Trial Outcomes & Findings for TACUNA (Traditions and Connections for Urban Native Americans) (NCT NCT04617938)

NCT ID: NCT04617938

Last Updated: 2026-07-06

Results Overview

Survey asks number of times had "At least one drink of alcohol." Response was on a scale with options 0=none, 1=1 time, 2=2 times, 3=3-5 times, 4=6-9 times, 5=10-19 times, 6=20-30 times, and 7=31+ times. Responses were translated to actual number of times by taking the midpoints of intervals, e.g. response 3 ("3-5 times") coded as 4 times. To be conservative values were rounded down when the midpoint was not an integer, e.g. response 4 ("6-9 times") coded as 7 times. Response 7 ("31+ times") was coded as 31 times.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

541 participants

Primary outcome timeframe

3, 6, and 12 months post-baseline

Results posted on

2026-07-06

Participant Flow

Flow info is for Phase 2 (P2) only. Phase 1 (P1, discovery phase) informed P2 (clinical trial phase) via focus groups of participants that were not part of the P2 clinical trial. Parents \& providers--all lacking eligibility in the clinical trial--also participated in P1 focus groups. No NCT# was created for P1 as it was not an RCT phase. Additionally, P1 was funded under a separate NIH award number (UG3DA050235) and recruited under a separate IRB protocol. P2 funding award number: UH3DA050235.

Participant milestones

Participant milestones
Measure
TACUNA
Randomized participants will attend 3 virtual TACUNA workshops, focused on behavioral, physical, and spiritual domains, and designed to guide AI/AN youth to make healthy choices surrounding opioid and AOD use. They will also attend a Wellness Circle, focused on healthy social networks and engaging in traditional practices. TACUNA plus Wellness Circle: TACUNA provides three virtual workshops (one hour each) that use motivational interviewing and a virtual Wellness Circle (WC). The workshops combine a 30-minute discussion of opioid, alcohol and marijuana use, and social networks with another 30 minutes focused on three different traditional practices (one per workshop). TACUNA was adapted from our three-session workshop, MICUNAY (Motivational Interviewing and Culture for Urban Native American Youth) protocol, which was developed and tested for urban AI/AN adolescents and from focus groups conducted in Year 1. For the Wellness Circle, youth will have members of their social network virtually attend these once-a-month gatherings. The WC will bring people together to celebrate health and wellness and tradition. The WC will focus on the importance of social networks in making healthy choices, and provide discussion on the role that AOD use and engagement in traditional practices among members of their social networks affect their choices.
Opioid Education
Randomized participants will attend 1 virtual opioid education workshop, focused on behavioral and physical domains, and designed to guide AI/AN youth to make healthy choices surrounding opioid and AOD use. Opioid Education Workshop: The virtual opioid education workshop draws from prevention and education materials supplied and recommended by the National AI/AN Technology and Transfer Center, which is funded by SAMHSA. Materials are culturally relevant educational packages addressing opioid use through recorded webinars, toolkits, and other resources.
Overall Study
STARTED
279
262
Overall Study
3 Months
259
244
Overall Study
6 Months
260
248
Overall Study
COMPLETED
256
240
Overall Study
NOT COMPLETED
23
22

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

This question was only asked of those who reported any drinking in the past month

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
TACUNA
n=279 Participants
Randomized participants will attend 3 virtual TACUNA workshops, focused on behavioral, physical, and spiritual domains, and designed to guide AI/AN youth to make healthy choices surrounding opioid and AOD use. They will also attend a Wellness Circle, focused on healthy social networks and engaging in traditional practices. TACUNA plus Wellness Circle: TACUNA provides three virtual workshops (one hour each) that use motivational interviewing and a virtual Wellness Circle (WC). The workshops combine a 30-minute discussion of opioid, alcohol and marijuana use, and social networks with another 30 minutes focused on three different traditional practices (one per workshop). TACUNA was adapted from our three-session workshop, MICUNAY (Motivational Interviewing and Culture for Urban Native American Youth) protocol, which was developed and tested for urban AI/AN adolescents and from focus groups conducted in Year 1. For the Wellness Circle, youth will have members of their social network virtually attend these once-a-month gatherings. The WC will bring people together to celebrate health and wellness and tradition. The WC will focus on the importance of social networks in making healthy choices, and provide discussion on the role that AOD use and engagement in traditional practices among members of their social networks affect their choices.
Opioid Education
n=262 Participants
Randomized participants will attend 1 virtual opioid education workshop, focused on behavioral and physical domains, and designed to guide AI/AN youth to make healthy choices surrounding opioid and AOD use. Opioid Education Workshop: The virtual opioid education workshop draws from prevention and education materials supplied and recommended by the National AI/AN Technology and Transfer Center, which is funded by SAMHSA. Materials are culturally relevant educational packages addressing opioid use through recorded webinars, toolkits, and other resources.
Total
n=541 Participants
Total of all reporting groups
Age, Continuous
22.13 years
STANDARD_DEVIATION 2.19 • n=279 Participants
22.06 years
STANDARD_DEVIATION 2.20 • n=262 Participants
22.09 years
STANDARD_DEVIATION 2.19 • n=541 Participants
Sex: Female, Male
Female
233 Participants
n=279 Participants
217 Participants
n=262 Participants
450 Participants
n=541 Participants
Sex: Female, Male
Male
46 Participants
n=279 Participants
45 Participants
n=262 Participants
91 Participants
n=541 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
81 Participants
n=279 Participants
71 Participants
n=262 Participants
152 Participants
n=541 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
198 Participants
n=279 Participants
191 Participants
n=262 Participants
389 Participants
n=541 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=279 Participants
0 Participants
n=262 Participants
0 Participants
n=541 Participants
Race (NIH/OMB)
American Indian or Alaska Native
178 Participants
n=279 Participants
165 Participants
n=262 Participants
343 Participants
n=541 Participants
Race (NIH/OMB)
Asian
0 Participants
n=279 Participants
0 Participants
n=262 Participants
0 Participants
n=541 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants
n=279 Participants
1 Participants
n=262 Participants
2 Participants
n=541 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=279 Participants
2 Participants
n=262 Participants
2 Participants
n=541 Participants
Race (NIH/OMB)
White
0 Participants
n=279 Participants
0 Participants
n=262 Participants
0 Participants
n=541 Participants
Race (NIH/OMB)
More than one race
99 Participants
n=279 Participants
94 Participants
n=262 Participants
193 Participants
n=541 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=279 Participants
0 Participants
n=262 Participants
1 Participants
n=541 Participants
Region of Enrollment
United States
279 participants
n=279 Participants
262 participants
n=262 Participants
541 participants
n=541 Participants
Alcohol Use Past 3 Months
8.78 drink events
STANDARD_DEVIATION 10.43 • n=279 Participants
8.91 drink events
STANDARD_DEVIATION 10.40 • n=262 Participants
8.84 drink events
STANDARD_DEVIATION 10.41 • n=541 Participants
Cannabis use past 3 months
9.90 marijuana use events
STANDARD_DEVIATION 12.79 • n=279 Participants
10.62 marijuana use events
STANDARD_DEVIATION 13.04 • n=262 Participants
10.25 marijuana use events
STANDARD_DEVIATION 12.91 • n=541 Participants
Most drinks in one day during the past month
7.13 units on a scale
STANDARD_DEVIATION 3.61 • n=192 Participants • This question was only asked of those who reported any drinking in the past month
7.30 units on a scale
STANDARD_DEVIATION 3.89 • n=165 Participants • This question was only asked of those who reported any drinking in the past month
7.21 units on a scale
STANDARD_DEVIATION 3.74 • n=357 Participants • This question was only asked of those who reported any drinking in the past month
Amount of cannabis used per day when using
3.04 units on a scale
STANDARD_DEVIATION 2.83 • n=195 Participants • Question was only asked of participants who report lifetime marijuana use.
2.77 units on a scale
STANDARD_DEVIATION 2.82 • n=189 Participants • Question was only asked of participants who report lifetime marijuana use.
2.90 units on a scale
STANDARD_DEVIATION 2.82 • n=384 Participants • Question was only asked of participants who report lifetime marijuana use.
Cultural connectedness
1.62 units on a scale
STANDARD_DEVIATION .64 • n=279 Participants
1.67 units on a scale
STANDARD_DEVIATION .59 • n=262 Participants
1.64 units on a scale
STANDARD_DEVIATION .62 • n=541 Participants
Opioid Use Past 3 Months
0.17 opioid use events
STANDARD_DEVIATION 1.60 • n=279 Participants
0.04 opioid use events
STANDARD_DEVIATION 0.46 • n=262 Participants
0.11 opioid use events
STANDARD_DEVIATION 1.19 • n=541 Participants

