SPONSOR:

National Institute on Minority Health and Health Disparities (NIMHD)

PRINCIPAL INVESTIGATORS:

Debra Kaysen & Cynthia Pearson

CO-INVESTIGATOR:

Michele Bedard-Gilligan

PROJECT PERIOD:

09/27/2016 – 06/30/2024 (NCE)

Built on an 8-year community-based participatory partnership, in full collaboration with the Tribal Nation, this study is a 5-year two-arm randomized comparative effectiveness trial to evaluate prevention of HIV/STI sexual risk behavior by directly addressing PTSD or substance use. We will evaluate Narrative Exposure Therapy (NET) versus Motivational Interviewing with Skills Training (MIST) in HIV/STI prevention. AI elder and community leaders have insisted that “we can keep providing substance use or sexual risk programs but until we get to the underlying cause – trauma – then we’ll keep replacing one means of avoidance for another”. This study will help address this community-generated clinical and empirical question. The overall goal is to compare two evidence based treatments, each addressing a different HIV sexual-risk behavior (HSB) causal pathway. NET addresses PTSD preventing substance use disorder (SUD) and HSB. MIST addresses substance misuse preventing SUD and HSB.

TARGETED CONDITIONS

HIV
PTSD
Substance Abuse

PATIENT POPULATIONS

Native American

GEOGRAPHIC AREAS

Sovereign Nation

PROJECT STATUS

Past Project

TRAUMA TYPES

Historical Trauma
Mixed Trauma