Using Facebook to Support Opioid Recovery Among American Indian Women

Study Overview
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Brief Summary
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The purpose of this study is to find out whether a Facebook group will help Native women in recovery from opioid use.

Official Title
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Facebook Intervention for Preventing Opioid Relapse Among American Indian Women: Wiidookaage'Win Pilot Preparatory Study (Aim 2)

Conditions
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Opioid Use Disorder

Intervention / Treatment
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* Behavioral: Wiidookaage'win Facebook Group


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: AIAN person based on self-reported race/ethnicity Gender identity as a woman At least 18 years of age with no upper age limit Resides in Minnesota Meets criteria for OUD based on the DSM-5 Checklist (American Psychiatric Association, 2013) Self-reports at least one month of abstinence from opioid use based on TLFB interview and negative urine opiate screen Current use of MOUD Is comfortable speaking and reading English Has an existing Facebook account or willing to set one up Is willing and able to participate in the Facebook intervention for 3 months Has access to broadband internet on a mobile phone/computer/tablet at any location Is willing and able to travel to a community clinic in Minneapolis, Minnesota for the UDS Provides written informed consent Exclusion Criteria: Self-reports current suicidality based on the Concise Heath Risk Tracking scale Participated in prior study phases (Aim 1 formative work) of NIDA CTN-0123

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Wiidookaage'win Facebook Group<br>The Wiidookaage'win Facebook Group is an online, asynchronous group intervention that will run for 3-months with approximately 30 days of content developed. It is private and hidden, meaning only those in the study will be able to see or find the group. It will be moderated by two women from the study team (one AIAN and one biracial). A back-up moderator will also have access to the group. Participants will be able to comment, react, view, and post in the intervention group, and are encouraged to interact with one another. | Behavioral: Wiidookaage'win Facebook Group<br>* An online social media group program that incorporates social support, mindfulness-based, and cultural practices that may support OUD recovery.<br>|
| No Intervention: Online Resources Landing Page<br>The Online Resources Landing Page was developed by the study team using https://carrd.co. It includes links to local programs in family services, substance use recovery, legal advocacy, etc. which already exist and may help support their recovery. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Feasibility of Facebook Intervention | The study team will measure the feasibility from the combined reports of recruitment, study retention, level of Facebook intervention uptake/engagement, and treatment satisfaction. | 3 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Timeline Follow-back Interview and UDS to measure Opioid Abstinence | The study team will explore the preliminary differential impact of the intervention compared with the control condition on opioid abstinence and MOUD continuation. Opioid and other substance use will be assessed through monthly Timeline Follow-Back (TLFB) interviews (Sobell & Sobell, 1992; Wray et al., 2016). At 1, 3, and 6-months, the study team will obtain a UDS that will be used along with the TLFB interviews to measure opioid abstinence. | 6 months | 
| Reporting MOUD continuation | The study team will summarize MOUD continuation as the proportion of participants reporting current use at 6-month follow-up. | 6 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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American Indian or Alaska Native, Internet-based Intervention, Community-based Participatory Research, Minnesota, Ethnic and Racial Minorities, Women's Health