PRIMARY outcome

Timeframe: 3, 6, and 12 months post-baseline

Population: Some participants were lost to follow-up. Though the sample size at each time point is less than the overall number of participants analyzed, data from all 541 (279+262) participants were included in this statistical analysis.

Survey asks number of times had "At least one drink of alcohol." Response was on a scale with options 0=none, 1=1 time, 2=2 times, 3=3-5 times, 4=6-9 times, 5=10-19 times, 6=20-30 times, and 7=31+ times. Responses were translated to actual number of times by taking the midpoints of intervals, e.g. response 3 ("3-5 times") coded as 4 times. To be conservative values were rounded down when the midpoint was not an integer, e.g. response 4 ("6-9 times") coded as 7 times. Response 7 ("31+ times") was coded as 31 times.

Outcome measures

Outcome measures
Measure
TACUNA
n=279 Participants
Randomized participants will attend 3 virtual TACUNA workshops, focused on behavioral, physical, and spiritual domains, and designed to guide AI/AN youth to make healthy choices surrounding opioid and AOD use. They will also attend a Wellness Circle, focused on healthy social networks and engaging in traditional practices. TACUNA plus Wellness Circle: TACUNA provides three virtual workshops (one hour each) that use motivational interviewing and a virtual Wellness Circle (WC). The workshops combine a 30-minute discussion of opioid, alcohol and marijuana use, and social networks with another 30 minutes focused on three different traditional practices (one per workshop). TACUNA was adapted from our three-session workshop, MICUNAY (Motivational Interviewing and Culture for Urban Native American Youth) protocol, which was developed and tested for urban AI/AN adolescents and from focus groups conducted in Year 1. For the Wellness Circle, youth will have members of their social network virtually attend these once-a-month gatherings. The WC will bring people together to celebrate health and wellness and tradition. The WC will focus on the importance of social networks in making healthy choices, and provide discussion on the role that AOD use and engagement in traditional practices among members of their social networks affect their choices.
Opioid Education
n=262 Participants
Randomized participants will attend 1 virtual opioid education workshop, focused on behavioral and physical domains, and designed to guide AI/AN youth to make healthy choices surrounding opioid and AOD use. Opioid Education Workshop: The virtual opioid education workshop draws from prevention and education materials supplied and recommended by the National AI/AN Technology and Transfer Center, which is funded by SAMHSA. Materials are culturally relevant educational packages addressing opioid use through recorded webinars, toolkits, and other resources.
Alcohol Use Past 3 Months
3 month FU
7.37 drink events
Standard Deviation 9.29
8.29 drink events
Standard Deviation 9.94
Alcohol Use Past 3 Months
6 month FU
7.22 drink events
Standard Deviation 9.08
8.33 drink events
Standard Deviation 10.03
Alcohol Use Past 3 Months
12 month FU
6.73 drink events
Standard Deviation 8.57
8.05 drink events
Standard Deviation 9.53

PRIMARY outcome

Timeframe: 3, 6, and 12 months post-baseline

Population: Some participants were lost to follow-up. Though the sample size at each time point is less than the overall number of participants analyzed, data from all 541 (279+262) participants were included in this statistical analysis.

