CTN-0123: Facebook Intervention for Preventing Opioid Relapse Among American Indian Women

Christi A. Patten, PhD
Lead Investigator
Mayo Clinic
patten.christi@mayo.edu

AIAN gender-specific interventions for OUD do not exist. Research has documented the positive impact of social networks and social support on abstinence from substance use. However, understanding how best to leverage social support remains a key challenge for the addictions treatment field. Consistent with the AIAN cultural value of interdependence, social media formed groups to prevent opioid relapse could lead to greater adoption and sustainability by encouraging collaborative efforts across generations of AIAN women and leveraging community resilience for coping with stress. The overall objective of this one-year, Phase I, pilot preparatory study is to develop and beta-test a Facebook intervention for reducing opioid relapse among AIAN women. This project was designed with community partners at the MN Indian Women’s Resource Center (MIWRC). A study-specific community advisory committee (CAC) will guide all project activities.

At the advice of the CAC, a Native Elder woman named the study Wiidookaage’win which means “the place for help and time for helping” in Ojibwe and reflects healing and community. A local Native artist developed the above original art for the study logo and Facebook posts.

Primary Findings

For Aim 1: Study participation rate was 91%. Nine participants (out of 10) completed the post-intervention survey assessment and 8 completed a urine drug screen. Acceptability was high based on the mean treatment satisfaction score (M=4.8, SD=0.2 out of a possible 5.0), Facebook group engagement, and positive qualitative feedback. All participants retained at post-intervention continued their medications for opioid use disorder (MOUD) treatment and none had returned to opioid use. The beta-test indicated that the Facebook platform and study procedures generally worked as intended and that the intervention was largely acceptable to study participants.

Primary Outcomes Article (Aim 1): Roche AI, et al. Wiidookaage’win: Beta-test of a Facebook Group Intervention for Native Women to Support Opioid Use Recovery. Journal of Substance Use and Addiction Treatment 2024;163:209396. [get the article]

    Node Involvement

    Lead Node(s):

  • Northstar Node

  • All Participating Nodes:

  • Northstar Node