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Drum-Assisted Therapy for Native Americans

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ClinicalTrials.gov Identifier: NCT01356667
Recruitment Status : Terminated (Study period is over and recruitment was stopped due to time constraints.)
First Posted : May 19, 2011
Results First Posted : December 12, 2014
Last Update Posted : June 28, 2018
Sponsor:
Information provided by (Responsible Party):
Daniel Dickerson, University of California, Los Angeles

Study Description
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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.

Condition or disease Intervention/treatment Phase
Substance Use Disorders Behavioral: DARTNA Behavioral: Treatment-As-Usual Not Applicable

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.
Study Design
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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 10 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Drum-Assisted Recovery Therapy for Native Americans
Study Start Date : September 2010
Actual Primary Completion Date : August 2012
Actual Study Completion Date : August 2012
Arms and Interventions
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Arm Intervention/treatment
Active Comparator: Treatment-As-Usual
Substance Abuse treatment typically received
 Behavioral: Treatment-As-Usual
Participants will receive typical substance abuse behavior treatment interventions typically provided to patients including individual counseling, group therapy, and standard culturally-based interventions.
Experimental: DARTNA
12-week DARTNA program
 Behavioral: DARTNA
3-hour protocol provided 2x/week over 12 weeks


Outcome Measures
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Primary Outcome Measures :
  1. Drug and Alcohol Use as a Measure of Treatment Effectiveness [ Time Frame: Change from Baseline in Drug and Alcohol use at 6 months ]
    Urine drug screens and breathalyzers will be obtained from patients in order to determine their recent drug and alcohol use.


Secondary Outcome Measures :
  1. Knowledge of Alcoholics Anonymous Concepts as a Measure of Protocol Comprehension [ Time Frame: Change from Baseline in Knowledge of Alcoholics Anonymous at 12 weeks ]
    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.

  2. 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 ]
    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.


Eligibility Criteria
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Ages Eligible for Study:   18 Years to 65 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
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.
Contacts and Locations
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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): NCT01356667


Locations
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United States, California
United American Indian Involvement, Inc.
Los Angeles, California, United States, 90017
Sponsors and Collaborators
University of California, Los Angeles
Investigators
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Principal Investigator: Daniel L Dickerson, D.O., M.P.H. University of California, Los Angeles
More Information
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Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):

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Responsible Party: Daniel Dickerson, Assistant Research Psychiatrist, University of California, Los Angeles
ClinicalTrials.gov Identifier: NCT01356667    
Other Study ID Numbers: DARTNA
First Posted: May 19, 2011    Key Record Dates
Results First Posted: December 12, 2014
Last Update Posted: June 28, 2018
Last Verified: May 2018
Keywords provided by Daniel Dickerson, University of California, Los Angeles:
American Indians
Native Americans
substance abuse
culture
Additional relevant MeSH terms:
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Substance-Related Disorders
Chemically-Induced Disorders
Mental Disorders