Table 4.

Recentered measures: spiritual.

	DrInC-AN	Adapted
Q#	Spiritual (DrInC-AN)	Traditional teachings	Q#
		Have you not gone to traditional ceremonies, church, spiritual gatherings, giveaways, round dances, or feasts because of your alcohol use?	22
		Have you not felt spiritually at peace because of your alcohol use?	23
		Has your engagement in spirituality/prayer been hurt by your alcohol use?	24
Q#	New subscale	Medicine and healing	Q#
		Do you feel like going to sweats stops you from using alcohol? (SIP)	29
		Do you feel like participating in a ceremony/or using plant medicines (e.g., cedar, sweet grass, sage) stops you from using alcohol? (SIP)	30
		Do you feel like beading or other cultural activities stop you from using alcohol? (SIP)	31
		Do you feel like exercising stops you from using alcohol?	32
		Do you feel like playing your favorite sport stops you from using alcohol?	33
		Do you feel like AA/peer support/family stops you from using alcohol?	34
		Do you feel like spending time with your family and friends stops you from using alcohol?	35
		Do you feel like horse culture stops you from using alcohol?	36
		Do you feel like your favorite hobby/activity stops you from using alcohol?	37
		Do you feel like singing or dancing stops you from using alcohol?	38
		Do you feel like talking to an Elder or having an Elder that you can talk to stops you from using alcohol?	39
		Do you feel like being employed/being enrolled in school stops you from using alcohol?	40