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

Primary Purpose

Alcohol Use, Marijuana Use

Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
MICUNAY
Community Wellness Gathering
Sponsored by
RAND
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Alcohol Use focused on measuring adolescents, Native American, alcohol use, drug use, cultural, traditional activities, cultural identification

Eligibility Criteria

14 Years - 18 Years (Child, Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • identify as Native American
  • age 14-18

Exclusion Criteria:

  • just need to meet inclusion criteria

Sites / Locations

  • United American Indian Involvement, Inc
  • American Indian Child Resource Center

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Experimental

Arm Label

Community Wellness Gatherings

MICUNAY

Arm Description

All youth will attend a CWG, which is a monthly gathering focused on making healthy choices and learning about Native American culture

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

Outcomes

Primary Outcome Measures

alcohol use --this is a standard question used in Monitoring the Future (Miech, Johnston, O'Malley, Bachman, & Schulenberg, 2016).
how many times used alcohol in the past 3 months
marijuana use--this is a standard question used in Monitoring the Future (Miech, Johnston, O'Malley, Bachman, & Schulenberg, 2016).
how many times used marijuana in the past 3 months

Secondary Outcome Measures

spirituality
12-item Functional Assessment of Chronic Illness Therapy-Fatigue-Spiritual Questions instrument, or FACIT-SP 12
cultural identification
Multi-Group Ethnic Identity Measure

Full Information

First Posted
July 10, 2014
Last Updated
April 24, 2019
Sponsor
RAND
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
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1. Study Identification

Unique Protocol Identification Number
NCT02290938
Brief Title
Motivational Interviewing and Culture for Urban Native American Youth (MICUNAY)
Acronym
MICUNAY
Official Title
Motivational Interviewing and Culture for Urban Native American Youth (MICUNAY)
Study Type
Interventional

2. Study Status

Record Verification Date
April 2019
Overall Recruitment Status
Completed
Study Start Date
July 2014 (undefined)
Primary Completion Date
April 2017 (Actual)
Study Completion Date
June 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
RAND
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

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

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.
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.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Alcohol Use, Marijuana Use
Keywords
adolescents, Native American, alcohol use, drug use, cultural, traditional activities, cultural identification

7. Study Design

Primary Purpose
Prevention
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
185 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Community Wellness Gatherings
Arm Type
Active Comparator
Arm Description
All youth will attend a CWG, which is a monthly gathering focused on making healthy choices and learning about Native American culture
Arm Title
MICUNAY
Arm Type
Experimental
Arm Description
MICUNAY is a three session workshop focused on discussions about how to make healthy choices using motivational interviewing, and providing a cultural activity.
Intervention Type
Behavioral
Intervention Name(s)
MICUNAY
Intervention Description
MICUNAY is a three session workshop focused on discussions about how to make healthy choices using motivational interviewing, and providing a cultural activity.
Intervention Type
Other
Intervention Name(s)
Community Wellness Gathering
Intervention Description
a monthly gathering focused on making healthy choices and learning about Native American culture
Primary Outcome Measure Information:
Title
alcohol use --this is a standard question used in Monitoring the Future (Miech, Johnston, O'Malley, Bachman, & Schulenberg, 2016).
Description
how many times used alcohol in the past 3 months
Time Frame
change from baseline to 6 months
Title
marijuana use--this is a standard question used in Monitoring the Future (Miech, Johnston, O'Malley, Bachman, & Schulenberg, 2016).
Description
how many times used marijuana in the past 3 months
Time Frame
change from baseline to 6 months
Secondary Outcome Measure Information:
Title
spirituality
Description
12-item Functional Assessment of Chronic Illness Therapy-Fatigue-Spiritual Questions instrument, or FACIT-SP 12
Time Frame
change from baseline to 6 months
Title
cultural identification
Description
Multi-Group Ethnic Identity Measure
Time Frame
change from baseline to 6 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
14 Years
Maximum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: identify as Native American age 14-18 Exclusion Criteria: just need to meet inclusion criteria
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Elizabeth D'Amico, PhD
Organizational Affiliation
RAND
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Daniel Dickerson, D.O., M.P.H
Organizational Affiliation
University of California, Los Angeles
Official's Role
Principal Investigator
Facility Information:
Facility Name
United American Indian Involvement, Inc
City
Los Angeles
State/Province
California
ZIP/Postal Code
90017
Country
United States
Facility Name
American Indian Child Resource Center
City
Oakland
State/Province
California
ZIP/Postal Code
94610
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
33231130
Citation
Dickerson DL, Parker J, Johnson CL, Brown RA, D'Amico EJ. Recruitment and retention in randomized controlled trials with urban American Indian/Alaska Native adolescents: Challenges and lessons learned. Clin Trials. 2021 Feb;18(1):83-91. doi: 10.1177/1740774520971774. Epub 2020 Nov 24.
Results Reference
derived

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

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