A culturally-tailored behavioral intervention trial for alcohol use disorders in three American Indian communities: Rationale, design, and methods

McDonell, Michael G.; Nepom, Jenny R.; Leickly, Emily; Suchy‐Dicey, Astrid; Hirchak, Kait; Echo‐Hawk, Abigail; Calhoun, Darren; Donovan, Dennis M.; Ries, Richard K.; Buchwald, Dedra

doi:10.1016/j.cct.2015.12.010

Cited by 23 publications

(21 citation statements)

References 59 publications

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“…The HONOR Study includes two phases. Focus groups to inform the adaptation of the CM intervention followed by an RCT of the modified CM intervention in three AI/AN communities, as described in McDonell et al (2016).…”

Section: Introductionmentioning

confidence: 99%

Focus groups to increase the cultural acceptability of a contingency management intervention for American Indian and Alaska Native Communities

Hirchak

Leickly

Herron

et al. 2018

Journal of Substance Abuse Treatment

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A CM intervention for alcohol use disorders should be in alignment with existing cultural and community practices such as alcohol abstinence, is more likely to be successful when Elders and community leaders are champions of the intervention, the intervention is compatible with counseling or treatment methodologies, and the intervention provides rewards that are both culturally specific and practical.

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Section: Introductionmentioning

confidence: 99%

Focus groups to increase the cultural acceptability of a contingency management intervention for American Indian and Alaska Native Communities

Hirchak

Leickly

Herron

et al. 2018

Journal of Substance Abuse Treatment

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“…In the largest clinical trial for alcohol-use disorders among AI/AN adults, three tribal communities partnered with university researchers to adapt and implement CM for alcohol-use disorders. As described by McDonell et al, 7 using components of community-based participatory research and community engagement, 400 AI/AN adults will be randomized in the ongoing trial.…”

Section: Resultsmentioning

confidence: 99%

“… 1 Interestingly, while CM was applied first to the field of alcohol-use disorders, 2 – 5 only now, after a protracted dormancy in that field, is CM being applied in a manner consistent with what has become a largely standardized approach in the field of drug abuse (ie, delivery of reinforcers in exchange for biochemically verified abstinence) to increase abstinence significantly and consistently. 6 , 7 …”

Section: Introductionmentioning

confidence: 99%

“…CM has an extraordinarily strong evidence base and is a demonstrably cost-effective technique 23 – 28 that has been used successfully for decades to promote abstinence from benzodiazepines, 29 cocaine, 30 tobacco, 31 opiates, 32 , 33 alcohol, 6 , 7 marijuana, 34 , 35 and methamphetamine. 13 , 36 , 37 Several large clinical trials and three meta-analyses support its efficacy.…”

Section: Introductionmentioning

confidence: 99%

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A review of contingency management for the treatment of substance-use disorders: adaptation for underserved populations, use of experimental technologies, and personalized optimization strategies

McPherson¹,

Burduli²,

Smith³

et al. 2018

SAR

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This review of contingency management (CM; the behavior-modification method of providing reinforcement in exchange for objective evidence of a desired behavior) for the treatment of substance-use disorders (SUDs) begins by describing the origins of CM and how it has come to be most commonly used during the treatment of SUDs. Our core objective is to review, describe, and discuss three ongoing critical advancements in CM. We review key emerging areas wherein CM will likely have an impact. In total, we qualitatively reviewed 31 studies in a systematic fashion after searching PubMed and Google Scholar. We then describe and highlight CM investigations across three broad themes: adapting CM for underserved populations, CM with experimental technologies, and optimizing CM for personalized interventions. Technological innovations that allow for mobile delivery of reinforcers in exchange for objective evidence of a desired behavior will likely expand the possible applications of CM throughout the SUD-treatment domain and into therapeutically related areas (eg, serious mental illness). When this mobile technology is coupled with new, easy-to-utilize biomarkers, the adaptation for individual goal setting and delivery of CM-based SUD treatment in hard-to-reach places (eg, rural locations) can have a sustained impact on communities most affected by these disorders. In conclusion, there is still much to be done, not only technologically but also in convincing policy makers to adopt this well-established, cost-effective, and evidence-based method of behavior modification.

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“…In PTQI and PTQII, screening for alcohol intoxication was conducted before each appointment using with Alco-Sensor III breathalyzers (Intoximeters, Inc., St. Louis, MO, USA) testing [ 41 ]. Any participant who showed a blood alcohol level (BAL) reading of 0.08 or above was unable to participate in activities for that visit.…”

Section: Introductionmentioning

confidence: 99%

Practical issues regarding implementing a randomized clinical trial in a homeless population: strategies and lessons learned

Ojo-Fati

Joseph

Ig-Izevbekhai

et al. 2017

Trials

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There is a critical need for objective data to guide effective health promotion and care for homeless populations. However, many investigators exclude homeless populations from clinical trials due to practical concerns about conducting research with this population. This report is based on our experience and lessons learned while conducting two large NIH-funded randomized controlled trials targeting smoking cessation among persons who are homeless. The current report also addresses challenges when conducting clinical trials among homeless populations and offers potential solutions. Homeless individuals face several challenges including the need to negotiate daily access to food, clothing, and shelter. Some of the critical issues investigators encounter include recruitment and retention obstacles; cognitive impairment, mental health and substance abuse disorders; transportation and scheduling challenges; issues pertaining to adequate study compensation; the need for safety protocols for study staff; and issues related to protecting the wellbeing of these potentially vulnerable adults. Anticipating realistic conditions in which to conduct studies with participants who are homeless will help investigators to design efficient protocols and may improve the feasibility of conducting clinical trials involving homeless populations and the quality of the data collected by the researchers.Trial registrationClinicalTrials.gov, ID: NCT00786149. Registered on 5 November 2008;ClinicalTrials.gov, ID: NCT01932996. Registered on 20 November 2014.

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A culturally-tailored behavioral intervention trial for alcohol use disorders in three American Indian communities: Rationale, design, and methods

Cited by 23 publications

References 59 publications

Focus groups to increase the cultural acceptability of a contingency management intervention for American Indian and Alaska Native Communities

Focus groups to increase the cultural acceptability of a contingency management intervention for American Indian and Alaska Native Communities

A review of contingency management for the treatment of substance-use disorders: adaptation for underserved populations, use of experimental technologies, and personalized optimization strategies

Practical issues regarding implementing a randomized clinical trial in a homeless population: strategies and lessons learned

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