A Randomized Comparison Trial of Culturally Adapted HIV Prevention Approaches for Native Americans Reducing Trauma Symptoms Versus Substance Misuse: The Healing Seasons Protocol

Overview

Journal Contemp Clin Trials

Publisher Elsevier

Date 2020 Jun 21

PMID 32561467

Citations 2

Authors

C R Pearson

D Kaysen

D Huh

M Bedard-Gillgan

D Walker

R Marin

K Saluskin

Affiliations

Soon will be listed here.

Abstract

Methods: The Healing Seasons study is a randomized comparsion trial of two counseling strategies, Narrative Exposure Therapy (NET) addressing PTSD or Motivational interviewing with cognitive behavioral therapy skills training (MIST) addressing substance misuse as a means to prevent HIV among NA. Using a community-based participatory research approach, we adapted both evidence-based interventions to be specific to the risk contexts and realities of NA and to include psychoeducational and skill-building components that include cultural-specific stories, virtues, and traditional treatment strategies. Participants, 16 years and older, were recruited from a Pacific Northwest tribal community, screened over the phone, enrolled in person, and randomized in equal numbers to NET or MIST. We stratified by age (16-29 years and 30 or older) and gender (male or female identified) to ensure balance between treatment arms. The primary outcomes were number of sex partners and frequency of sexual acts (with and without condoms), sex under the influence of substances, frequency of substance use, and PTSD severity.

Discussion: Behavioral interventions for NA are needed to prevent HIV risk behaviors when faced with trauma symptoms and substance misuse. This study will provide evidence to determine feasibility and efficacy of addressing related risk factors as part of counseling-based HIV prevention intervention to reduce sexual risk among this population.

Trial Registration: ClinicalTrials.gov number, NCT03112369, registered April 12, 2017.

Citing Articles

Interventions for prevention and treatment of substance use in youth with traumatic childhood experiences: a systematic review and synthesis of the literature.

Becker T, Castaneda Ramirez S, Bruges Boude A, Leong A, Ivanov I, Rice T Eur Child Adolesc Psychiatry. 2023; 33(10):3419-3438.

PMID: 37480386 PMC: 11722781. DOI: 10.1007/s00787-023-02265-x.

A Community Engaged Approach in Adapting Motivational Interviewing and Skills Training for Native Americans With Experiences of Substance Misuse.

Walker D, Pearson C, Day A, Bedard-Gilligan M, Saluskin K, Huh D Am J Health Promot. 2023; 37(6):796-806.

PMID: 36869715 PMC: 10311937. DOI: 10.1177/08901171231161467.

Adapting narrative exposure therapy with a tribal community: A community-based approach.

Bedard-Gilligan M, Kaysen D, Cordero R, Huh D, Walker D, Kaiser-Schauer E J Clin Psychol. 2022; 78(11):2087-2108.

PMID: 35621371 PMC: 9811656. DOI: 10.1002/jclp.23395.

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