Utilizing Traditional Practices
| Status: | Recruiting |
|---|---|
| Conditions: | Psychiatric |
| Therapuetic Areas: | Psychiatry / Psychology |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 5/10/2018 |
| Start Date: | June 1, 2017 |
| End Date: | October 31, 2018 |
| Contact: | Daniel L Dickerson, DO, MPH |
| Email: | daniel.dickerson@ucla.edu |
| Phone: | 562-277-0310 |
Utilizing Traditional Practices to Decrease Substance Use Among Native Americans
This study is focused on conducting a stage 1b feasibility pilot trial among 60 AI/AN men and
women (for a final sample of 48 at follow-up) in an urban outpatient treatment setting to
analyze the potential benefits of Drum-Assisted Recovery Therapy for Native Americans
(DARTNA). Dr. Dickerson, Principal Investigator, is collaborating with Dr. Elizabeth D'Amico,
co-Investigator, with Sacred Path Indigenous Wellness Center, a community-based organization
providing consultative services for American Indians/Alaska Natives (AI/ANs).
A feasibility randomized clinical trial will be conducted within an urban setting and will
compare urban AI/AN males and females with AOD disorders who receive DARTNA (n=30) to AI/AN
males and females with AOD disorders who receive usual care plus (n=30). Compare outcomes at
end of treatment and 3-months post-treatment to gather data that can be used to judge the
feasibility of a larger trial, and to plan that trial. Obtain information on (a) clinically
significant changes in AOD use, (b) clinically significant changes in mental health, physical
health, spirituality, cognition, adoption of 12-step principles and practices, and cultural
identification, and (c) estimate covariate correlations, reliability of measures and likely
effect sizes.
women (for a final sample of 48 at follow-up) in an urban outpatient treatment setting to
analyze the potential benefits of Drum-Assisted Recovery Therapy for Native Americans
(DARTNA). Dr. Dickerson, Principal Investigator, is collaborating with Dr. Elizabeth D'Amico,
co-Investigator, with Sacred Path Indigenous Wellness Center, a community-based organization
providing consultative services for American Indians/Alaska Natives (AI/ANs).
A feasibility randomized clinical trial will be conducted within an urban setting and will
compare urban AI/AN males and females with AOD disorders who receive DARTNA (n=30) to AI/AN
males and females with AOD disorders who receive usual care plus (n=30). Compare outcomes at
end of treatment and 3-months post-treatment to gather data that can be used to judge the
feasibility of a larger trial, and to plan that trial. Obtain information on (a) clinically
significant changes in AOD use, (b) clinically significant changes in mental health, physical
health, spirituality, cognition, adoption of 12-step principles and practices, and cultural
identification, and (c) estimate covariate correlations, reliability of measures and likely
effect sizes.
Alcohol and other drug (AOD) abuse among American Indians and Alaska Natives (AI/ANs) is a
significant health issue in the United States as rates of AOD use among AI/ANs have
continually been high since national data were collected among AI/ANs beginning in the
1980's. In 2013, AI/ANs had the highest rate of AOD dependence and abuse compared with other
racial groups.
However, very few AOD abuse treatments utilizing traditional based healing, such as drumming,
have undergone rigorous scientific research. Drum-Assisted Recovery Therapy for Native
Americans (DARTNA) is a new AOD use intervention integrating AI/AN drumming, 12-step
philosophy, and concepts focused on the Medicine Wheel. In a recently completed National
Center for Complementary and Alternative Medicine (NCCAM)-funded study (R21AT005360), the PI
completed key components of DARTNA development (stage 1a) including demonstrating feasibility
and acceptability, establishing procedures for therapist adherence procedures, developing a
treatment manual, and conducting a pretest among ten AI/AN men (n=5) and women (n=5) with
promising preliminary findings.
This study is focused on conducting a stage 1b feasibility pilot trial among 60 AI/AN men and
women (for a final sample of 48 at follow-up) in an urban outpatient treatment setting to
analyze the potential benefits of Drum-Assisted Recovery Therapy for Native Americans
(DARTNA). Dr. Dickerson, Principal Investigator, is collaborating with Dr. Elizabeth D'Amico,
co-Investigator, with Sacred Path Indigenous Wellness Center, a community-based organization
providing consultative services for American Indians/Alaska Natives (AI/ANs).
significant health issue in the United States as rates of AOD use among AI/ANs have
continually been high since national data were collected among AI/ANs beginning in the
1980's. In 2013, AI/ANs had the highest rate of AOD dependence and abuse compared with other
racial groups.
However, very few AOD abuse treatments utilizing traditional based healing, such as drumming,
have undergone rigorous scientific research. Drum-Assisted Recovery Therapy for Native
Americans (DARTNA) is a new AOD use intervention integrating AI/AN drumming, 12-step
philosophy, and concepts focused on the Medicine Wheel. In a recently completed National
Center for Complementary and Alternative Medicine (NCCAM)-funded study (R21AT005360), the PI
completed key components of DARTNA development (stage 1a) including demonstrating feasibility
and acceptability, establishing procedures for therapist adherence procedures, developing a
treatment manual, and conducting a pretest among ten AI/AN men (n=5) and women (n=5) with
promising preliminary findings.
This study is focused on conducting a stage 1b feasibility pilot trial among 60 AI/AN men and
women (for a final sample of 48 at follow-up) in an urban outpatient treatment setting to
analyze the potential benefits of Drum-Assisted Recovery Therapy for Native Americans
(DARTNA). Dr. Dickerson, Principal Investigator, is collaborating with Dr. Elizabeth D'Amico,
co-Investigator, with Sacred Path Indigenous Wellness Center, a community-based organization
providing consultative services for American Indians/Alaska Natives (AI/ANs).
Inclusion Criteria:
1) self-identify as AI/AN male or female, (2) be seeking treatment for their drug or
alcohol dependence; (3) be 18-59 years of age or older; (4) meet Diagnostic and Statistical
Manual of Mental Disorders-Fourth Edition (Text Revision) (DSM-IV-TR) criteria for AOD use
disorders;
Exclusion Criteria:
1. have a mental health or medical history that, in the judgment of the study physician or
PI, show no clinically significant contraindications for study participation.
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