From: Cultural interventions to treat addictions in Indigenous populations: findings from a scoping study
Study | Samples | Designs | Methods |
---|---|---|---|
Scientific Literature | |||
Anderson, 1992 [40] | 63 clients: 39 clients were 1-2 years out of treatment; another 24 clients had gone through the program less than a year before. | Qualitative: Ethnographic study whereby the author and another researcher resided in the community for two months. They observed and participated in the 6 week program. | Mixed methods—Interviews with clients post-treatment (open-ended, face-to-face, frequently with multiple interviews of the same persons and usually in family contexts), observations of treatment, personal testimonies and materials written by staff and clients. |
Boyd-Ball, 2003 [41] | 57 clients (and their families): 31 males; 26 females; mean age: 16 years old. | Quasi-experimental: Non-equivalent control group. Comparison of (culturally supplemented) Treatment As Usual (TAU) and TAU with culturally and historically family-enhanced intervention. | Surveys—All clients (and their families) followed up and assessed monthly for 11 months from the day they left treatment. Follow-ups were also done the third and final year of the study. |
Boyd-Ball et al, 2011 [42] | 57 clients (and their families): 32 males; 25 females; mean age: 16 years old. | Quasi-experimental: Time-series. Post-treatment substance use trajectories were correlated with self-report measure of general American Indian (AI) cultural involvement. | Mixed methods—Surveys, interviews, and observation. Data were collected in three waves: baseline, monthly for 11 months post treatment, and at exit interview 12 months following treatment. |
Dell & Hopkins, 2011 [43] | 154 youth. | Quasi-experimental: Time-series data used to provide insights into the Youth Solvent Abuse Program (YSAP) treatment program outcomes. | Surveys at 3, 6, 9 and 12 month intervals. |
Dell et al, 2011 [44] | 15 youth (two intakes of program): 7 males; 8 females; mean age: 14-15 years old; 6 treatment staff. | Qualitative: Exploratory, phenomenology study to understand the experiences of First Nations and Inuit youth participating in an Equine-Assisted Learning (EAL) program as part of their healing from solvent addiction while in a residential Treatment Centre. | Mixed methods—Interviews with youth and staff held during last week of program (semi-structured, face-to-face), researcher observations, written reflections by researchers, program facilitators and staff of EAL program, and journal responses by youth during the program. |
D’Silva et al, 2011 [47] | 317 adults. | Quasi-experimental: Time-series. A single-group design involving an evaluation of a culturally specific curriculum for tobacco dependence treatment. | Mixed methods—Self-reported tobacco use assessed at baseline, exit, and follow-up included current smoking behaviours and quit attempts; seven-day point-prevalence abstinence measured at exit and follow-up; and pharmacotherapy data obtained from program records. |
Edwards, 2003 [45] | 12 adults: 6 males; 6 females; age range: 23-51 years old. | Qualitative: Grounded theory study to understand and document the experience of substance use recovery from the perspective of the Native Americans in treatment. | Interviews—single, face-to-face, conducted after completion of the 90 day residential substance use treatment program. |
Gossage et al, 2003 [46] | 190 males: mean age: 30 years old. The sample was divided into two groups: IPsFU and IPsNFU. The size of each group varied by stage of measurement but generally there were equal numbers in both groups. | Quasi-experimental: Time-series and comparison between inmate/patients (IPs) who were followed-up (IPsFU) vs. those not followed-up (IPsNFU) to advance current knowledge about the efficacy of Sweat Lodge Ceremony. It is unclear what follow-up entailed. | Surveys—Four different surveys used at distinct stages: baseline; multiple times after sweat lodge experiences; and 3 and 9 months after release. |
Lowe et al 2012 [48] | 179 students: Intervention #1—92 students: 59 males; 33 females; mean age: 17 years old; Intervention #2—87 students; 44 males; 43 females; mean age: 16 years old. | Quasi-experimental: Non-equivalent control group. Two condition design: 1) Cherokee Talking Circle (CTC) and 2) Be A Winner/Drug Abuse Resistance Education (SE). | Surveys—Three instruments used to make comparisons at pre-intervention, immediate post-intervention, and 90 day post-intervention. |
2Naquin et al, 2006 [49] | 399 clients: 203 males; 196 females. | Pre-experimental: One-shot case study examining resident engagement with treatment process and outcomes at a single Treatment Centre. | Mixed methods—Time in treatment/retention rates compared to earlier years and national averages and Surveys—post-treatment perception of care; 6 month follow-up of level of employment and use of alcohol. |
1Nebelkopf & Penagos, 2005 [50] | 45 individuals: 39 males; 5 females; 1 transgender. | Pre-experimental: One group pretest-posttest examining changes in clients’ quality of life as a result of services received through the Holistic Native Network. | Survey—Pre-post survey at baseline and 3 months after care. |
1Nebelkopf & Wright, 2011 [51] | 490 adults: 142 males; 348 females. | Pre-experimental: One group pretest-posttest involving adult substance users to assess whether the Holistic System of Care for Native Americans is a viable model of treatment. | Survey—Pre-post survey at baseline and 6 months after care. |
Saylors, 2003 [52] | 742 females. | Pre-experimental: One group pretest-posttest to assess lessons learned and impact of the Substance Abuse Treatment Women’s Circle on clients. | Survey—Pre-post survey at baseline and 12 months follow-up. |
Wright et al, 2011 [53] | 490 participants: 142 male; 348 females; mean age: 36 years old. | Pre-experimental: One group pretest-posttest to assess preliminary outcome findings of substance abuse outpatient and residential treatment services for urban American Indians and Alaskan Natives under the Holistic System of Care model of treatment. | Survey—Pre-post survey at baseline and 6 months after care. |
Grey Literature | |||
Bresette, 2009/ 2010 [54] | 27 clients: 9 males; 18 females, mean age: 16 years old. | Quasi-experimental: Time-series to execute an impact evaluation of the Nimkee NupiGawagan Health Centre Inc. pilot project involving treatment for youth, families, and their communities who suffer from solvent addiction. | Surveys—Pre-post survey at 3 and 6 month follow-up. |
D’Hondt, no year [55] | 12 clients. | Quasi-experimental: Time-series to evaluate a pilot residential substance use treatment program at the Centre for Addiction and Mental Health. | Mixed methods—Focus groups, and interviews and surveys at baseline, treatment completion, and follow-up. |
Kunic, 2009 [56] | 2,685 males. | Pre-experimental: One-shot multiple case studies comparing treatment outcomes among three treatment groups: 1) the Aboriginal Offenders Substance Abuse Program (ASOP), 2) the National Substance Abuse Program—High Intensity (NSAP-H) or 3) Moderate Intensity (NSAP-M). | Mixed methods—Comparison of post-release outcomes over an 18 month follow-up period among three treatment groups: Biochemical markers—urinalysis for evidence of drug use and program records—type of release and revocation. |
McConnery & Dumont, 2010 [57] | 15 clients: 10 males; 5 females. | Quasi-experimental: Time series to study the impact of an integrated addictions treatment program at Wanaki Treatment Centre. | Survey interviews—Repeated measures surveys (in person and by telephone) at baseline, end of treatment, and 3 and 6 months post treatment. |
The Tsow Tun Le Lum Society, no year provided [58] | 11 clients: 6 males; 5 females. | Quasi-experimental: Time series to assess the integrated alcohol and drug treatment program provided at the Tso Tun Le Lum Society. | Survey interviews—At admission, completion of program and 3 months post treatment. |