Evaluation of an Entrepreneurship Program for American-Indian Youth

NCT02157493 | Completed

• 1 other identifier: U261IHS0080-01-00
• Study Type: interventional
• Target: 449
• Locations: 1 country
• Sites: 1

Brief Summary

This study will use a randomized controlled design to evaluate whether a youth entrepreneurship/life-skills intervention for reservation-based American Indian adolescents (ages 13-15) improves psychosocial, behavioral health, educational, and economic outcomes from baseline for up to 3 years follow-up as compared to a recreational sports league control condition.

Conditions

Depressive Symptoms; Substance Use

Keywords

American Indian; Adolescents; Entrepreneurship; Paraprofessional; Life skills

Outcome Measures

Primary Outcomes (1)

• Decreased substance use as measured by Youth Risk Behavior Survey (YRBS) in treatment vs. control group at 24 months follow-up

  24 months follow-up

Secondary Outcomes (2)

• Decreased depressive symptoms on Patient Health Questionnaire-9 (PHQ-9) in treatment vs. control group at 24 months follow-up

  24 months follow-up

• Increased academic achievement as measured by school records and Across Time Orientation measure in treatment vs. control group at 24 months follow-up

  24 months follow-up

Study Arms (2)

Arrowhead Business Group Curriculum

EXPERIMENTAL

The Arrowhead Business Group (ABG) Curriculum is a 22-session youth entrepreneurship/life-skills intervention delivered by trained American Indian paraprofessionals from the community to mixed-gender groups of approximately 25 youth. The intervention is delivered over a 3 night/4 day camp along with weekend workshops once a month for 6 months during the academic year. Depending on the time of enrollment, subjects will receive follow-up assessments at 6-month intervals for up to 36-months post-intervention. (Subjects in this cohort will also receive the activities associated with the control condition.)

Behavioral: Arrowhead Business Group Curriculum; Behavioral: Recreational League Control Condition

Recreational League Control Condition

ACTIVE COMPARATOR

The Recreational League Control Condition will be led by local American Indian study staff who are experienced with Johns Hopkins camps and community-based Apache sports programs. Sports and recreational activities will be conducted on 3 Saturdays during the academic year to mixed gender groups of approximately 50 participants.

Behavioral: Recreational League Control Condition

Interventions

Arrowhead Business Group Curriculum BEHAVIORAL

Arrowhead Business Group (ABG) is a culturally tailored entrepreneurship/life-skills intervention, which features instruction from American Indian paraprofessionals in an effort to decrease drug use, depressive symptoms, hopelessness and other high-risk behaviors among youth while improving their school performance and college/career aspirations.

Arrowhead Business Group Curriculum

Recreational League Control Condition BEHAVIORAL

The control condition will consist of a recreational sports league that will be led by local American Indian study staff who are experienced with Johns Hopkins camps and community-based Apache sports programs. Activities will be conducted on 3 Saturdays during the academic year to mixed gender groups of approximately 50 participants.

Arrowhead Business Group Curriculum; Recreational League Control Condition

Eligibility Criteria

• Age: 13 Years - 15 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

• American Indian ethnicity and primary residence within the Fort Apache Indian Reservation.
• Participants must be 13-15 years old, enrolled as a student at one of the participating high schools, and must have parent/guardian consent for participation in the study.

You may not qualify if:

• Youth that are currently enrolled in foster care will not be eligible to participate in the study.
• Those unable to participate in any of the evaluation assessments or intervention components will also be excluded.

Sponsors & Collaborators

• Johns Hopkins Bloomberg School of Public Health: lead
• Native American Research Center for Health: collaborator

Study Sites (1)

Johns Hopkins Center for American Indian Health - Whiteriver Office

Whiteriver, Arizona, 85941, United States

Location

MeSH Terms

Conditions

Depression; Substance-Related Disorders

Condition Hierarchy (Ancestors)

Behavioral Symptoms; Behavior; Chemically-Induced Disorders; Mental Disorders

Study Officials

• Allison Barlow, PhD, MPH, MA

  Johns Hopkins Center for American Indian Health

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: June 4, 2014
• First Posted: June 6, 2014
• Study Start: April 1, 2014
• Primary Completion: July 1, 2018
• Study Completion: June 25, 2019
• Last Updated: January 17, 2024

Record last verified: 2024-01

Locations

US (1)