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

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a new recovery program specifically designed for American Indian adults with substance use disorder (SUD) living on the Fort Peck reservation. The goal is to determine if this culturally adapted program, called Indigenous Recovery Planning, can better support recovery and health outcomes. Participants will either receive the treatment immediately or be placed on a waitlist for comparison. Eligible participants are American Indian adults on the Fort Peck reservation seeking help for SUD. As an unphased trial, this study provides a unique opportunity to contribute to culturally tailored recovery solutions.

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 prior data suggests that the Indigenous Recovery Planning intervention is safe?

Research has shown that treatments for substance use disorder (SUD) adapted to cultural needs are generally safe and well-received. One small study tested a similar culturally adapted program with a Southwest tribe, and participants reported no major negative effects. This suggests these programs can be safe to use. Although the Indigenous Recovery Planning program hasn't been extensively studied yet, focusing on cultural relevance and involving the community often leads to positive experiences and results. The research aims to build on that success by having local community members deliver the program, helping ensure participants feel safe and comfortable. ^{1 2 3 4 5}

Why are researchers excited about this trial?

Researchers are excited about Indigenous Recovery Planning (IRP) for treating Substance Use Disorder (SUD) because it offers a culturally tailored approach that respects and incorporates Indigenous traditions and community values. Unlike standard treatments that often focus solely on medical or psychological interventions, IRP emphasizes community involvement and cultural identity, which can foster a stronger sense of belonging and purpose. This approach not only aims to address the addiction itself but also strengthens community ties and personal identity, potentially leading to more enduring recovery outcomes.

What evidence suggests that the Indigenous Recovery Planning intervention is effective for substance use disorder?

Studies have shown that treatments tailored to the cultural needs of Native communities can significantly improve outcomes for substance use disorder (SUD). In this trial, participants in the treatment group will receive the Indigenous Recovery Planning (IRP) intervention, which includes six weekly group sessions. Research indicates that programs like Indigenous Recovery Planning can boost social support, enhance quality of life, and increase confidence in one's ability to change. These programs are specifically tailored to American Indian communities, making them more effective. Previous findings suggest that culturally adapted treatments lead to better results in reducing alcohol use and easing psychological distress among Indigenous people. This approach aims to address health disparities by offering more relevant support and tools for recovery. ^{2 6 7 8 9}

Who Is on the Research Team?

Monica Skewes, PhD

Principal Investigator

Montana State University

Are You a Good Fit for This Trial?

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 for a Trial Participant

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)

What Are the Treatments Tested in This Trial?

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.

How Is the Trial Designed?

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+

Citations

1. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC11086671/

Development and Feasibility Pilot Study of Indigenous ... For example, there were increases in social support for recovery, quality of life, AI identity, confidence in one's ability to change, self-compassion, and self ...

2. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC10248734/

Culturally tailored substance use interventions for ... Most interventions (n = 13; 72.22%) addressed the use of drugs and alcohol, with three (16.67%) interventions intended to specifically reduce only alcohol use ( ...

3. sciencedirect.com sciencedirect.com/science/article/abs/pii/S2949875924002534

Training community members to deliver an intervention for ... This manuscript reports the facilitator training, supervision, and fidelity monitoring procedures used in our ongoing clinical trial of IRP.

4. connections.edu.au connections.edu.au/research-focus/improving-substance-abuse-treatment-outcomes-indigenous-and-non-indigenous

Improving substance abuse treatment outcomes for ... Indigenous clients were dramatically over-represented relative to their population in the local community (44% compared to approximately 5%). In the three ...

5. sciencedirect.com sciencedirect.com/science/article/pii/S2352853215300018

Pilot outcome results of culturally adapted evidence-based ... Results suggest that culturally adapted EBTs yield significant improvements in alcohol use, psychological distress, and legal problems among AI/ANs.

6. americanaddictioncenters.org americanaddictioncenters.org/rehab-guide/addiction-statistics-demographics/native-americans

Substance Abuse Statistics for Native Americans Data indicate that Native Americans have the highest rates of alcohol, marijuana, cocaine, inhalant, and hallucinogen use disorders compared to other ethnic ...

7. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC7967948/

A study protocol for a quasi-experimental community trial ... This paper describes a study protocol which aims to evaluate the effectiveness of blending Indigenous Healing Practices and Seeking Safety for the treatment of ...

8. harmreductionjournal.biomedcentral.com harmreductionjournal.biomedcentral.com/articles/10.1186/s12954-020-00366-3

the experiences of indigenous people who use illicit drugs ... This study sought to understand the policies and practices with the potential to produce inequities and vulnerabilities for IPWUID/A in substance use treatment.

9. journals.sagepub.com journals.sagepub.com/doi/abs/10.1177/21677026221141662

Development and Feasibility Pilot Study of Indigenous ... Pilot outcome results of culturally adapted evidence-based substance use disorder treatment with a Southwest tribe. Addictive Behaviors ...