ArticleJournal of studies on alcohol and drugs2013
Longitudinal study of urban American Indian 12-step attendance, attrition, and outcome.
Article in Journal of studies on alcohol and drugs, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
14 citing papers in PubMed.
- A comparison of African American and Caucasian stimulant users in 12-step facilitation treatment.Journal of ethnicity in substance abuseTrial
- Telehealth-Delivered Mindfulness-Based Intervention: Protocol for a Randomized Clinical Trial for Individuals With Alcohol Use Disorder.JMIR research protocols · 2026Article
- Intertribal Talking Circle for the prevention of alcohol and drug use among Native American youth.Research in nursing & health · 2024Article
- The impact of self-help groups on successful substance use treatment completion for opioid use: An intersectional analysis of race/ethnicity and sex.Journal of substance abuse treatment · 2022Article
- Mental Health, Physical Health, and Cultural Characteristics Among American Indians/Alaska Natives Seeking Substance Use Treatment in an Urban Setting: A Descriptive Study.Community mental health journal · 2021Article
- The Validity of the Short Inventory of Problems and Drinking Intensity among Urban American Indian Adults.Substance use & misuse · 2021Article
- Racial/Ethnic Disparities in Mutual Help Group Participation for Substance Use Problems.Alcohol research : current reviews · 2021Review
- Urban American Indian Adult Participation and Outcomes in Culturally Adapted and Mainstream Alcoholics Anonymous Meetings.Alcoholism treatment quarterly · 2020Article
- The Future of Research on Alcohol-Related Disparities Across U.S. Racial/Ethnic Groups: A Plan of Attack.Journal of studies on alcohol and drugs · 2018Article
- Changes in depression mediate the effects of AA attendance on alcohol use outcomes.The American journal of drug and alcohol abuse · 2018Article
- Assessing service use for mental health by Indigenous populations in Australia, Canada, New Zealand and the United States of America: a rapid review of population surveys.Health research policy and systems · 2017Article
- Alcoholics Anonymous-Related Benefit for Urban Native Americans: Does Urban Native American Gender Moderate AA Engagement and Outcomes?Alcoholism treatment quarterly · 2017Article
- Drum-Assisted Recovery Therapy for Native Americans (DARTNA): results from a pretest and focus groups.American Indian and Alaska native mental health research (Online) · 2014Article
- Recovery from alcohol among urban Alaska Native and American Indian people.Journal of ethnicity in substance abuseArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
objectiveStrong opinions have been voiced about the "fit" between 12-step treatment, community-based 12-step practices, and American Indian beliefs and values. Little is known, however, about the relative benefit of 12-step programs for urban American Indians, although they are the most widely accessed type of treatment by American Indians. This study investigated rates of 12-step attendance, attrition, and substance use outcomes for American Indians for 9 months relative to non-Hispanic White participants.
methodThis study compared urban American Indian (n = 63) and non-Hispanic White (n = 133) 12-step attendance, attrition, and substance use over 9 months. The sample was formed by merging data from two prospective single-group longitudinal studies investigating behavior change in community-based 12-step programs. Participants were interviewed at baseline and at 3-, 6-, and 9-month follow-ups. No intervention was provided. Participants were recruited from Alcoholics Anonymous meetings in the community and as they presented for outpatient substance use disorder treatment. Substance use and patterns of 12-step attendance were measured using the Form 90 calendar-based interview, and the General Alcoholics Anonymous Tools of Recovery was administered to assess the adoption of prescribed 12-step practices and beliefs.
resultsTrajectories in 12-step meeting attendance over 9 months did not differ between American Indian and non-Hispanic White participants. However, American Indian participants discontinued 12-step attendance significantly less often than non-Hispanic White participants. Higher rates of 12-step attendance predicted increased alcohol abstinence and decreased drinking intensity for both American Indian and non-Hispanic White participants. Twelve-step attendance was unrelated to later illicit drug use for both American Indian and non-Hispanic White participants.
conclusionsCommunity-based 12-step program attendance is associated with drinking reductions among urban American Indians.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.