Edward Nunes, MD
Columbia University College of Physicians and Surgeons
New York Psychiatric Institute
This study aims to examine the acceptability of a web-delivered Community Reinforcement Approach intervention (Therapeutic Education System – TES) among clients who identify as American Indian/Alaska Native in two non-reservation based treatment programs: City/County Alcohol & Drug Programs (CCADP) in Rapid City, SD (Ohio Valley Node) and Native American Rehabilitation Association of the Northwest (NARA) in Portland, OR (Western States Node). The study will recruit approximately 40 participants over 4 months and collect both quantitative and qualitative acceptability data. Qualitative data obtained from post treatment, semi-structured individual interviews will be used to interpret quantitative findings, raise additional intervention-related factors important to participants, and inform possible TES adaptation for this population.
Findings suggest that core TES content is acceptable among a diverse population of AI/AN clients in outpatient substance use treatment. Qualitative interviews suggest adaptation of the TES content specific to AI/AN culture could improve adoption. Additional efforts to adapt TES and conduct a larger effectiveness study are warranted.
Results Article: Campbell A, et al. Acceptability of a Web-Based Community Reinforcement Approach for Substance Use Disorders with Treatment-Seeking American Indians/Alaska Natives. Community Mental Health Journal 2015; 51(4):393-403. [get article]
- CTN-0044: Web Delivery of Evidence-Based, Psychosocial Treatment for Substance Use Disorders
- CTN-0044-A-1: Site Influences on Treatment Effects – Web-delivery of Evidence-Based, Psychosocial Treatment for Substance Use Disorders
- CTN-0044-A-3: Web-Tx Organizational and Practitioner Follow-Up
All Participating Nodes: