Evidence map›Paper›PMID 28032813›Full record

Trial reportThe American journal of drug and alcohol abuse2018

Effects of the "Circle of Life" HIV-prevention program on marijuana use among American Indian middle school youths: a group randomized trial in a Northern Plains tribe.

Nancy L Asdigian, Nancy Rumbaugh Whitesell, Ellen M Keane, Alicia C Mousseau, Carol E Kaufman

Open access · greenAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in The American journal of drug and alcohol abuse, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
0.3field-weighted citation impact, top 27% of its field
1 · What the graph read from 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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Nancy L Asdigiana Department of Community and Behavioral Health, Colorado School of Public Health, Centers for American Indian and Alaska Native Health , University of Colorado Anschutz Medical Campus , Aurora , CO , USA.
Nancy Rumbaugh Whitesella Department of Community and Behavioral Health, Colorado School of Public Health, Centers for American Indian and Alaska Native Health , University of Colorado Anschutz Medical Campus , Aurora , CO , USA.
Ellen M Keanea Department of Community and Behavioral Health, Colorado School of Public Health, Centers for American Indian and Alaska Native Health , University of Colorado Anschutz Medical Campus , Aurora , CO , USA.
Alicia C Mousseaua Department of Community and Behavioral Health, Colorado School of Public Health, Centers for American Indian and Alaska Native Health , University of Colorado Anschutz Medical Campus , Aurora , CO , USA.
Carol E Kaufmana Department of Community and Behavioral Health, Colorado School of Public Health, Centers for American Indian and Alaska Native Health , University of Colorado Anschutz Medical Campus , Aurora , CO , USA.
Native Health · USUniversity of Colorado Anschutz Medical Campus · US

Funding

Differential Impact of HIV Intervention on Native YouthR01MH069086 · NIMH · UNIVERSITY OF COLORADO DENVER · PI KAUFMAN, CAROL E · 2004 to 2008
$2.7M
Factors related to substance use development in young American Indian adolescentsR01DA027665 · NIDA · UNIVERSITY OF COLORADO DENVER/HSC DENVER · PI WHITESELL, NANCY RUMBAUGH · 2009 to 2011
$790k
NIDA NIH HHS R01 DA027665NIMH NIH HHS R01 MH069086
6 · The paper itself

Abstract

backgroundEarly substance use threatens many American Indian/Alaska Native (AI/AN) communities, as it is a risk factor for maladaptive use and adverse health outcomes. Marijuana is among the first substances used by AI/AN youth, and its use becomes widespread during adolescence. Interventions that delay or reduce marijuana use hold the promise of curbing substance disorders and other health risk disparities in AI/AN populations.

objectivesWe evaluated the effectiveness of the Circle of Life (COL) program in reducing marijuana use among young AI adolescents. COL is a culturally tailored, theory-based human immunodeficiency virus (HIV) and sexually transmitted disease (STD) intervention shown to delay sexual initiation among AI youths.

methodsWe conducted secondary analyses of data from a school-based group randomized trial conducted between 2006 and 2007 in all 13 middle schools on a rural, Northern Plains reservation (N = 635, 47% female). We used discrete-time survival analysis (DTSA) to assess COL effectiveness on risk of marijuana initiation among AI youths and latent growth curve modeling (LGCM) to evaluate effects on frequency of marijuana use over time.

resultsDTSA models showed that the overall risk of marijuana initiation was 17.3% lower in the COL group compared to the control group. No intervention effect on frequency of marijuana use emerged in LGCM analyses.

conclusionCOL is a multifaceted, culturally tailored, skills-based program effective in preventing marijuana uptake among AI youth.

Indexed as

AdolescentFemaleHIV InfectionsHumansIndians, North AmericanMaleMarijuana UseOutcome Assessment, Health CarePrimary PreventionSchoolsSexually Transmitted DiseasesStudentsUnited StatesAmerican Indianinterventionmarijuana usepreventionyouth

Identifiers

PMID28032813
PMCPMC6774242
OpenAlexW2565935203

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

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.