Drum-Assisted Recovery Therapy for Native Americans (DARTNA): Results from a Feasibility Randomized Controlled Trial

Dickerson, Daniel L.; D'Amico, Elizabeth J.; Klein, David J.; Johnson, Carrie L.; Hale, Benjamin; Ye, Feifei; Dominguez, Blanca X.

doi:10.1016/j.jsat.2021.108439

Cited by 24Substance Abuse Treatment and OutcomesIndigenous Health, Education, and RightsMusic Therapy and Health

Drum-Assisted Recovery Therapy for Native Americans (DARTNA): Results from a Feasibility Randomized Controlled Trial

Dickerson, Daniel L., D'Amico, Elizabeth J., Klein, David J., Johnson, Carrie L., Hale, Benjamin, Ye, Feifei, Dominguez, Blanca X.·2021·Journal of Substance Abuse Treatment

DOI 10.1016/j.jsat.2021.108439

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Abstract

Alcohol and other drug (AOD) use among American Indians and Alaska Natives (AI/ANs) is a significant health issue in the United States. However, few evidence-based substance use interventions that utilize AI/AN traditional practices, such as drumming, exist. The current study is a feasibility randomized controlled trial (RCT) analyzing the potential benefits of DARTNA (Drum-Assisted Recovery Therapy for Native Americans) among 63 AI/AN adults seeking substance use treatment within an urban area in southern California. We compared DARTNA participants to usual care plus, which involved an integrated multimedia health educational program and usual care from providers for AOD use. At end of treatment, DARTNA participants reported significantly lower cognitive impairment and lower counts of physical ailments. Given that this was a feasibility trial, we also used Cohen's d = 0.20 or odds ratio = 2 or 0.5 to determine clinical significance. At end of treatment, we found promising benefits for DARTNA participants related to better physical health, fewer drinks per day, and lower odds of marijuana use in the past 30 days compared to the control group. Using these criteria, at 3-month follow-up, DARTNA participants reported less adoption of 12-step principles, less cognitive impairment, and lower anxiety with relationships. However, DARTNA participants reported more drinks per day and more cigarettes compared to the control group. Overall, this study demonstrates feasibility of conduct…

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There are promising culturally appropriate addiction treatment programs that incorporate AIAN healing practices and traditions in SUD services.
“There are promising culturally appropriate addiction treatment programs that incorporate AIAN healing practices and traditions in SUD services [106].”
From Substance and Behavioral Addictions among American Indian and Alaska Native Populations (2022) · cites this paper as [106]
Attendees of such programs have shown higher levels of spiritual connectedness and significant reductions in depression and anxiety.
“Attendees of such programs have shown higher levels of spiritual connectedness and significant reductions in depression and anxiety [106].”
From Substance and Behavioral Addictions among American Indian and Alaska Native Populations (2022) · cites this paper as [106]
DARTNA has been shown to benefit AIANs in recovery, enhance cognition, and decrease physical ailments.
“This drumming intervention has been shown to benefit AIANs in recovery, enhance cognition, and decrease physical ailments [106,107,108].”
From Substance and Behavioral Addictions among American Indian and Alaska Native Populations (2022) · cites this paper as [106]

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Authors: Dickerson, D. L., D'Amico, E. J., Klein, D. J., Johnson, C. L., Hale, B., Ye, F., & Dominguez, B. X.
Affiliations: University of California, Los Angeles (US)
RAND Corporation (US)
Corresponding author: Dickerson, Daniel L.
ORCID: Dickerson, Daniel L.
Klein, David J.
Johnson, Carrie L.
Ye, Feifei
Venue: Journal of Substance Abuse Treatment
Publisher: Elsevier BV
Published: 2021-07
Volume: 126
Pages: 108439
ISSN: 0740-5472 (ISSN-L)
DOI: 10.1016/j.jsat.2021.108439
OpenAlex: W3158052963
Cited by: 24
References: 63
Citations by year: 2026: 4 · 2025: 4 · 2024: 4 · 2023: 7 · 2022: 4
FWCI: 2.70
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
doi.org/10.15223/policy-017 (stm-asf)
doi.org/10.15223/policy-037 (stm-asf)
doi.org/10.15223/policy-012 (stm-asf)
doi.org/10.15223/policy-029 (stm-asf)
doi.org/10.15223/policy-004 (stm-asf)
Locations: Journal of Substance Abuse Treatment (publishedVersion)
PubMed (publishedVersion)
Funders: National Institute on Alcohol Abuse and Alcoholism (R34AA024818)
Topics: Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Social Sciences › Health › Indigenous Health, Education, and Rights
Social Sciences › Psychology › Social Psychology › Music Therapy and Health
Keywords: American Indians and Alaska Natives, alcohol and other drug use, addiction treatment, drumming, traditional healing, cognitive impairment, physical health, cannabis use, urban Native Americans, feasibility
MeSH terms: Alaska Natives, Alaskan Natives, Adult, Feasibility Studies, Humans, Indians, North American, Minority Groups, United States, American Indian or Alaska Native

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