Attitudes Towards Evidence-Based Practice in Substance Use Treatment Programs Serving American Indian Native Communities

  • Joanna C. MoullinEmail author
  • Laurie A. Moore
  • Douglas K. Novins
  • Gregory A. Aarons


The objective of this paper was to compare attitudes towards evidence-based practice (EBP) of substance use disorder treatment (SUDT) center employees’ serving American Indian and Alaskan Native (AIAN) populations to those serving non-AIAN populations. Survey data on the openness and divergence subscales of the Evidence-Based Practice Attitude Scale (EBPAS) were collected and analyzed. Independent samples T tests were performed to compare the two samples. For all comparisons, except the divergence subscale between counselors, the SUDT employees serving AIANs had significantly lower mean openness scores and higher mean divergence scores than those serving non-AIANs. This study suggests that employees of SUDT centers serving AIAN population hold less positive attitudes towards the adoption and use of EBP than non-AIAN.


Evidence-based practice Attitudes American Indian/Alaskan Native Substance use disorder treatment Implementation 



The authors thank the communities, agencies, supervisors, and service providers that made these studies possible.

Funding Information

The AI/AN data collection was funded by the National Institute on Drug Abuse (R01DA022239) and the non-AI/AN data by National Institute of Mental Health (R21MH098124, R21MH082731, R01MH072961, and R01MH092950), and National Institute on Drug Abuse (R01DA038466).

Compliance with Ethical Standards

The AI/AN study was approved by the Colorado Multiple Institutional Review Board and the Oregon Health and Science University’s Institutional Review Board. The Indian Health Service Institutional Review Board (IHS-IRB) classified the study as not human subjects’ research. The non-AI/AN study was approved by the Institutional Review Board of San Diego State University.

Conflict of Interest

The authors declare that they have no conflicts of interest.


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Copyright information

© National Council for Behavioral Health 2018

Authors and Affiliations

  1. 1.Curtin UniversityPerthAustralia
  2. 2.Child and Adolescent Research CentreSan DiegoUSA
  3. 3.Centers for American Indian and Alaska Native HealthUniversity of Colorado DenverDenverUSA
  4. 4.University of California San DiegoLa JollaUSA

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