Indigenous Recovery Planning for Substance Use Disorder

Age: 18+

Sex: Any

Trial Phase: Academic

Sponsor: Montana State University

Disqualifiers: Not American Indian, Under 18, others

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: 10

Duration: 6 weeks

180 Participants Needed

Trial Summary

What is the purpose of this trial?

This research project uses a Community-Based Participatory Research (CBPR) framework to test the efficacy of a culturally adapted relapse prevention intervention developed collaboratively by community partners from the Fort Peck Indian Reservation in northeastern Montana and research partners from Montana State University. The Indigenous Recovery Planning intervention employs trained Fort Peck community members to deliver manualized intervention content to American Indian adults with substance use disorder (SUD). By increasing access to culturally responsive evidence-based treatment, this research aims to decrease SUD-related health disparities and improve public health outcomes for underserved Native communities locally and nationally.

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 treatment Indigenous Recovery Planning for Substance Use Disorder?

Research suggests that culturally adapted approaches, like Indigenous Recovery Planning, can be effective for treating alcohol use disorders in Indigenous communities by providing culturally appropriate care, which is believed to lead to better outcomes. ^{1 2 3 4 5}

How is the Indigenous Recovery Planning treatment different from other treatments for substance use disorder?

Indigenous Recovery Planning is unique because it combines traditional Indigenous healing practices with the Seeking Safety model, which is a Western approach to addressing trauma and substance use. This blend of cultural elements and harm reduction strategies is specifically designed to address the intergenerational trauma and cultural needs of Indigenous people, making it distinct from standard treatments. ^{1 6 7 8 9}

Research Team

Monica Skewes, PhD

Principal Investigator

Montana State University

Eligibility Criteria

This trial is for American Indian adults living on the Fort Peck reservation who are 18 or older and want help with recovery from Substance Use Disorder. Participants must meet the diagnostic criteria for SUD.

Inclusion Criteria

I am an American Indian, 18 or older, living on the Fort Peck reservation and want help for Substance Use Disorder.

Exclusion Criteria

Not meeting inclusion criteria.

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive the Indigenous Recovery Planning intervention, which includes 6 weekly group intervention sessions lasting about 2 hours each

6 weeks

6 visits (in-person)

Follow-up

Participants are monitored for safety and effectiveness after treatment, with assessments every 6 weeks

24 weeks

4 visits (in-person)

Treatment Details

Interventions

• Indigenous Recovery Planning

Trial Overview The study tests a culturally adapted relapse prevention program called Indigenous Recovery Planning, delivered by trained community members to improve treatment outcomes for substance use disorders among American Indians.

Participant Groups

Group I: Treatment Group Experimental Treatment 1 Intervention

Receives Indigenous Recovery Planning (IRP) intervention, which includes 6 weekly group intervention sessions lasting about 2 hours each.

Group II: Waitlist Control Group Active Control 1 Intervention

Participants in the waitlist control group do not receive the intervention until after treatment group completes the intervention. Outcomes will be compared between the 2 study arms at baseline and at follow-up, at which point the treatment group will have completed the intervention and the waitlist control group will have not yet been exposed to the intervention, thereby serving as the control group.

Who Is Running the Clinical Trial?

Montana State University

Lead Sponsor

Trials

47

Recruited

1,044,000+

References

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

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

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

Effectiveness and appropriateness of culturally adapted approaches to treating alcohol use disorders in Indigenous people: a mixed methods systematic review protocol. [2021]

3. Canada pubmed.ncbi.nlm.nih.gov

Risk factors associated with dropout and readmission among First Nations individuals admitted to an inpatient alcohol and drug detoxification program. [2018]

4. Australia pubmed.ncbi.nlm.nih.gov

Predictors of length of treatment, discharge reason, and re-admission to Aboriginal alcohol and other drug residential rehabilitation services in New South Wales, Australia. [2022]

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

The Grog Mob: lessons from an evaluation of a multi-disciplinary alcohol intervention for Aboriginal clients. [2021]

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

Implementation and evaluation of a two-eyed seeing approach using traditional healing and seeking safety in an indigenous residential treatment program in Northern Ontario. [2022]

7. Australia pubmed.ncbi.nlm.nih.gov

'It was a nice day...a beautiful day': an analysis of relapse into substance misuse among Indigenous drinkers. [2021]

8. England pubmed.ncbi.nlm.nih.gov

Culture in treatment, culture as treatment. A critical appraisal of developments in addictions programs for indigenous North Americans and Australians. [2021]

9. England pubmed.ncbi.nlm.nih.gov

Alcohol management plans in Aboriginal and Torres Strait Islander (Indigenous) Australian communities in Queensland: community residents have experienced favourable impacts but also suffered unfavourable ones. [2021]