Survey asks how many times participant used "Marijuana (cannabis, pot, weed, hash)." Response was on a scale with options 0=none, 1=1 time, 2=2 times, 3=3-5 times, 4=6-9 times, 5=10-19 times, 6=20-30 times, and 7=31+ times. Responses were translated to actual number of times by taking the midpoints of intervals, e.g. response 3 ("3-5 times") coded as 4 times. To be conservative values were rounded down when the midpoint was not an integer, e.g. response 4 ("6-9 times") coded as 7 times. Response 7 ("31+ times") was coded as 31 times.

Outcome measures

Outcome measures
Measure
TACUNA
n=279 Participants
Randomized participants will attend 3 virtual TACUNA workshops, focused on behavioral, physical, and spiritual domains, and designed to guide AI/AN youth to make healthy choices surrounding opioid and AOD use. They will also attend a Wellness Circle, focused on healthy social networks and engaging in traditional practices. TACUNA plus Wellness Circle: TACUNA provides three virtual workshops (one hour each) that use motivational interviewing and a virtual Wellness Circle (WC). The workshops combine a 30-minute discussion of opioid, alcohol and marijuana use, and social networks with another 30 minutes focused on three different traditional practices (one per workshop). TACUNA was adapted from our three-session workshop, MICUNAY (Motivational Interviewing and Culture for Urban Native American Youth) protocol, which was developed and tested for urban AI/AN adolescents and from focus groups conducted in Year 1. For the Wellness Circle, youth will have members of their social network virtually attend these once-a-month gatherings. The WC will bring people together to celebrate health and wellness and tradition. The WC will focus on the importance of social networks in making healthy choices, and provide discussion on the role that AOD use and engagement in traditional practices among members of their social networks affect their choices.
Opioid Education
n=262 Participants
Randomized participants will attend 1 virtual opioid education workshop, focused on behavioral and physical domains, and designed to guide AI/AN youth to make healthy choices surrounding opioid and AOD use. Opioid Education Workshop: The virtual opioid education workshop draws from prevention and education materials supplied and recommended by the National AI/AN Technology and Transfer Center, which is funded by SAMHSA. Materials are culturally relevant educational packages addressing opioid use through recorded webinars, toolkits, and other resources.
Cannabis Use Past 3 Months
3 month FU
8.20 marijuana use events
Standard Deviation 11.94
10.15 marijuana use events
Standard Deviation 12.86
Cannabis Use Past 3 Months
6 month FU
8.15 marijuana use events
Standard Deviation 12.07
9.21 marijuana use events
Standard Deviation 12.33
Cannabis Use Past 3 Months
12 month FU
8.32 marijuana use events
Standard Deviation 12.14
9.02 marijuana use events
Standard Deviation 12.35

PRIMARY outcome

Timeframe: 3, 6, and 12 months post-baseline

Population: This question was only asked of those who reported any drinking in the past month. Moreover, some participants were lost to follow-up. Data from participants with response at any of the 4 time points were included in statistical analysis

If participant reports any drinks in past month, survey asks "What is the largest number of drinks you had on any day in the PAST MONTH (30 DAYS)?" Response options range from 1 (a few sips) to 17 (15 or more drinks)

