In this webinar Drs. Michelle Sarche and Jessica Hanson explained the importance of a preconceptual approach to alcohol-exposed pregnancy prevention, detailing efforts to prevent alcohol-exposed pregnancy in American Indian communities in particular. They discussed how these efforts have informed the design and implementation of a new randomized controlled trial of Native-Changing High-risk Alcohol Use and Increasing Contraception Effectiveness Study (Native CHOICES) (an adaptation of CHOICES) with one Northern Plains American Indian community.
This presentation will explain the importance of a preconceptual approach to alcohol-exposed pregnancy prevention, detailing efforts to prevent alcohol-exposed pregnancy in American Indian communities in particular. It will illustrate how these efforts have informed the design and implementation of a new randomized controlled trial of Native-Changing High-risk Alcohol Use and Increasing Contraception Effectiveness Study (Native CHOICES) (an adaptation of CHOICES) with one Northern Plains American Indian community.
This webinar is free but registration is required.
Join us on February 19th, 12 – 1pm PST for our next webinar in the NCARE Series.
Although American Indian and Alaska Native (AI/AN) communities have some of the highest alcohol abstinence prevalence rates compared to the general U.S. population, alcohol-related health inequities disproportionately impact AI/AN communities. Despite the need for evidence-based treatment options, little is known about effective alcohol treatments for AI/AN people. In this webinar we will discuss contingency management as a treatment for alcohol use disorders. Contingency management (CM) is an intervention in which tangible reinforcers (rewards) are provided when a patient demonstrates abstinence assessed by urine drug tests. Two projects evaluating CM as a tool for intervening in alcohol use disorders among AI/AN people are currently ongoing. The CM intervention has been implemented in alignment with existing cultural and community practices and with Elders and community leaders as champions of the intervention. The CM intervention provides rewards that are culturally tailored, specific and practical.
This webinar is free, but registration is required.
Join us for Harm Reduction Talking Circles (HaRTC) for Urban American Indians and Alaska Natives with Alcohol Use Disorder on November 14th, 12 – 1pm PST.
The Harm Reduction Talking Circles (HaRTC) project is a collaboration between researchers, patients, traditional healers, and the Seattle Indian Health Board to integrate a harm-reduction approach with the Native tradition of the talking circle. In this webinar, the project co-leaders, Drs. Lonnie Nelson and Susan Collins, will discuss the project’s aims, development, and implementation.
American Indians are disproportionately affected by alcohol and drug abuse. Contingency management (CM) is a treatment approach in which patients receive tangible rewards for abstaining from alcohol and drug abuse. Most previous evaluations have shown that the effect sizes of CM interventions are among the largest of all mental health and behavioral interventions. Our goal is to determine whether a culturally appropriate CM treatment program leads to reductions in alcohol and drug abuse on two American Indian reservations. Phases 1 and 2, which included focus groups with providers and patients, have been completed at both sites. Phase 3, which is a randomized controlled trial of CM for alcohol and drugs, is now in progress. As of June 2016, we have successfully consented 30 participants.
Biobanking refers to the process of storing human tissue for use in health research. These tissue samples are known as biospecimens. Rapid advances in the genetic analysis of biospecimens have the potential to improve treatments for chronic disease. However, many American Indian and Alaska Native communities have a well-documented legacy of mistrust for health research, especially research involving biospecimens and genetic analysis. Our study has two closely related aims. The first is to offer culturally relevant education to Native communities on biobanking and measure any changes in community knowledge, attitudes, or beliefs. The second is to hear community members’ opinions and concerns regarding the ownership and appropriate use of biospecimens, as well as the relation between individual rights and tribal regulation.
Partnerships for Native Health is implementing a new alcohol treatment project. We are collaborating with three Native communities in the western United States on one of the largest interventions for alcohol abuse ever conducted with Native people. Our study population consists of 400 American Indian and Alaska Native adults. Our goal is to determine whether a culturally tailored version of a treatment called contingency management, in which people receive rewards for abstaining from alcohol, can reduce alcohol abuse and lead to other positive outcomes.
Partnerships for Native Health is excited to kick off the new year by implementing a new alcohol treatment project. We are partnering with three communities across the West on one of the largest substance abuse intervention studies ever conducted with Native people. Our study sample consists of 400 American Indian and Alaska Native adults. Our goal is to determine whether a culturally tailored version of a treatment called motivational incentives (where people receive rewards for not using alcohol) can reduce alcohol abuse and lead to other important outcomes.