Web-based Addiction Treatment: Cultural Adaptation With American Indians

Web-based Addiction Treatment: Cultural Adaptation With American Indians

The purpose of the current study is to evaluate the preliminary efficacy of the Therapeutic Education System-Native Version (TES-NAV) (an efficacious web-delivered psychosocial intervention for substance use disorders adapted with American Indians/Alaska Natives [AI/AN]) to determine whether a future large-scale effectiveness trial is warranted. Specifically, a randomized controlled trial among urban AI/AN (N=80) attending outpatient addiction treatment services will be conducted to (1) estimate preliminary effect size of 12 weeks of TES-NAV on substance use disorder outcomes; (2) explore relevant moderators of TES-NAV outcomes; and (3) assess cultural factors that may correspond to variation in outcome.

Inclusion Criteria:

• 18 years of age or older
• Identify as American Indian or Alaska Native
• Recent alcohol or drug use
• Within first 30 days of current outpatient treatment episode

Exclusion Criteria:

• Planned treatment episode of less than 3 months
• Insufficient ability to provide informed consent