Outcome measures

Outcome measures
Measure
TACUNA
n=238 Participants
Randomized participants will attend 3 virtual TACUNA workshops, focused on behavioral, physical, and spiritual domains, and designed to guide AI/AN youth to make healthy choices surrounding opioid and AOD use. They will also attend a Wellness Circle, focused on healthy social networks and engaging in traditional practices. TACUNA plus Wellness Circle: TACUNA provides three virtual workshops (one hour each) that use motivational interviewing and a virtual Wellness Circle (WC). The workshops combine a 30-minute discussion of opioid, alcohol and marijuana use, and social networks with another 30 minutes focused on three different traditional practices (one per workshop). TACUNA was adapted from our three-session workshop, MICUNAY (Motivational Interviewing and Culture for Urban Native American Youth) protocol, which was developed and tested for urban AI/AN adolescents and from focus groups conducted in Year 1. For the Wellness Circle, youth will have members of their social network virtually attend these once-a-month gatherings. The WC will bring people together to celebrate health and wellness and tradition. The WC will focus on the importance of social networks in making healthy choices, and provide discussion on the role that AOD use and engagement in traditional practices among members of their social networks affect their choices.
Opioid Education
n=222 Participants
Randomized participants will attend 1 virtual opioid education workshop, focused on behavioral and physical domains, and designed to guide AI/AN youth to make healthy choices surrounding opioid and AOD use. Opioid Education Workshop: The virtual opioid education workshop draws from prevention and education materials supplied and recommended by the National AI/AN Technology and Transfer Center, which is funded by SAMHSA. Materials are culturally relevant educational packages addressing opioid use through recorded webinars, toolkits, and other resources.
Most Drinks in One Day During the Past Month
12 month FU
6.12 units on a scale
Standard Deviation 2.94
6.32 units on a scale
Standard Deviation 3.55
Most Drinks in One Day During the Past Month
3 month FU
6.47 units on a scale
Standard Deviation 3.12
6.57 units on a scale
Standard Deviation 3.78
Most Drinks in One Day During the Past Month
6 month FU
6.34 units on a scale
Standard Deviation 2.97
6.97 units on a scale
Standard Deviation 3.73

PRIMARY outcome

Timeframe: 3, 6, and 12 months post-baseline

Population: Question was only asked of participants who report lifetime marijuana use. Moreover, some participants were lost to follow-up. Data from participants with a response at any of the 4 time points were included in statistical analysis.

Participants reporting lifetime marijuana use were asked "On the days you use marijuana, about how much marijuana flower/bud do you personally consume?" with response options ranging from 1="less than 0.25g" to 10="more than 5g."

Outcome measures

Outcome measures
Measure
TACUNA
n=228 Participants
Randomized participants will attend 3 virtual TACUNA workshops, focused on behavioral, physical, and spiritual domains, and designed to guide AI/AN youth to make healthy choices surrounding opioid and AOD use. They will also attend a Wellness Circle, focused on healthy social networks and engaging in traditional practices. TACUNA plus Wellness Circle: TACUNA provides three virtual workshops (one hour each) that use motivational interviewing and a virtual Wellness Circle (WC). The workshops combine a 30-minute discussion of opioid, alcohol and marijuana use, and social networks with another 30 minutes focused on three different traditional practices (one per workshop). TACUNA was adapted from our three-session workshop, MICUNAY (Motivational Interviewing and Culture for Urban Native American Youth) protocol, which was developed and tested for urban AI/AN adolescents and from focus groups conducted in Year 1. For the Wellness Circle, youth will have members of their social network virtually attend these once-a-month gatherings. The WC will bring people together to celebrate health and wellness and tradition. The WC will focus on the importance of social networks in making healthy choices, and provide discussion on the role that AOD use and engagement in traditional practices among members of their social networks affect their choices.
Opioid Education
n=222 Participants
Randomized participants will attend 1 virtual opioid education workshop, focused on behavioral and physical domains, and designed to guide AI/AN youth to make healthy choices surrounding opioid and AOD use. Opioid Education Workshop: The virtual opioid education workshop draws from prevention and education materials supplied and recommended by the National AI/AN Technology and Transfer Center, which is funded by SAMHSA. Materials are culturally relevant educational packages addressing opioid use through recorded webinars, toolkits, and other resources.
Amount of Cannabis Used Per Day When Using
3 month FU
3.29 units on a scale
Standard Deviation 2.69
3.72 units on a scale
Standard Deviation 2.76
Amount of Cannabis Used Per Day When Using
6 month FU
2.79 units on a scale
Standard Deviation 2.21
3.70 units on a scale
Standard Deviation 2.64
Amount of Cannabis Used Per Day When Using
12 month FU
3.08 units on a scale
Standard Deviation 2.55
3.64 units on a scale
Standard Deviation 2.84

PRIMARY outcome

Timeframe: 3, 6, and 12 months post-baseline

Population: Some participants were lost to follow-up. Though the sample size at each time point is less than the overall number of participants analyzed, data from all 541 (279+262) participants would have been included in this statistical analysis.

