Adaptation will take place leading up to implementation of the randomized controlled trial

Group II: Active Control Group - Vehicle Maintenance Placebo Group 1 Intervention

Control condition was selected by the Community Research Council and includes five sessions on basic vehicle maintenance.

Who Is Running the Clinical Trial?

Johns Hopkins Bloomberg School of Public Health

Lead Sponsor

Trials

441

Recruited

2,157,000+

References

1. England pubmed.ncbi.nlm.nih.gov

The Addiction Severity Index (ASI) and the attitudes of staff to the use of care outcome measurement in Saudi Arabia. [2020]

2. United States pubmed.ncbi.nlm.nih.gov

Treatment goals, continuity of care, and outcome in a day hospital substance abuse rehabilitation program. [2015]

3. England pubmed.ncbi.nlm.nih.gov

Group and individual change in the treatment of drug addictions: a follow-up study in therapeutic communities. [2022]

4. United States pubmed.ncbi.nlm.nih.gov

Substance abuse treatment processes and outcomes in day/outpatient health maintenance organization setting. [2019]

5. United States pubmed.ncbi.nlm.nih.gov

Twelve-step and cognitive--behavioral treatment for substance abuse: a comparison of treatment effectiveness. [2019]

6. England pubmed.ncbi.nlm.nih.gov

From ED overcrowding to jail overcrowding: a cautionary tale of a Serial Inebriate Programme (SIP). [2019]

7. Canada pubmed.ncbi.nlm.nih.gov

Healing the community to heal the individual: literature review of aboriginal community-based alcohol and substance abuse programs. [2021]

8. United States pubmed.ncbi.nlm.nih.gov

Substance misuse intervention research in remote Indigenous Australian communities since the NHMRC 'Roadmap'. [2021]

9. Germany pubmed.ncbi.nlm.nih.gov

[Framework for qualified inpatient withdrawal treatment of alcoholics in North Rhine-Westphalia]. [2016]

10. Australia pubmed.ncbi.nlm.nih.gov

Towards a model for the provision of comprehensive services for non-English speaking communities. [2006]