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Motivational Interviewing and Culture for Urban Native American Youth (MICUNAY) (MICUNAY)

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ClinicalTrials.gov Identifier: NCT02290938
Recruitment Status : Completed
First Posted : November 14, 2014
Last Update Posted : April 26, 2019
Sponsor:
Collaborators:
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
National Institute on Drug Abuse (NIDA)
University of California, Los Angeles
Sacred Path Indigenous Wellness Center
Information provided by (Responsible Party):
RAND

Brief Summary:
The investigators plan to develop and test a new alcohol and other drug (AOD) intervention for urban AI/AN youth, "Motivational Interviewing and Culture for Urban Native American Youth (MICUNAY)." This intervention integrates tradition-based activities and motivational interviewing (MI). The investigators will intervene at both the community and individual level. At the individual level, they will provide MICUNAY to adolescents. At the community level, they will provide discussion of AOD prevention at Community Wellness Gatherings (CWG). This work is important because they will gain an understanding of how well a tradition-based healing program that integrates MI works to prevent AOD use among urban AI/AN youth.

Condition or disease Intervention/treatment Phase
Alcohol Use Marijuana Use Behavioral: MICUNAY Other: Community Wellness Gathering Not Applicable

Detailed Description:
American Indian/Alaska Native (AI/AN) youth report higher rates of alcohol and drug (AOD) use, greater frequency and intensity of AOD use, earlier first AOD use, and much higher alcohol-related mortality than other racial/ethnic groups in the U.S. Data regarding urban AIs/ANs are limited; however, one study found that at-risk AIs/AN adults in an urban setting report an earlier onset of alcohol, marijuana, methamphetamine, and other drug use compared to all other ethnic/racial groups within LA County. This proposal responds to PAR-11-346, Interventions for Health Promotion and Disease Prevention in Native American Populations, which is focused on developing, adapting, and testing the effectiveness of health promotion prevention interventions in Native American populations. The two co-PI's provide a unique blend of expertise that has resulted in the development of an innovative preliminary protocol for AI/AN youth: Motivational Interviewing and Culture for Urban Native American Youth (MICUNAY), which integrates traditional healing approaches with motivational interviewing (MI). Dickerson is an Alaska Native (Inupiaq) new investigator who worked with the AI/AN community to obtain community-based perspectives on decreasing AOD use and mental health problems. D'Amico is internationally recognized for her work focused on the development and testing of MI interventions targeting AOD use for culturally diverse adolescents across different settings. Dickerson and colleagues have demonstrated the need for culturally-appropriate interventions for AI/AN youth. His two community-based projects found that there is a lack of programs integrating tradition-based healing with evidenced based treatments (EBTs), and this was cited as a significant barrier to seeking care within urban AI/AN populations. Therefore, MICUNAY will integrate tradition-based healing with MI. It consists of 6 weekly 1-hour sessions (3 MI AOD sessions and 3 tradition activity sessions). This proposal also incorporates a multi-system intervention approach. At the individual level, the investigators will provide MICUNAY to urban AI/AN youth. At the community level, they will discuss AOD use and AOD prevention among AI/AN youth at existing Community Wellness Gatherings (CWG). The proposed 5-year study will consist of two main components: 1) A Developmental Phase in which they conduct focus groups across two clinical sites in Los Angeles and Oakland with the community to establish feasibility and sustainability of delivery, 2) A randomized controlled trial comparing youth who only attend a CWG (n=100) to youth who attend a CWG plus receive MICUNAY (n=100). The investigators will compare outcomes at 3- and 6-month follow-up to determine (a) whether clinically significant changes in AOD expectancies, perceived prevalence of peer AOD use, alcohol consumption, marijuana and other drug use, and related consequences occur; (b) whether clinically significant changes in physical, social, emotional, and functional well-being as well as spirituality and cultural identification occur, and (c) if reductions occur, estimate effect sizes for the CWG group and the CWG plus MICUNAY group. This study substantially extends work with AI/AN youth by intervening at both the community and individual level, and developing and testing an integrated tradition-based AOD MI group intervention for urban AI/AN youth.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 185 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Prevention
Official Title: Motivational Interviewing and Culture for Urban Native American Youth (MICUNAY)
Study Start Date : July 2014
Actual Primary Completion Date : April 2017
Actual Study Completion Date : June 2018

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Marijuana

Arm Intervention/treatment
Active Comparator: Community Wellness Gatherings
All youth will attend a CWG, which is a monthly gathering focused on making healthy choices and learning about Native American culture
Other: Community Wellness Gathering
a monthly gathering focused on making healthy choices and learning about Native American culture

Experimental: MICUNAY
MICUNAY is a three session workshop focused on discussions about how to make healthy choices using motivational interviewing, and providing a cultural activity.
Behavioral: MICUNAY
MICUNAY is a three session workshop focused on discussions about how to make healthy choices using motivational interviewing, and providing a cultural activity.




Primary Outcome Measures :
  1. alcohol use --this is a standard question used in Monitoring the Future (Miech, Johnston, O'Malley, Bachman, & Schulenberg, 2016). [ Time Frame: change from baseline to 6 months ]
    how many times used alcohol in the past 3 months

  2. marijuana use--this is a standard question used in Monitoring the Future (Miech, Johnston, O'Malley, Bachman, & Schulenberg, 2016). [ Time Frame: change from baseline to 6 months ]
    how many times used marijuana in the past 3 months


Secondary Outcome Measures :
  1. spirituality [ Time Frame: change from baseline to 6 months ]
    12-item Functional Assessment of Chronic Illness Therapy-Fatigue-Spiritual Questions instrument, or FACIT-SP 12

  2. cultural identification [ Time Frame: change from baseline to 6 months ]
    Multi-Group Ethnic Identity Measure



Information from the National Library of Medicine

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Ages Eligible for Study:   14 Years to 18 Years   (Child, Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • identify as Native American
  • age 14-18

Exclusion Criteria:

  • just need to meet inclusion criteria

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02290938


Locations
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United States, California
United American Indian Involvement, Inc
Los Angeles, California, United States, 90017
American Indian Child Resource Center
Oakland, California, United States, 94610
Sponsors and Collaborators
RAND
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
National Institute on Drug Abuse (NIDA)
University of California, Los Angeles
Sacred Path Indigenous Wellness Center
Investigators
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Principal Investigator: Elizabeth D'Amico, PhD RAND
Principal Investigator: Daniel Dickerson, D.O., M.P.H University of California, Los Angeles

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Responsible Party: RAND
ClinicalTrials.gov Identifier: NCT02290938     History of Changes
Other Study ID Numbers: 1R01AA022066 ( U.S. NIH Grant/Contract )
1R01AA022066 ( U.S. NIH Grant/Contract )
First Posted: November 14, 2014    Key Record Dates
Last Update Posted: April 26, 2019
Last Verified: April 2019

Keywords provided by RAND:
adolescents
Native American
alcohol use
drug use
cultural
traditional activities
cultural identification

Additional relevant MeSH terms:
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Alcohol Drinking
Marijuana Use
Drinking Behavior
Substance-Related Disorders
Mental Disorders