Measure Description: Survey asks number of times used "Prescription opioid." Response was on a scale with options 0=none, 1=1 time, 2=2 times, 3=3-5 times, 4=6-9 times, 5=10-19 times, 6=20-30 times, and 7=31+ times. Responses were translated to actual number of times by taking the midpoints of intervals, e.g. response 3 ("3-5 times") coded as 4 times. To be conservative values were rounded down when the midpoint was not an integer, e.g. response 4 ("6-9 times") coded as 7 times. Response 7 ("31+ times") was coded as 31 times.

Outcome measures

Outcome measures
Measure
TACUNA
n=279 Participants
Randomized participants will attend 3 virtual TACUNA workshops, focused on behavioral, physical, and spiritual domains, and designed to guide AI/AN youth to make healthy choices surrounding opioid and AOD use. They will also attend a Wellness Circle, focused on healthy social networks and engaging in traditional practices. TACUNA plus Wellness Circle: TACUNA provides three virtual workshops (one hour each) that use motivational interviewing and a virtual Wellness Circle (WC). The workshops combine a 30-minute discussion of opioid, alcohol and marijuana use, and social networks with another 30 minutes focused on three different traditional practices (one per workshop). TACUNA was adapted from our three-session workshop, MICUNAY (Motivational Interviewing and Culture for Urban Native American Youth) protocol, which was developed and tested for urban AI/AN adolescents and from focus groups conducted in Year 1. For the Wellness Circle, youth will have members of their social network virtually attend these once-a-month gatherings. The WC will bring people together to celebrate health and wellness and tradition. The WC will focus on the importance of social networks in making healthy choices, and provide discussion on the role that AOD use and engagement in traditional practices among members of their social networks affect their choices.
Opioid Education
n=262 Participants
Randomized participants will attend 1 virtual opioid education workshop, focused on behavioral and physical domains, and designed to guide AI/AN youth to make healthy choices surrounding opioid and AOD use. Opioid Education Workshop: The virtual opioid education workshop draws from prevention and education materials supplied and recommended by the National AI/AN Technology and Transfer Center, which is funded by SAMHSA. Materials are culturally relevant educational packages addressing opioid use through recorded webinars, toolkits, and other resources.
Opioid Use Past 3 Months
3 month FU
0.03 opioid use events
Standard Deviation 0.29
0.06 opioid use events
Standard Deviation 0.38
Opioid Use Past 3 Months
6 month FU
0.11 opioid use events
Standard Deviation 1.57
0.02 opioid use events
Standard Deviation 0.19
Opioid Use Past 3 Months
12 month FU
0.04 opioid use events
Standard Deviation 0.46
0.02 opioid use events
Standard Deviation 0.27

SECONDARY outcome

Timeframe: 3, 6, and 12 months post-baseline

Population: Some participants were lost to follow-up. Though the sample size at each time point is less than the overall number of participants analyzed, data from all 541 (279+262) participants were included in this statistical analysis.

