Zuni MI/CRA Project

进念 MI/CRA 项目

• 批准号: 7923114
• 负责人: Kamilla L. Venner
• 金额: $ 40万
• 依托单位: UNIVERSITY OF NEW MEXICO
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-09-30 至 2014-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7923114
• 关键词: Alcohol or Other Drugs use; American Indians; Behavior Therapy; Certification; Client; Clinical Research; Clinical Trials; Collaborations; Communication; Communities; Consultations; Development; Evidence based treatment; Extended Family; Health; Health Professional; Healthcare; Interview; Knowledge; Life; Mails; Manuals; Mental Health; Methods; National Institute of Drug Abuse; National Institute on Alcohol Abuse and Alcoholism; Native Americans; Operations Research; Outcome; Outcomes Research; Pilot Projects; Population; Preparation; Prevalence; Procedures; Professional counselor; Psychological reinforcement; Publishing; Pueblo Race; Randomized; Randomized Clinical Trials; Relative (related person); Research; Research Personnel; Reservations; Social Problems; Staging; Structure; Substance Use Disorder; Supervision; Testing; Training; Treatment outcome; Tribes; United States Indian Health Service; Work; behavioral health; effective intervention; effective therapy; emotional distress; evidence base; follow-up; health disparity; instrument; member; mortality; motivational enhancement therapy; named group; operation; programs; randomized trial; reservation-based; social; substance abuse treatment; therapy development; treatment as usual; tribal member

DESCRIPTION (provided by applicant): The prevalence of substance use disorders among Native Americans is at least twice that in the general U.S. population, with correspondingly high rates of mortality, health and social problems. Yet there have been very few clinical studies, and no randomized trials, to discover and document effective treatment methods for American Indians. In seeking effective treatment methods for a special population, it is reasonable to begin with and adapt approaches with more general evidence of efficacy. Our preliminary research indicates that among evidence-based treatment methods, motivational interviewing (Ml) and the community reinforcement approach (CRA) show particular promise as culturally congruent methods in working with reservation-dwelling tribal populations. In contrast to more directive or confrontational styles, Ml mirrors tribal communication norms, and CRA is particularly well suited to make use of the extended family and unique clan structure of reservation life. This is a Stage 1 Behavior Therapy Development proposal to adapt and test a combination of these two evidence-based methods (MICRA) with the Zuni pueblo, in preparation for a subsequent formal clinical trial. Working collaboratively with team members from the Zuni community, we propose to develop research materials needed for a larger randomized trial: a MICRA counselor manual, assessment instruments adapted to a Native American context, and a detailed manual of research operations. At least three Zuni behavioral health professionals will be trained and certified in MICRA, and a small randomized trial (N=60) will be completed to estimate the effect size for MICRA relative to reservation-based treatment as usual, with follow-up interviews through one year post-randomization. After development and testing of MICRA, further consultation will assess the generalizability of MICRA for use with other tribes.

描述（由申请人提供）： 在美国原住民中，在美国普通人群中，药物使用障碍的患病率至少是死亡率，健康和社会问题率相应高的两倍。然而，很少有临床研究，没有随机试验来发现和记录美国印第安人的有效治疗方法。在为特殊人群寻求有效的治疗方法时，以更一般的疗效证据开始并适应方法是合理的。我们的初步研究表明，在基于证据的治疗方法中，动机访谈（ML）和社区强化方法（CRA）在与保留居住的部落人群合作时表现出特别的希望。与更具指令或对抗风格相反，ML镜子部落的交流规范和CRA特别适合利用大家庭和独特的保留生活结构。这是一项第1阶段的行为疗法发展建议，旨在适应和测试这两种基于证据的方法（MICRA）与Zuni Pueblo的组合，为随后的正式临床试验做准备。与Zuni社区的团队成员合作，我们建议开发更大的随机试验所需的研究材料：MICRA辅导员手册，评估工具适合美国原住民背景的评估工具以及一本详细的研究操作手册。至少将在MICRA中对三名ZUNI行为卫生专业人员进行培训和认证，并且将完成一项小型随机试验（n = 60），以估算MICRA相对于基于保留的治疗的效果大小，并像往常一样，进行后续访谈。在对MICRA进行开发和测试之后，进一步的咨询将评估MICRA与其他部落使用的普遍性。

项目成果

Evaluating the Validity of the DSM-5 Alcohol Use Disorder Diagnostic Criteria in a Sample of Treatment-seeking Native Americans.

评估 DSM-5 酒精使用障碍诊断标准在寻求治疗的美洲原住民样本中的有效性。

• DOI: 10.1097/adm.0000000000000452
• 发表时间: 2019
• 期刊: Journal of addiction medicine
• 影响因子: 5.5
• 作者: Serier,KelseyN;Venner,KamillaL;Sarafin,RuthE
• 通讯作者: Sarafin,RuthE

Culturally tailored evidence-based substance use disorder treatments are efficacious with an American Indian Southwest tribe: an open-label pilot-feasibility randomized controlled trial.

根据文化量身定制的循证物质使用障碍治疗方法对美洲印第安人西南部落有效：一项开放标签试点可行性随机对照试验。

• DOI: 10.1111/add.15191
• 发表时间: 2021
• 期刊: Addiction (Abingdon, England)
• 作者: Venner,KamillaL;Serier,Kelsey;Sarafin,Ruth;Greenfield,BrennaL;Hirchak,Katherine;Smith,JaneEllen;Witkiewitz,Katie
• 通讯作者: Witkiewitz,Katie