Alaska Native Collaborative Hub for Resilience Research

NCT03131739 | Unknown DMC

• 1 other identifier: U19MH113138-01
• Study Type: observational
• Target: 585
• Locations: 0 countries
• Sites: N/A

Brief Summary

The goal of the Alaska Native Resilience Research Study (ANRRS) is to identify community-level protective factors that can most effectively reduce co-occurring youth suicide and alcohol risk. The following specific aims will help us achieve this overarching goal. The research team will: (1): Assess the association of a set of modifiable cultural, community and institutional factors (protective community factors) with suicide, suicidal behaviors (ideation, attempt), and associated adverse outcomes (accidental death, alcohol-misuse requiring healthcare) in 64 rural and remote Alaska Native villages to identify community-level factors that are most predictive of youth health outcomes; (2): In a stratified random sample of six communities, use quantitative methods to test a multi-level model of individual-level youth protective factors as predictors of individual-level youth resilience from suicide risk outcomes; and (3): Develop and disseminate a method-Alaska Community Resilience Mapping (AK-CRM)-for communities to measure and strategically strengthen their protective capabilities to increase youth health and reduce the risk for suicide. Methodology:

Conditions

Suicide

Keywords

Resilience; Alaska Native; Community Based Participatory Research; Culture and Community Factors; Protective Factors; Risk Factors

Outcome Measures

Primary Outcomes (1)

• Community Level Assessment: suicide and accidental deaths

  The Trauma Registry and the Alaska Violent Death Reporting System (AKVDRS) will be used to document suicide and accidental deaths

  Year 2

Secondary Outcomes (9)

• Individual Level Assessment: Youth: Individual: Communal Mastery Scale

  Year 4

• Individual Level Assessment: Youth: Family: Family Relationship Scale

  Year 4

• Individual Level Assessment: Suicide Risk Resilience: Reasons for Life

  Year 4

• Community Level Assessment: Community Protective Factors

  Year 2

• Individual Level Assessment: Alcohol Risk: Reflective Processes Resilience: Reflective Processes

  Year 4

Study Arms (2)

Community Level Assessment

65 communities will undergo assessment of community / structural variables through review of public records and 3-5 key community interviewees per community.

Individual Level Assessment

A subset of 6 communities will be elected through a stratification process. Youth will complete a set of protective factors measures and outcomes. Adults will complete a section of the Neighborhood Matters survey.

Eligibility Criteria

• Age: 15 Years+
• Sex: all
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Sixty-five Alaska Native communities (villages) will be drawn from a regional sample and individual study participants will be drawn from a community sample consisting of six Alaska Native villages across three regions.

You may qualify if:

• To identify persons able to assess diverse community protective factors, we will identify at least 5 village members from each community who are: (a) local school board members or school workers, (b) community health aids, (c) village-based counselors, (d) tribal council members or tribal administrators, (e) city managers, (f) village public safety officers or village public officers, (g) postmasters, (h) Elder council members, and/or (i) religious leaders. This initial village list will also include other people who are informal leaders in the village.

You may not qualify if:

• The sample of 64 communities will be stratified into higher, medium and lower protection community groups using their protective community factor score from Aim 1, then 6 communities will be randomly selected, 2 from each stratification group.
• Children in each of 6 selected communities
• All adults 18-29 in 6 selected communities.
• Approximately 15 individual adults will be recruited in each of the six villages (n=60) through sampling the following sectors of community: government, church, social service, store/business, school, health care, parent, elder. We will contact individuals nominated in each sector by the local tribal council or their designate.
• Communities with fewer than 150 people will be excluded since the protective community dynamics and adverse outcomes are more stable in larger villages. This reduces the number of participating communities from 71 total number of villages to 65.
• We will exclude children under the age of 15, because we seek information regarding late adolescence and beginning adulthood. We will exclude children who do not have the capacity to assent or to participate in the computerized survey.
• We will exclude adults who do not have the capacity to consent or to participate in the computerized survey.
• We will exclude adults who have lived in their respective village for less than 5 years, because we will be asking for information about community factors that require perspectives over time. We will exclude adults who do not have the capacity to consent or to participate in the computerized survey.

Sponsors & Collaborators

• University of Alaska Fairbanks: lead
• University of Massachusetts, Amherst: collaborator
• University of Minnesota: collaborator

MeSH Terms

Conditions

Suicide

Condition Hierarchy (Ancestors)

Self-Injurious Behavior; Behavioral Symptoms; Behavior

Central Study Contacts

Stacy M Rasmus, PhD

CONTACT

9073288919; smrasmus@alaska.edu

James Allen, PhD

CONTACT

9076872601; jallen@d.umn.edu

Study Design

• Study Type: observational
• Observational Model: ECOLOGIC OR COMMUNITY
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Research Associate Professor

Study Record Dates

• First Submitted: April 18, 2017
• First Posted: April 27, 2017
• Study Start: December 1, 2018
• Primary Completion: August 1, 2021
• Study Completion: August 1, 2021
• Last Updated: April 27, 2017

Record last verified: 2017-04

Data Sharing

• IPD Sharing: Will share