Talking Circle for Native American Youth

NCT06781736 | Completed

• 2 other identifiers: STUDY000042661UG3AT012547-01
• Study Type: interventional
• Target: 20
• Locations: 1 country
• Sites: 1

Brief Summary

Native American youth have higher rates of depression and lifetime major depressive episodes, and, by age 11, are more likely to have initiated alcohol and substance use than any other racial/ethnic group. The COVID19 pandemic only compounded this suffering--anxiety, stress, depression, substance use, and suicide related mental health disorders skyrocketed in many Native American communities, especially among youth. Though many are desperate for help, treatment options are scarce to non-existent. To meet this urgent need, our overarching objective is to leverage the empirically proven, highly effective, school based, Talking Circle intervention to promote the mental, emotional, and behavioral (MEB) health of geographically diverse (rural, urban) Native American youth. This study, "Talking Circle for Native American Youth Living Well (A Yo Li)" uses a Community Based Participatory Research (CBPR) approach to evaluate Talking Circle effectiveness, partnering with the United Keetoowah Band (UKB) of Cherokee Indians Tribe in Oklahoma, with members living in two geographically diverse areas, Adair County (rural), and Tulsa City (urban). "A Yo Li" in the UKB tribal language means "youth".

Conditions

Mental Health Wellness 1; Behavior, Health; Emotional Stress

Keywords

mental well-being; emotional well-being; behavioral well-being

Outcome Measures

Primary Outcomes (3)

• Native Reliance Questionnaire (NRQ)

  24-items rated on a 5-point Likert scale to evaluate the presence of Native Reliance cultural identity; (minimum score of 24; maximum score of 120); higher score indicates a better outcome

  Baseline and 3 month post-intervention

• Global Assessment of Individual Needs-Quick (GAIN-Q)

  Subscales: Anxiety (7-items), ( minimum score of 0; maximum score of 7; lower score indicates better outcome) Stress (20-items; minimum score of 0; maximum score of 20; lower score indiciates better outcome) and Substance Use (16-items; minimum score of 0; maximum score of 16; lower score indicates better outcome)

  Baseline and 3 month post-intervention

• Commercial Tobacco Use

  Global Youth Tobacco Survey (GYTS) a 43 item measure to assess key tobacco-control indicators, minimum score of 0; maximum score of 43 including use, cessation, and availability; lower score indicates better outcome

  baseline and 3 month post-intervention

Secondary Outcomes (2)

• Depression

  baseline and 3 month post-intervention

• Suicide Ideation

  baseline and 3 month post-intervention

Study Arms (1)

Mental Health Wellness 1

OTHER

Talking Circle Intervention to promote the mental, emotional, and behavioral well-being

Behavioral: Talking Circle intervention

Interventions

Talking Circle intervention BEHAVIORAL

Talking Circle intervention

Mental Health Wellness 1

Eligibility Criteria

• Age: 10 Years - 12 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

• Native American students
• English speakers
• Read and write English
• At risk for mental health and behavioral health issues

You may not qualify if:

• Not Native American
• Non-English speakers
• Not able to read and write English
• Not at risk for mental health or behavioral health issues

Sponsors & Collaborators

• University of Texas at Austin: lead
• National Institutes of Health (NIH): collaborator
• National Center for Complementary and Integrative Health (NCCIH): collaborator

Study Sites (1)

United Keetoowah Band of Cherokee Indians in Oklahoma

Tahlequah, Oklahoma, 74464, United States

Location

MeSH Terms

Conditions

Health Behavior; Stress, Psychological; Psychological Well-Being

Condition Hierarchy (Ancestors)

Behavior; Behavioral Symptoms; Personal Satisfaction

Study Design

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

Model Details: Mental Health Wellness (mental, emotional and behavioral health issues)

Study Record Dates

• First Submitted: January 3, 2025
• First Posted: January 17, 2025
• Study Start: March 1, 2024
• Primary Completion: May 1, 2024
• Study Completion: August 31, 2024
• Last Updated: January 20, 2025

Record last verified: 2025-01

Locations

US (1)