Johns Hopkins Bloomberg School of Public Health
The Hastiin Bidziil (Strong man) Intervention study is part of a larger project called, Community-Driven Indigenous Research, Cultural Strengths \& Leadership to Advance Equity in Substance Use Outcomes (CIRCLE) Center of Excellence. CIRCLE aims to address drug use related health problems in collaboration with diverse Indigenous communities. This study is a randomized controlled trial study to measure the effectiveness of a secondary prevention program, called Hastiin Bidziil (Strong Man), aimed at reducing substance use among Native American Indian (AI) men ages 18 years and older
Inclusion Criteria: * Self-identify as American Indian * Self-identify as a man * Age 18 years or older at time of enrollment * Screen positive for lifetime use of alcohol and/or drugs, except for tobacco use only * Reside within \~60 miles of a study community (Fort Defiance, AZ; Chinle, AZ) Exclusion Criteria: * Any condition that would affect successful participation (e.g., planned move) * Profound disability that limits the ability to participate in assessments or interventions * Participated in the preliminary phase of this study to adapt CETA for this project
Common Elements Treatment Approach (CETA) modified for cultural and gendered specific delivery for maximum community impact
Control condition was selected by the Community Research Council and includes five sessions on basic vehicle maintenance such as changing tire, checking fluid levels, and winterizing vehicles.
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