Wiidookaage'win: Beta-test of a Facebook group intervention for Native women to support opioid use recovery

Anne I Roche¹, Antonia Young², Corinna Sabaque³, Sydney S Kelpin⁴, Pamela Sinicrope⁵, Cuong Pham⁶, Lisa A Marsch⁷, Aimee N C Campbell⁸, Kamilla Venner⁹, Laiel Baker-DeKrey¹⁰, Thomas Wyatt¹¹, Sharyl WhiteHawk¹², Teresa Nord¹³, Kenneth Resnicow¹⁴, Colleen Young¹⁵, Ashley Brown¹⁶, Gavin Bart¹⁷, Christi Patten¹⁸

Affiliations

¹ Behavioral Health Research Program, Department of Psychiatry and Psychology, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA. Electronic address: roche.anne@mayo.edu.
² Behavioral Health Research Program, Department of Psychiatry and Psychology, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA. Electronic address: young.antonia@mayo.edu.
³ Behavioral Health Research Program, Department of Psychiatry and Psychology, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA. Electronic address: Sabaque.corinna@mayo.edu.
⁴ Behavioral Health Research Program, Department of Psychiatry and Psychology, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA. Electronic address: sydney.kelpin@corewellhealth.org.
⁵ Behavioral Health Research Program, Department of Psychiatry and Psychology, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA. Electronic address: pamela.sinicrope@medvalsci.com.
⁶ Division of General Internal Medicine, University of Minnesota, 401 East River Parkway, Minneapolis, MN, 55455, USA. Electronic address: pham0079@umn.edu.
⁷ Center for Technology and Behavioral Health, Geisel School of Medicine, Dartmouth College, 46 Centerra Parkway, Lebanon, NH 03766, USA. Electronic address: lisa.a.marsch@dartmouth.edu.
⁸ Division on Substance Use Disorders, Department of Psychiatry, Columbia University Irving Medical Center and New York State Psychiatric Institute, 1051 Riverside Drive, New York, NY 10032, USA. Electronic address: anc2002@cumc.columbia.edu.
⁹ Department of Psychology and Center on Alcohol, Substance Use and Addictions, University of New Mexico, 2650 Yale Boulevard Southeast, Albuquerque, NM 87106, USA. Electronic address: kamilla@unm.edu.
¹⁰ Counseling and Recovery Services, Indian Health Board of Minneapolis, Inc., 1315 East 24(th) Street, Minneapolis, MN 55404, USA. Electronic address: laiel.baker@indianhealthboard.com.
¹¹ Department of Emergency Medicine, Hennepin Healthcare, 701 Park Avenue, Minneapolis, MN 55404, USA. Electronic address: Thomas.wyatt@hcmed.org.
¹² American Indian Family Center, 579 Wells Street, St. Paul, MN, USA. Electronic address: Sharyl.whitehawk@aifcmn.org.
¹³ ICWA Law Center, American Indian Prison Project, 1730 Clifton Place Suite 104, Minneapolis, MN 55403, USA.
¹⁴ Department of Health Behavior and Health Education, School of Public Health, University of Michigan, 1415 Washington Heights, Ann Arbor, MI 48109, USA. Electronic address: kresnic@umich.edu.
¹⁵ Division of Health Education & Content Services, Mayo Clinic Connect, 200 First Street Southwest, Rochester, MN 55905, United States. Electronic address: young.colleen@mayo.edu.
¹⁶ Behavioral Health Research Program, Department of Psychiatry and Psychology, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA. Electronic address: brown.ashley@mayo.edu.
¹⁷ Hennepin Healthcare, 730 South Eighth Street, Minneapolis, MN 55415, USA. Electronic address: bartx005@umn.edu.
¹⁸ Behavioral Health Research Program, Department of Psychiatry and Psychology, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA. Electronic address: patten.christi@mayo.edu.

PMID: 38759734
PMCID: PMC11995947
DOI: 10.1016/j.josat.2024.209396

Wiidookaage'win: Beta-test of a Facebook group intervention for Native women to support opioid use recovery

Anne I Roche et al. J Subst Use Addict Treat. 2024 Aug.

. 2024 Aug:163:209396.

doi: 10.1016/j.josat.2024.209396. Epub 2024 May 15.

