NCT06254924

Brief Summary

The goal of this clinical trial is to learn about the impacts of using a mobile health app, the Qoyangnuptu Intervention App (QI App) a Southwestern Tribal Community. The main questions it aims to answer are: In American Indian/Alaska Native communities with unique cultural characteristics, how should a youth-focused sociotechnical behavioral health intervention be designed to encourage sustained engagement and positively impact indicators of behavioral health?; How can interactive technical interventions be designed to best support sustained community engagement in a challenged network environment? Participants will:

  • Receive daily guidance and encouragement to use the app from an anonymous, trained peer mentor
  • Be able to ask their peer mentors questions in a monitored one-on-one chat in the QI app or in a monitored group chat in the QI app
  • Log their mood and stress level on the app once per day
  • Practice mindfulness skills as directed in the QI app, including guided breathing, meditation, drawing, coloring, and walking
  • Practice Hopi cultural activities like running using the QI app to help track progress towards team mileage goals

Trial Health

77
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
24

participants targeted

Target at below P25 for not_applicable

Timeline
4mo left

Started Aug 2024

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress81%
Aug 2024Oct 2026

First Submitted

Initial submission to the registry

January 29, 2024

Completed
14 days until next milestone

First Posted

Study publicly available on registry

February 12, 2024

Completed
7 months until next milestone

Study Start

First participant enrolled

August 30, 2024

Completed
2.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 1, 2026

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

October 1, 2026

Last Updated

January 23, 2025

Status Verified

August 1, 2024

Enrollment Period

2.1 years

First QC Date

January 29, 2024

Last Update Submit

January 21, 2025

Conditions

Keywords

American Indian / Alaska NativemHealth

Outcome Measures

Primary Outcomes (1)

  • To measure the acceptability of the QI App.

    Through qualitative interviews, the investigators will determine the acceptability of the QI App. 12 participants will be interviewed after they have used the app for 6 weeks.

    Baseline, 6 weeks after starting the app, 12 weeks after starting the app

Secondary Outcomes (8)

  • Impact of app usage on attitudes towards seeking professional mental health assistance.

    Baseline, 6 weeks after starting the app, 12 weeks after starting the app

  • Impact of app usage on measures of depression.

    Baseline, 6 weeks after starting the app, 12 weeks after starting the app

  • Impact of app usage on measures of stress.

    Baseline, 6 weeks after starting the app, 12 weeks after starting the app

  • Impact of app usage on measures of mindfulness.

    Baseline, 6 weeks after starting the app, 12 weeks after starting the app

  • Impact of app usage on measures of quiet ego.

    Baseline, 6 weeks after starting the app, 12 weeks after starting the app

  • +3 more secondary outcomes

Study Arms (2)

QI App Users

EXPERIMENTAL

Participants will be asked to use the QI App once per day for 5-10 minutes per day for 6 weeks.

Behavioral: QI App Users

Parents/Guardians of QI App Users

EXPERIMENTAL

Parents/guardians of QI App users will be aware that their child is using the QI App once per day for 5-10 minutes per day for 6 weeks.

Behavioral: Parents/Guardians of QI App Users

Interventions

QI App UsersBEHAVIORAL

QI App users will be asked to complete a daily, 2-question mood and stress survey. They will be encouraged to use the QI App to practice mindfulness skills including meditation, drawing, coloring, breathing, and walking. They will be encouraged to use the QI App to help them participate in asynchronous group running activities.

QI App Users

Parents/Guardians of QI App users will be informed that their child is using the QI App for a 6-week period.

Parents/Guardians of QI App Users

Eligibility Criteria

Age14 Years - 25 Years
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17), Adult (18-64)

You may qualify if:

  • years old
  • Belongs to Southwestern Tribal community
  • Has a smartphone capable of running the QI App
  • Is able to access the Internet with smartphone at least once per day

You may not qualify if:

  • Younger than 14 or older than 25
  • Does not belong to Southwestern Tribal Community
  • Does not have a smartphone capable of running the QI App
  • Is not able to access the Internet with smartphone at least once per day

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Northern Arizona University

Flagstaff, Arizona, 86011, United States

RECRUITING

Related Publications (8)

  • Vigil-Hayes M, Collier AF, Hagemann S, Castillo G, Mikkelson K, Dingman J, Munoz A, Luther J, McLaughlin A. Integrating Cultural Relevance into a Behavioral mHealth Intervention for Native American Youth. Proc ACM Hum Comput Interact. 2021 Apr;5(CSCW1):165. doi: 10.1145/3449239.

    PMID: 34676359BACKGROUND
  • Vigil-Hayes M, Futterman Collier A, Castillo G, Blackhorse D, Awbery N, Abrahim JP. Designing a Mobile Game That Develops Emotional Resiliency in Indian Country. Ext Abstr Hum Factors Computing Syst. 2019 May;2019:LBW2122. doi: 10.1145/3290607.3312790.

    PMID: 32455346BACKGROUND
  • Picco L, Abdin E, Chong SA, Pang S, Shafie S, Chua BY, Vaingankar JA, Ong LP, Tay J, Subramaniam M. Attitudes Toward Seeking Professional Psychological Help: Factor Structure and Socio-Demographic Predictors. Front Psychol. 2016 Apr 25;7:547. doi: 10.3389/fpsyg.2016.00547. eCollection 2016.

    PMID: 27199794BACKGROUND
  • Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav. 1983 Dec;24(4):385-96. No abstract available.

    PMID: 6668417BACKGROUND
  • Hughes ME, Waite LJ, Hawkley LC, Cacioppo JT. A Short Scale for Measuring Loneliness in Large Surveys: Results From Two Population-Based Studies. Res Aging. 2004;26(6):655-672. doi: 10.1177/0164027504268574.

    PMID: 18504506BACKGROUND
  • Cox AE, Ullrich-French S, Howe HS, Cole AN. A pilot yoga physical education curriculum to promote positive body image. Body Image. 2017 Dec;23:1-8. doi: 10.1016/j.bodyim.2017.07.007. Epub 2017 Aug 14.

    PMID: 28818786BACKGROUND
  • Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med. 2001 Sep;16(9):606-13. doi: 10.1046/j.1525-1497.2001.016009606.x.

    PMID: 11556941BACKGROUND
  • Achenbach TM, Ruffle TM. The Child Behavior Checklist and related forms for assessing behavioral/emotional problems and competencies. Pediatr Rev. 2000 Aug;21(8):265-71. doi: 10.1542/pir.21-8-265. No abstract available.

    PMID: 10922023BACKGROUND

Study Officials

  • Morgan Vigil-Hayes, PhD

    Northern Arizona University

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Morgan Vigil-Hayes, PhD

CONTACT

Marissa Adams, MPH

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

January 29, 2024

First Posted

February 12, 2024

Study Start

August 30, 2024

Primary Completion (Estimated)

October 1, 2026

Study Completion (Estimated)

October 1, 2026

Last Updated

January 23, 2025

Record last verified: 2024-08

Data Sharing

IPD Sharing
Will not share

Given the small population from which we will be recruiting, releasing IPD could inadvertently compromise confidentiality.

Locations