Drum-Assisted Therapy for Native Americans
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.
Substance Use Disorders
|Study Design:||Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
|Official Title:||Drum-Assisted Recovery Therapy for Native Americans|
- Drug and Alcohol Use as a Measure of Treatment Effectiveness [ Time Frame: Change from Baseline in Drug and Alcohol use at 6 months ] [ Designated as safety issue: Yes ]Urine drug screens and breathalyzers will be obtained from patients in order to determine their recent drug and alcohol use.
- Knowledge of Alcoholics Anonymous Concepts as a Measure of Protocol Comprehension [ Time Frame: Change from Baseline in Knowledge of Alcoholics Anonymous at 12 weeks ] [ Designated as safety issue: No ]The General Alcoholics Anonymous Tools of Recovery (GAATOR 2.1) will be provided in order to determine and track patient's knowledge of the 12-steps during their participation in the DARTNA treatment program.
- Mental Health and Psychosocial Characteristics as Measured by the Addiction Severity Index, Native American Version and Brief Symptom Inventory. [ Time Frame: Change from Baseline in Mental Health and psychosocial characteristics at 6 months ] [ Designated as safety issue: Yes ]The Addiction Severity Index, Native American Version will be utilized to assess problem severity in alcohol use, drug use, employment, family and social relationships, legal, psychological, and medical status. In addition, additional information with regards to mental health characteristics will be obtained from the Brief Symptom Inventory.
|Study Start Date:||September 2010|
|Study Completion Date:||August 2012|
|Primary Completion Date:||August 2012 (Final data collection date for primary outcome measure)|
Active Comparator: Treatment-As-Usual
Substance Abuse treatment typically received
Participants will receive typical substance abuse behavior treatment interventions typically provided to patients including individual counseling, group therapy, and standard culturally-based interventions.
12-week DARTNA program
3-hour protocol provided 2x/week over 12 weeks
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.
Please refer to this study by its ClinicalTrials.gov identifier: NCT01356667
|United States, California|
|United American Indian Involvement, Inc.|
|Los Angeles, California, United States, 90017|
|Principal Investigator:||Daniel L Dickerson, D.O., M.P.H.||University of California, Los Angeles|