Opioid Use
Conditions
Keywords
American Indian, Alaska Native, Community Based Participatory Research
Brief summary
The purpose of this study is to develop a culturally relevant Facebook intervention for American Indian and Alaska Native (AIAN) women in Minnesota recovering from illicit opioid use.
Detailed description
This one-year, Phase I, pilot preparatory study aims to develop a culturally relevant Facebook intervention for American Indian and Alaska Native (AIAN) women in Minnesota recovering from illicit opioid use. The study will consist of three phases: (1) qualitative interviews, (2) intervention content refinement and a moderator exchange (i.e., bi-directional sharing of knowledge between intervention moderators and trainers), and (3) a beta-testing period. A study-specific Community Advisory Committee (CAC) was formed whose members contributed to the study protocol and will continue to provide guidance and input on the study implementation and dissemination. At the advice of the CAC, a Native Elder woman named the study. Wiidookaage'win is an Ojibwe word that means the place for help and time for helping, and reflects healing and community. The investigators expect the participatory approach to treatment development will result in a social media intervention with cultural relevance for Native women to maintain recovery from opioid use.
Interventions
BEHAVIORALWiidookaage'win Facebook Group
A 30-day Facebook group prototype that is moderated by two women who will post various forms of media addressing opioid recovery, mindfulness, stress management, and resiliency.
Sponsors
National Institute on Drug Abuse (NIDA)
Mayo Clinic
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Masking description
This is a single arm study where every participant in Phase 3 will receive the same single intervention.
Intervention model description
All study participants in Phase 3 beta test will be in the same Facebook group intervention and will view the same content.
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
- Phase 1: AIAN Women: * AIAN based on self-reported race. * Gender identity as a woman. * Resides in Minnesota. * At least 18 years of age age with no upper age limit. * OUD based on the DSM-5 Checklist (American Psychiatric Association, 2013). * Self-reports at least one month of opioid abstinence based on Timeline Follow-Back (TLFB) interview. * Currently receiving MOUD. * Is comfortable speaking and reading English. * Is familiar with Facebook. * Has access to broadband internet on a mobile phone/computer/tablet at any location. AI/AN Health Care Providers and Stakeholders * Health care provider or AIAN community stakeholder. * Knowledge of Native culture and/or OUD treatment and recovery among AIAN people. * Is comfortable speaking and reading English. * Is familiar with Facebook. * Has access to broadband internet on a mobile phone/computer/tablet at any location. Having some familiarity with the Facebook platform is needed to provide feedback on content for a Facebook intervention. Access to the internet is needed to view online moderator postings for providing feedback during the interview. Inclusion Criteria - Phase 3: * AIAN person based on self-reported race/ethnicity. * Gender identity as a woman. * At least 18 years of age. * Resides in Minnesota. * OUD based on the DSM-5 Checklist (American Psychiatric Association, 2013). * Self-reports at least one month of abstinence from opioid use based on TLFB interview and negative urine opiate screen. * Currently receiving MOUD. * Is comfortable speaking and reading English. * Has an existing Facebook account or willing to set one up. * Is willing and able to participate in the Facebook intervention for one month. * Has access to broadband internet on a mobile phone/computer/tablet at any location. * Is willing and able to travel to a community clinic in Minneapolis, Minnesota for the UDS.
Exclusion criteria
AIAN potential participants in Phases 1 and 3 meeting any of the
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The Feasibility of Developing a Culturally Relevant Facebook Intervention | 30 days | The number of times participants engaged with the Facebook page. Define by the total times of viewing, reacting, posting, commenting and voting on any Facebook post for all participants. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The Feasibility of Using Facebook as an Opioid Intervention Platform | 30 days | The number of participants who completed all study activities from baseline to end of study. |
| Treatment Satisfaction | 30 days | Treatment Satisfaction was measured using a 5-point Likert scale (1 = Strongly disagree, 5 = Strongly agree). Total scores range from 1 -5. Higher scores indicate greater satisfaction and lower scores indicate lower satisfaction. |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Facebook Intervention Subjects were emailed an invite link for the Facebook Intervention.
Wiidookaage'win Facebook Group: A 30-day Facebook group prototype that was moderated by two women who posted various forms of media addressing opioid recovery, mindfulness, stress management, and resiliency. | 10 |
| Total | 10 |
Baseline characteristics
| Characteristic | Facebook Intervention |
|---|---|
| Age, Continuous | 42.2 years STANDARD_DEVIATION 12.82 |
| Ethnicity (NIH/OMB) Hispanic or Latino | 0 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 10 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 0 Participants |
| Race (NIH/OMB) American Indian or Alaska Native | 8 Participants |
| Race (NIH/OMB) Asian | 0 Participants |
| Race (NIH/OMB) Black or African American | 0 Participants |
| Race (NIH/OMB) More than one race | 2 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 0 Participants |
| Race (NIH/OMB) White | 0 Participants |
| Region of Enrollment United States | 10 participants |
| Sex: Female, Male Female | 10 Participants |
| Sex: Female, Male Male | 0 Participants |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | 0 / 10 |
| other Total, other adverse events | 0 / 10 |
| serious Total, serious adverse events | 0 / 10 |
Outcome results
Primary
The Feasibility of Developing a Culturally Relevant Facebook Intervention
The number of times participants engaged with the Facebook page. Define by the total times of viewing, reacting, posting, commenting and voting on any Facebook post for all participants.
Time frame: 30 days
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Facebook Intervention | The Feasibility of Developing a Culturally Relevant Facebook Intervention | 33.0 engagement events |
Secondary
The Feasibility of Using Facebook as an Opioid Intervention Platform
The number of participants who completed all study activities from baseline to end of study.
Time frame: 30 days
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Facebook Intervention | The Feasibility of Using Facebook as an Opioid Intervention Platform | 9 Participants |
Secondary
Treatment Satisfaction
Treatment Satisfaction was measured using a 5-point Likert scale (1 = Strongly disagree, 5 = Strongly agree). Total scores range from 1 -5. Higher scores indicate greater satisfaction and lower scores indicate lower satisfaction.
Time frame: 30 days
Population: One subject did not complete the post-intervention survey..
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Facebook Intervention | Treatment Satisfaction | 4.84 score on a scale | Standard Deviation 0.18 |