Authors

Affiliations

¹ Behavioral Health Research Program, Department of Psychiatry and Psychology, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA. Electronic address: roche.anne@mayo.edu.
² Behavioral Health Research Program, Department of Psychiatry and Psychology, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA. Electronic address: young.antonia@mayo.edu.
³ Behavioral Health Research Program, Department of Psychiatry and Psychology, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA. Electronic address: Sabaque.corinna@mayo.edu.
⁴ Behavioral Health Research Program, Department of Psychiatry and Psychology, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA. Electronic address: sydney.kelpin@corewellhealth.org.
⁵ Behavioral Health Research Program, Department of Psychiatry and Psychology, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA. Electronic address: pamela.sinicrope@medvalsci.com.
⁶ Division of General Internal Medicine, University of Minnesota, 401 East River Parkway, Minneapolis, MN, 55455, USA. Electronic address: pham0079@umn.edu.
⁷ Center for Technology and Behavioral Health, Geisel School of Medicine, Dartmouth College, 46 Centerra Parkway, Lebanon, NH 03766, USA. Electronic address: lisa.a.marsch@dartmouth.edu.
⁸ Division on Substance Use Disorders, Department of Psychiatry, Columbia University Irving Medical Center and New York State Psychiatric Institute, 1051 Riverside Drive, New York, NY 10032, USA. Electronic address: anc2002@cumc.columbia.edu.
⁹ Department of Psychology and Center on Alcohol, Substance Use and Addictions, University of New Mexico, 2650 Yale Boulevard Southeast, Albuquerque, NM 87106, USA. Electronic address: kamilla@unm.edu.
¹⁰ Counseling and Recovery Services, Indian Health Board of Minneapolis, Inc., 1315 East 24(th) Street, Minneapolis, MN 55404, USA. Electronic address: laiel.baker@indianhealthboard.com.
¹¹ Department of Emergency Medicine, Hennepin Healthcare, 701 Park Avenue, Minneapolis, MN 55404, USA. Electronic address: Thomas.wyatt@hcmed.org.
¹² American Indian Family Center, 579 Wells Street, St. Paul, MN, USA. Electronic address: Sharyl.whitehawk@aifcmn.org.
¹³ ICWA Law Center, American Indian Prison Project, 1730 Clifton Place Suite 104, Minneapolis, MN 55403, USA.
¹⁴ Department of Health Behavior and Health Education, School of Public Health, University of Michigan, 1415 Washington Heights, Ann Arbor, MI 48109, USA. Electronic address: kresnic@umich.edu.
¹⁵ Division of Health Education & Content Services, Mayo Clinic Connect, 200 First Street Southwest, Rochester, MN 55905, United States. Electronic address: young.colleen@mayo.edu.
¹⁶ Behavioral Health Research Program, Department of Psychiatry and Psychology, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA. Electronic address: brown.ashley@mayo.edu.
¹⁷ Hennepin Healthcare, 730 South Eighth Street, Minneapolis, MN 55415, USA. Electronic address: bartx005@umn.edu.
¹⁸ Behavioral Health Research Program, Department of Psychiatry and Psychology, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA. Electronic address: patten.christi@mayo.edu.

PMID: 38759734
PMCID: PMC11995947
DOI: 10.1016/j.josat.2024.209396

Abstract

Introduction: The ongoing opioid misuse epidemic has had a marked impact on American Indian/Alaska Native (AI/AN) communities. Culture- and gender-specific barriers to medically assisted recovery from opioid use disorder (OUD) have been identified, exacerbating its impact for AI/AN women. Wiidookaage'win is a community-based participatory research study that aims to develop a culturally tailored, moderated, private Facebook group intervention to support Minnesotan AI/AN women in medically assisted recovery from OUD. The current study assessed the preliminary feasibility and acceptability of the intervention in a beta-test to inform refinements before conducting a pilot randomized controlled trial (RCT).

Methods: The intervention was beta-tested for 30 days. Moderators were trained prior to delivering the intervention. Study assessments were conducted at baseline and post-intervention. The post-intervention assessments included substance use (self-report and urine drug screen), treatment acceptability, mental health, and spirituality outcomes. We examined intervention engagement patterns using Facebook metrics and qualitatively explored common topics that emerged in participant posts and comments.

Results: Ten AI/AN women taking medication for OUD (MOUD) were accrued (age range 25-62 years). Participants had been in opioid recovery a mean of 15.2 months (SD = 16.1; range = 3-60). The study participation rate (accrued/eligible) was 91 %. Nine participants completed the post-intervention survey assessment and eight completed a UDS. Acceptability was high based on the mean treatment satisfaction score (M = 4.8, SD = 0.2 out of a possible 5.0), Facebook group engagement, and positive qualitative feedback. All participants retained at post-intervention continued their MOUD treatment, and none had returned to opioid use.

Conclusions: The beta-test indicated that the Facebook platform and study procedures generally worked as intended and that the intervention was largely acceptable to study participants. The results of this study phase provided valuable insights to inform refinements prior to conducting a pilot RCT to further assess the feasibility, acceptability, and potential efficacy of the intervention.

Keywords: American Indian; Behavioral health; Community-based participatory research; OUD; Social media intervention; Women's health.

PubMed Disclaimer

Conflict of interest statement

Declaration of competing interest Dr. Campbell has previously provided consultation to Boehringer Ingelheim Pharmaceuticals, Inc. Dr. Venner has provided trainings and consultation in evidence-based treatments for addiction and has an FCOI management plan through the UNM. Dr. Marsch is affiliated with Pear Therapeutics, Square2 Systems and Boehringer Ingelheim. These relationships are extensively managed by her employer, Dartmouth College. Dr. Gavin receives honoraria for participation in the SAMHSA-funded Opioid Response Network and Providers Clinical Support System-Exchange. All other authors have no competing interests to declare.

Figures

**Fig. 1.**
Most frequent words used in participant-generated Facebook posts and comments.

See this image and copyright information in PMC

References

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Wiidookaage'win: Beta-test of a Facebook group intervention for Native women to support opioid use recovery

Affiliations

Wiidookaage'win: Beta-test of a Facebook group intervention for Native women to support opioid use recovery

Authors

Affiliations

Abstract

Conflict of interest statement

Figures

References

MeSH terms

Grants and funding

LinkOut - more resources

Full Text Sources

Medical

Miscellaneous