The Elders' Resilience Curriculum

NCT06045273 | Completed Results

• 2 other identifiers: IRB00018615K01MH122702
• Study Type: interventional
• Target: 72
• Locations: 1 country
• Sites: 1

Brief Summary

The overall goal of this research is to better understand if and how the Elders' Resilience Curriculum (ERC), a culturally grounded, school-based upstream suicide prevention program taught by White Mountain Apache Tribe (WMAT) Elders to youth, promotes connectedness, cultural strengths, and reasons for living among American Indian youth.

Conditions

Suicidal Ideation

Keywords

American Indian; Alaska Native; Suicide prevention

Outcome Measures

Primary Outcomes (2)

• Change in Reasons for Life as Assessed by the Reasons for Life Scale

  11 self-report items from the Reasons for Life scale, measures beliefs and experiences that make youth feel like life is enjoyable, worthwhile, and meaningful. Responses range from 1 (not at all) to 3 (a lot) with higher scores indicating more reasons for life. Total scores range from 11-33 with higher scores indicating more reasons for life. Change was calculated from the difference between endline and baseline responses.

  Baseline, 26 weeks

• Change in Cultural Connectedness as Assessed by the Cultural Connectedness Scale - Short Form

  The Cultural Connectedness Scale-short version is a 9-item self-report measure that assesses connection to cultural identity, traditions, and spirituality among First Nations youth. Responses vary - five questions are yes/no, three questions range from 0 (disagree) to 1 (agree) and the last question ask about frequency, ranging from 0 (never) to 4 (every day). Higher agreement (i.e., "yes" or "agree" responses) indicate greater levels of cultural connectedness. Total scores range from 0-12 with higher scores indicating greater levels of cultural connectedness. Change was calculated from the difference between endline and baseline responses.

  Baseline, 26 weeks

Secondary Outcomes (1)

• Change in Awareness of Connectedness as Assessed by the Awareness of Connectedness Scale

  Baseline, 26 weeks

Study Arms (1)

Elders' Resilience Curriculum Recipients

EXPERIMENTAL

Youth aged 9-14 who receive the Elders' Resilience Curriculum

Behavioral: Elders' Resilience Curriculum

Interventions

Elders' Resilience Curriculum BEHAVIORAL

The Elders' Resilience Curriculum (ERC) is a culturally grounded, school-based program taught by White Mountain Apache Tribe (WMAT) Elders to youth. It is designed to prevent suicide ideation and behaviors for American Indian youth

Also known as: ERC

Elders' Resilience Curriculum Recipients

Eligibility Criteria

• Age: 9 Years - 14 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Ages 9-14 years
• Enrolled in a school where the Elders' Resilience Curriculum is delivered
• Participating in the Elders' Resilience Curriculum Program

You may not qualify if:

• Parent/Guardian objection to youth participation

Sponsors & Collaborators

• Johns Hopkins Bloomberg School of Public Health: lead
• National Institute of Mental Health (NIMH): collaborator

Study Sites (1)

CIH Whiteriver Office

Whiteriver, Arizona, 85941, United States

Location

MeSH Terms

Conditions

Suicidal Ideation; Suicide Prevention

Condition Hierarchy (Ancestors)

Suicide; Self-Injurious Behavior; Behavioral Symptoms; Behavior

Results Point of Contact

• Title: Dr. Victoria O'Keefe
• Organization: Johns Hopkins Center for Indigenous Health

vokeefe3@jhu.edu

410-955-6931

Study Officials

• Victoria O'Keefe, PhD

  Johns Hopkins Bloomberg School of Public Health

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

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

Study Record Dates

• First Submitted: September 13, 2023
• First Posted: September 21, 2023
• Study Start: November 15, 2023
• Primary Completion: May 16, 2024
• Study Completion: May 16, 2024
• Last Updated: June 4, 2025
• Results First Posted: June 4, 2025

Record last verified: 2025-05

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)