Pilot Outcome Results of Culturally Adapted Evidence-Based Substance Use Disorder Treatment with a Southwest Tribe.

摘要: Abstract Introduction Although American Indians/Alaska Natives (AI/ANs) have exhibited high rates of alcohol and drug use disorders, there is a paucity substance disorder treatment outcome research. In addition, exists controversy about whether evidence-based treatments (EBTs) are culturally appropriate given that they were derived mainly by for non-Hispanic White populations do not explicitly include aspects AI/AN culture worldview. Methods this pilot study, we collaboratively adapted two EBTs, Motivational Interviewing Community Reinforcement Approach (MICRA), evaluated psychological outcomes at 4- 8-months post-baseline assessment. preparation larger randomized clinical trial (RCT), eight tribal members (75% male) participated in study. Measures included use, urine screens, self-efficacy, distress, hopelessness. All participants completed follow-up assessments 8-months. Due to small sample size, effect sizes calculated evaluate pre- post-treatment. Results Despite abstinence baseline, percent days abstinent (PDA) increased the 8-month time point most commonly used substances (alcohol, Hedges's g  = 0.59, marijuana,  = 0.60) all combined (excluding tobacco,  = 0.56). Improvements distress (  = − 0.66) 5 7 Addiction Severity Index domains (range  = − 0.42 − 0.98) also emerged. Conclusions suggest EBTs yield significant improvements legal problems among AI/ANs. Future research using RCT methodology needed examine efficacy effectiveness.