ArticleAddictive behaviors reports2016
Pilot Outcome Results of Culturally Adapted Evidence-Based Substance Use Disorder Treatment with a Southwest Tribe.
Article in Addictive behaviors reports, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05938764 (An Open-Label, Pilot-Feasibility Randomized Controlled Trial of Motivational Interviewing and the Community Reinforcement Approach With a Southwest Tribe), which is not on this map. Cited by 38 papers, 3 of them syntheses that pooled it.
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.
An Open-Label, Pilot-Feasibility Randomized Controlled Trial of Motivational Interviewing and the Community Reinforcement Approach With a Southwest Tribe
Who cites it
38 citing papers in PubMed, 3 syntheses or guidelines pooled it, 81 citations in OpenAlex.
- Cultural adaptations of motivational interviewing: A systematic review.Psychological services · 2023Pooled it
- What can primary care services do to help First Nations people with unhealthy alcohol use? A systematic review: Australia, New Zealand, USA and Canada.Addiction science & clinical practice · 2020Pooled it
- Traditional Ceremonial Practices as a Strategy to Reduce Problem Substance Use in American Indian Communities: A Systematic Review.Journal of integrative and complementary medicinePooled it
- The sequential cohort randomized clinical trial: A study design for community-engaged clinical research in a rural American Indian community.Contemporary clinical trials · 2026Trial
- The rewarding recovery study: a randomized controlled trial of incentives for alcohol and drug abstinence with a rural American Indian community.Addiction (Abingdon, England) · 2021Trial
- A pilot randomized trial of Motivational Interviewing compared to Psycho-Education for reducing and preventing underage drinking in American Indian adolescents.Journal of substance abuse treatment · 2017Trial
- Rationale, design and methods of theBMJ open · 2026Article
- Lessons Learned: Why Motivational Interviewing Should Be Adapted to Socio-Cultural Contexts.Healthcare (Basel, Switzerland) · 2026Article
- Cultural Guideposts of Health: A crisis response evaluation framework for California's diverse Indigenous communities.Journal of public health research · 2026Article
- Protecting Native Families from COVID-19: Implementation and Lessons Learned from a Community-Based Approach to Collecting Evidence to Support Uptake of Health Behaviors During the COVID-19 Pandemic.Journal of racial and ethnic health disparities · 2025Article
- The Unique Experience of Intersectional Stigma and Racism for Aboriginal and Torres Strait Islander People Who Inject Drugs, and Its Effect on Healthcare and Harm Reduction Service Access.International journal of environmental research and public health · 2025Article
- Do improvements in motivational language predict alcohol use in motivational interviewing? Ambivalence matters.Journal of consulting and clinical psychology · 2024Article
- Development and Feasibility Pilot Study of Indigenous Recovery Planning: A Community-Engaged Approach to Addressing Substance Use in a Native Community.Clinical psychological science : a journal of the Association for Psychological Science · 2024Article
- A qualitative study of the implementation and organization of the national Greenlandic addiction treatment service.Frontiers in health services · 2024Article
- An Updated Narrative Review on the Role of Alcohol Among Indigenous Communities.Current addiction reports · 2023Article
- A Community Engaged Approach in Adapting Motivational Interviewing and Skills Training for Native Americans With Experiences of Substance Misuse.American journal of health promotion : AJHP · 2023Article
- "I tried to get help about my addiction but he just gave me tablets:" male Aboriginal drug and alcohol rehabilitation clients' experiences and preferences speaking about substance use in primary care.BMC primary care · 2023Article
- Coming together for something good: recommendations from a scoping review for dissemination and implementation science to improve indigenous substance use disorder treatment.Frontiers in public health · 2023Article
- 'Even though you hate everything that's going on, you know they are safer at home': The role of Aboriginal and Torres Strait Islander families in methamphetamine use harm reduction and their own support needs.Drug and alcohol review · 2022Article
- A scoping review of cultural adaptations of substance use disorder treatments across Latinx communities: Guidance for future research and practice.Journal of substance abuse treatment · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 3 institutions in 2 countries.
Funding
Abstract
introductionAlthough American Indians/Alaska Natives (AI/ANs) have exhibited high rates of alcohol and drug use disorders, there is a paucity of substance use disorder treatment outcome research. In addition, there exists controversy about whether evidence-based treatments (EBTs) are culturally appropriate given they were derived mainly by and for non-Hispanic White populations and do not explicitly include aspects of AI/AN culture and worldview.
methodsIn this pilot study, we collaboratively culturally adapted two EBTs, Motivational Interviewing and Community Reinforcement Approach (MICRA), and evaluated substance use and psychological outcomes at 4- and 8-months post baseline assessment. In preparation for a larger randomized clinical trial (RCT), eight tribal members (75% male) participated in this pilot treatment study. Measures included substance use, urine screens, self-efficacy, psychological distress, and hopelessness. All participants completed follow-up assessments at 4- and 8-months. Due to small sample size, effect sizes were calculated to evaluate outcomes pre- and post-treatment.
resultsDespite high rates of abstinence at baseline, percent days abstinent (PDA) increased at the 8-month time point for the most commonly used substances (alcohol, Hedges's
conclusionsResults suggest that culturally adapted EBTs yield significant improvements in alcohol use, psychological distress, and legal problems among AI/ANs. Future research using RCT methodology is needed to examine efficacy and effectiveness.
Identifiers
What OpenQuestion holds
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.