Healing Lodge First Face Training Evaluation Study

NCT06290180 | Completed Results

• 2 other identifiers: 136321S06GM146095
• Study Type: interventional
• Target: 92
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to evaluate a culturally grounded training program, xaʔtus (meaning First Face) for Mental Health. This program will train community members in how to recognize and respond to youth and adults experiencing mental health crises and ways to serve as a bridge between these individuals and the help they need. All Healing Lodge staff are being asked to complete First Face training. To evaluate First Face, the investigators will ask all trainees to complete surveys before and after training, and again 3 months later. These surveys will measure knowledge about mental health and addiction, as well as the ability and confidence to respond appropriately to mental health crises. The study will help the investigators understand whether the First Face training program influences mental health and attitudes, as well as responses to mental health crisis situations.

Conditions

Addiction; Depression/Anxiety; Trauma, Psychological; Self-harm

Keywords

mental health; prevention; addiction; substance use disorders

Outcome Measures

Primary Outcomes (3)

• Attitudes Towards Serious Mental Illness - Adolescent Version

  The Attitudes Towards Serious Mental Illness - Adolescent Version (ATSMI-AV) is a validated 21-item self-report scale designed to measure attitudes towards mental illness. Participants respond on a 5-point Likert scale. The scale measures five aspects of mental health attitudes: threat, social construction/concern, wishful thinking, categorical thinking and out of control. The investigators will calculate an overall score as well as factor-specific scores, if they observe adequate internal reliability. Each item has response categories ranging from Completely disagree (coded as 1) to Completely agree (coded as 5), and a mean of all 21 items is calculated to create the scale. The scale has a possible range of 1 to 5 Higher scores indicate higher levels of stigma towards mental illness.

  Included at pre-training, post-training (i.e. immediately after training), and 3-months post-training

• First Face Knowledge Assessment

  This is a 12-question quiz testing participants' knowledge of concepts taught in the First Face training. Some questions offer the opportunity to earn more than one point. The investigators will score each response as correct or incorrect and sum scores (possible range = 0-17) on each occasion. Higher scores indicate better knowledge of First Face concepts.

  Included at pre-training, post-training (i.e. immediately after training), and 3-months post-training

• Perceived Competence to Respond

  A 10-item measure that taps respondents' confidence in their competence to respond to and help people experiencing mental health problems (i.e., Confidence in Recognizing, Intervening and Connecting Individual(s) with Resources Scale). Each response option has a possible range of 1 (Not at all confident) to 5 (Very confident), and a mean score will be calculated from all 10 items to yield a scale with a possible range of 1 to 5. Higher values indicate greater perceived competence respond to and help people experiencing mental health problems.

  Included at pre-training, post-training (i.e. immediately after training), and 3-months post-training

Secondary Outcomes (4)

• Satisfaction With Training

  Post-training (i.e. immediately after training)

• Use of First Face Learnings

  3-months post-training

• Intended Use of First Face Learnings in Personal Life

  Post-training (i.e. immediately after training)

• Intended Use of First Face Learnings in Professional Life

  Post-training (i.e. immediately after training)

Study Arms (1)

Healing Lodge First Face Training Evaluation Study

EXPERIMENTAL

All participants in this evaluation will be assigned to the First Face for Mental Health training condition. The investigators will use a pre-post design to measure change in relevant outcomes from pre-training, to post-training, to 3-months post-training.

Behavioral: First Face for Mental Heatlh

Interventions

First Face for Mental Heatlh BEHAVIORAL

First Face for Mental Health is a culturally-appropriate community-based mental health training for lay persons and others that prepares learners to provide assistance to someone having a mental health crisis. The course takes approximately 8 hours to complete.

Healing Lodge First Face Training Evaluation Study

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Employment at the Healing Lodge of the Seven Nations
• Selection to participate in First Face for Mental Health training

You may not qualify if:

• ° Previous completion of First Face for Mental Health training

Sponsors & Collaborators

• Cambridge Health Alliance: lead
• National Institute of General Medical Sciences (NIGMS): collaborator

Study Sites (1)

Healing Lodge of the Seven Nations

Spokane Valley, Washington, 99212, United States

Location

Related Publications (2)

• Watson AC, Miller FE, Lyons JS. Adolescent attitudes toward serious mental illness. J Nerv Ment Dis. 2005 Nov;193(11):769-72. doi: 10.1097/01.nmd.0000185885.04349.99.

  PMID: 16260937 BACKGROUND

• Talbot JA, Ziller EC, Szlosek DA. Mental Health First Aid in Rural Communities: Appropriateness and Outcomes. J Rural Health. 2017 Jan;33(1):82-91. doi: 10.1111/jrh.12173. Epub 2016 Jan 28.

  PMID: 26817852 BACKGROUND

MeSH Terms

Conditions

Behavior, Addictive; Depression; Anxiety Disorders; Psychological Trauma; Self-Injurious Behavior; Psychological Well-Being; Substance-Related Disorders

Condition Hierarchy (Ancestors)

Compulsive Behavior; Impulsive Behavior; Behavior; Behavioral Symptoms; Mental Disorders; Stress Disorders, Traumatic; Trauma and Stressor Related Disorders; Personal Satisfaction; Chemically-Induced Disorders

Limitations and Caveats

Major limitations of this study include the lack of a comparison group and the lack of a longer-term follow-up. Future studies with more rigorous designs are needed before we can draw firm conclusions about the impact of First Face training, including whether positive effects on knowledge and perceived situational competence are sustained beyond the period immediately following training. Future research could compare First Face training against a waitlist control.

Results Point of Contact

• Title: Heather Gray
• Organization: Cambridge Health Alliance

hgray@cha.harvard.edu

(617) 575-5612

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: PRINCIPAL INVESTIGATOR
• PI Title: Director of Academic Affairs, Division on Addiction

Model Details: Pre/post/3-month follow-up model

Study Record Dates

• First Submitted: February 13, 2024
• First Posted: March 4, 2024
• Study Start: April 4, 2024
• Primary Completion: April 30, 2025
• Study Completion: April 30, 2025
• Last Updated: December 2, 2025
• Results First Posted: December 2, 2025

Record last verified: 2025-12

Locations

US (1)