Clinical trial NCT01356667: Drum-Assisted Therapy for Native Americans
Official title: Drum-Assisted Recovery Therapy for Native Americans
Study type: INTERVENTIONAL
Overall status: TERMINATED
Phase: NA
Conditions: Substance Use Disorders
Keywords: American Indians
Native Americans
substance abuse
culture
Lead sponsor: University of California, Los Angeles
Sponsor class: OTHER
First posted: 2011-05-19
Enrollment: 10
Sex: ALL
Minimum age (years): 18
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: Drum-Assisted Recovery Therapy for Native Americans (DARTNA) is an R-21 NIH/NCCAM-funded study aimed to complete the development and pilot a new substance abuse treatment protocol utilizing drumming for American Indians/Alaska Natives with substance use disorders. The study includes activities to complete the protocol, followed by a randomized-controlled clinical trial.

Detailed description: During year 1, this study consists of a series of focus groups conducted among American Indians/Alaska Natives with substance use disorders, providers serving AI/ANs with substance use disorders, and a Community Advisory Board. These focus groups are conducted in order to obtain feedback with regard to the initial DARTNA treatment protocol. These focus groups are then followed by a pretest of DARTNA among 10 AI/ANs with substance use disorders followed by a series of focus groups to finalize the development of DARTNA. During year 2, a randomized controlled will be conducted among 30 AI/ANs receiving the DARTNA treatment protocol vs. 30 AI/ANs receiving treatment-as-usual at United American Indian Involvement, Inc. in Los Angeles.

Eligibility criteria: Inclusion Criteria:

* meeting Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR; American Psychiatric Association, 2000) criteria of current alcohol or drug abuse or dependence
* self-identifying as at least ¼ American Indian/Alaska Native heritage
* seeking treatment for alcohol or drug abuse
* being at least 18 years old. Clients will be assessed for suitability for outpatient treatment.

Exclusion Criteria:

* have a psychiatric conditions that is not suitable for outpatient treatment (e.g., if they require inpatient rehabilitation treatment, have significant psychiatric disorders, require medical detoxification, or have significant medical problems)
* have a current suicidal ideation/plan as assessed by the ASI or BSI
* are mandated by the court to obtain treatment for substance abuse where such mandate requires the results of urine toxicology tests to be reported to the court
* expectation that the participant will fail to complete the study protocol due to probable incarceration or relocation from the clinic area.

Primary outcomes:
measure: Drug and Alcohol Use as a Measure of Treatment Effectiveness
timeFrame: Change from Baseline in Drug and Alcohol use at 6 months
Secondary outcomes:
measure: Knowledge of Alcoholics Anonymous Concepts as a Measure of Protocol Comprehension
timeFrame: Change from Baseline in Knowledge of Alcoholics Anonymous at 12 weeks
measure: Mental Health and Psychosocial Characteristics as Measured by the Addiction Severity Index, Native American Version and Brief Symptom Inventory.
timeFrame: Change from Baseline in Mental Health and psychosocial characteristics at 6 months
Other outcomes:
Locations:
city: Los Angeles
country: United States
facility: United American Indian Involvement, Inc.
state: California
Study officials:
affiliation: University of California, Los Angeles
name: Daniel L Dickerson, D.O., M.P.H.
role: PRINCIPAL_INVESTIGATOR
References:
citation: Dickerson DL, D'Amico EJ, Klein DJ, Johnson CL, Hale B, Ye F. Mental Health, Physical Health, and Cultural Characteristics Among American Indians/Alaska Natives Seeking Substance Use Treatment in an Urban Setting: A Descriptive Study. Community Ment Health J. 2021 Jul;57(5):937-947. doi: 10.1007/s10597-020-00688-3. Epub 2020 Jul 27.