Measured using the Sense of Community Index-2. Mean of 24 items about AI/AN communities (example: "I get important needs of mine met because I am part of this community") with response options ranging from 0=not at all to 3=completely, with higher values indicating a greater sense of community

Outcome measures

Outcome measures
Measure
TACUNA
n=279 Participants
Randomized participants will attend 3 virtual TACUNA workshops, focused on behavioral, physical, and spiritual domains, and designed to guide AI/AN youth to make healthy choices surrounding opioid and AOD use. They will also attend a Wellness Circle, focused on healthy social networks and engaging in traditional practices. TACUNA plus Wellness Circle: TACUNA provides three virtual workshops (one hour each) that use motivational interviewing and a virtual Wellness Circle (WC). The workshops combine a 30-minute discussion of opioid, alcohol and marijuana use, and social networks with another 30 minutes focused on three different traditional practices (one per workshop). TACUNA was adapted from our three-session workshop, MICUNAY (Motivational Interviewing and Culture for Urban Native American Youth) protocol, which was developed and tested for urban AI/AN adolescents and from focus groups conducted in Year 1. For the Wellness Circle, youth will have members of their social network virtually attend these once-a-month gatherings. The WC will bring people together to celebrate health and wellness and tradition. The WC will focus on the importance of social networks in making healthy choices, and provide discussion on the role that AOD use and engagement in traditional practices among members of their social networks affect their choices.
Opioid Education
n=262 Participants
Randomized participants will attend 1 virtual opioid education workshop, focused on behavioral and physical domains, and designed to guide AI/AN youth to make healthy choices surrounding opioid and AOD use. Opioid Education Workshop: The virtual opioid education workshop draws from prevention and education materials supplied and recommended by the National AI/AN Technology and Transfer Center, which is funded by SAMHSA. Materials are culturally relevant educational packages addressing opioid use through recorded webinars, toolkits, and other resources.
Cultural Connectedness
3 month FU
1.61 units on a scale
Standard Deviation 0.65
1.70 units on a scale
Standard Deviation 0.63
Cultural Connectedness
6 month FU
1.65 units on a scale
Standard Deviation 0.66
1.74 units on a scale
Standard Deviation 0.64
Cultural Connectedness
12 month FU
1.63 units on a scale
Standard Deviation 0.64
1.71 units on a scale
Standard Deviation 0.65

Adverse Events

TACUNA

Serious events: 0 serious events
Other events: 79 other events
Deaths: 0 deaths

Opioid Education

Serious events: 0 serious events
Other events: 83 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
TACUNA
n=279 participants at risk
Randomized participants will attend 3 virtual TACUNA workshops, focused on behavioral, physical, and spiritual domains, and designed to guide AI/AN youth to make healthy choices surrounding opioid and AOD use. They will also attend a Wellness Circle, focused on healthy social networks and engaging in traditional practices. TACUNA plus Wellness Circle: TACUNA provides three virtual workshops (one hour each) that use motivational interviewing and a virtual Wellness Circle (WC). The workshops combine a 30-minute discussion of opioid, alcohol and marijuana use, and social networks with another 30 minutes focused on three different traditional practices (one per workshop). TACUNA was adapted from our three-session workshop, MICUNAY (Motivational Interviewing and Culture for Urban Native American Youth) protocol, which was developed and tested for urban AI/AN adolescents and from focus groups conducted in Year 1. For the Wellness Circle, youth will have members of their social network virtually attend these once-a-month gatherings. The WC will bring people together to celebrate health and wellness and tradition. The WC will focus on the importance of social networks in making healthy choices, and provide discussion on the role that AOD use and engagement in traditional practices among members of their social networks affect their choices.
Opioid Education
n=262 participants at risk
Randomized participants will attend 1 virtual opioid education workshop, focused on behavioral and physical domains, and designed to guide AI/AN youth to make healthy choices surrounding opioid and AOD use. Opioid Education Workshop: The virtual opioid education workshop draws from prevention and education materials supplied and recommended by the National AI/AN Technology and Transfer Center, which is funded by SAMHSA. Materials are culturally relevant educational packages addressing opioid use through recorded webinars, toolkits, and other resources.
General disorders
Suicidal ideation
28.3%
79/279 • Number of events 118 • 44 months
31.7%
83/262 • Number of events 131 • 44 months

Additional Information

Elizabeth D'Amico

RAND Corporation

Phone: 310-393-0411

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place