Evidence map›Paper›PMID 35974328›Full record

Trial reportBMC health services research2022

Community trial evaluating the integration of Indigenous healing practices and a harm reduction approach with principles of seeking safety in an Indigenous residential treatment program in northern Ontario.

K A Morin, T N Marsh, C Eshakakogan, J K Eibl, M Spence, G Gauthier, J D Walker, Dean Sayers, Alan Ozawanimke, Brent Bissaillion and 1 more

Registry-linked trialOpen access · goldAbstract readClinical Trial
In one paragraph

Trial report in BMC health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04604574 (Evaluating the Integration of Indigenous Healing With Principals of Seeking Safety for Treatment of Indigenous Patients With a History of Trauma and Active Substance Use Disorder.), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.1field-weighted citation impact, top 23% 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.

NCT04604574 nacompletednot on this map

Evaluating the Integration of Indigenous Healing With Principals of Seeking Safety for Treatment of Indigenous Patients With a History of Trauma and Active Substance Use Disorder.

TypeinterventionalSponsorHealth Sciences North Research InstituteRan2018 to 2020Enrolled550ConditionsSubstance Use Disorders, Post-Traumatic Stress Disorder, Intergenerational TraumaArmsIndigenous Healing and Seeking Safety
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 10 citations in OpenAlex.

  1. Trial
  2. Understanding one First Nations community's ways of healing from historical trauma.Psychological trauma : theory, research, practice and policy · 2026
    Article
  3. Article
  4. Nii Kandis (Knowing Myself): Finding a Sacred Home at Anishnawbe Health Toronto Through Spirit-Based Healing.International journal of environmental research and public health · 2026
    Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
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

11 authors at 4 institutions in 1 country.

K A MorinNorthern Ontario School of Medicine, ON, Sudbury, Canada.
T N MarshNorthern Ontario School of Medicine, ON, Sudbury, Canada.
C EshakakoganNorth Shore Tribal Council, Cutler, Ontario, Canada.
J K EiblNorthern Ontario School of Medicine, ON, Sudbury, Canada.
M SpenceNorthern Ontario School of Medicine, ON, Sudbury, Canada.
G GauthierNorthern Ontario School of Medicine, ON, Sudbury, Canada.
J D WalkerMcMaster University, Hamilton, Ontario, Canada.
Dean SayersBatchewana First Nation, Sault Ste. Marie, Ontario, Canada.
Alan OzawanimkeSagamok First Nation, Massey, Ontario, Canada.
Brent BissaillionSerpent River First Nation, Kenabutch, Ontario, Canada.
D C MarshNorthern Ontario School of Medicine, ON, Sudbury, Canada. dmarsh@nosm.ca.
Assembly of First Nations · CAHealth Sciences North · CANOSM University · CAMcMaster University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveOur primary objective was to evaluate how the Indigenous Healing and Seeking Safety (IHSS) model impacted residential addiction treatment program completion rates. Our secondary objective was to evaluate health service use 6 months before and 6 months after residential treatment for clients who attended the program before and after implementing IHSS.

methodsWe observed clients of the Benbowopka Residential Treatment before IHSS implementation (from April 2013 to March 31, 2016) and after IHSS implementation (from January 1, 2018 - March 31, 2020). The program data were linked to health administration data, including the Ontario Health Insurance Plan (OHIP) physician billing, the Registered Persons Database (RPDB), the National Ambulatory Care Reporting System (NACRS), and the Discharge Abstract Database (DAD). Chi-square tests were used to compare patient characteristics in the no-IHSS and IHSS groups. We used logistic regression to estimate the association between IHSS and treatment completion. We used generalized estimating equation (GEE) regression model to evaluate health service use (including primary care visits, ED visits overall and for substance use, hospitalizations and mental health visits), Results: There were 266 patients in the no-IHSS group and 136 in the IHSS group. After adjusting for individual characteristics, we observed that IHSS was associated with increased program completion rates (odds ratio = 1.95, 95% CI 1.02-3.70). There was no significant association between IHSS patients' health service use at time one or time two. Primary care visits time 1: aOR 0.55, 95%CI 0.72-1.13, time 2: aOR 1.13, 95%CI 0.79-1.23; ED visits overall time 1: aOR 0.91, 95%CI 0.67-1.23, time 2: aOR 1.06, 95%CI 0.75-1.50; ED visits for substance use time 1: aOR 0.81, 95%CI 0.47-1.39, time 2: aOR 0.79, 95%CI 0.37-1.54; Hospitalizations time 1: aOR 0.78, 95%CI 0.41-1.47, time 2: aOR 0.76, 95%CI 0.32-1.80; Mental health visits time 1: aOR 0.66, 95%CI 0.46-0.96, time 2: aOR 0.92 95%CI 0.7-1.40.

conclusionsOur results indicate that IHSS positively influenced program completion but had no significant effect on health service use.

trial registrationThis study was registered with clinicaltrials.gov (identifier number NCT04604574). First registration 10/27/2020.

Indexed as

Residential TreatmentSubstance-Related DisordersAmbulatory CareHarm ReductionHumansOntarioIndigenous health principlesSeeking safetySubstance use disorderTrauma

Identifiers

PMID35974328
PMCPMC9381149
OpenAlexW4292014169

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.