Gii'Igoshimong: Sitting With Your First Family
The Protective Role of Ceremony Against Substance Use for American Indian Adults
2 other identifiers
interventional
300
1 country
1
Brief Summary
The goal of this randomized wait-list control study is to understand the relationship between ceremony and substance use (SU), SU risk (e.g., SU severity, depressive symptoms) and protective factors (e.g., spirituality, community support). The main questions it aims to answer are:
- Will adults enrolled in Gii'igoshimong show improved SU outcomes compared to those in control groups?
- Will self-relevant processing networks activated during stimulus engagement increase from pre- to post- engagement in ceremony and at 6-month follow-up? Researchers will compare adults that complete Gii'igoshimong with those that do not complete Gii'igoshimong to see if health outcomes are different. After completing baseline assessments, participants will be randomized to complete Gii'igoshimong now (intervention) or after the participants have completed the 1 month and 6-month post assessments (waitlist control). All participants (intervention and waitlist control) within a cohort will complete 1 month and 6 month post assessments at the same time.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2
Started Sep 2025
Typical duration for phase_2
1 active site
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
First Submitted
Initial submission to the registry
July 11, 2025
CompletedFirst Posted
Study publicly available on registry
July 20, 2025
CompletedStudy Start
First participant enrolled
September 9, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2028
ExpectedStudy Completion
Last participant's last visit for all outcomes
May 31, 2029
March 31, 2026
March 1, 2026
3.2 years
July 11, 2025
March 30, 2026
Conditions
Outcome Measures
Primary Outcomes (3)
Days of substance use assessed by Timeline Follow Back (TLFB)
Days of substance use
baseline, 1 month, 6 month
Flourishing Scale
Score range: 8-40; lower score means higher Positive mental health
baseline, 1 month, 6 month
Late Positive Potential (LPP) quantified as the average EEG response in microvolts to adjectives in the Self-referential Processing Task
Larger magnitude LPP (i.e., higher microvolts) indicates larger attention engagement
baseline, 1 month, 6 month
Secondary Outcomes (4)
Alcohol, Smoking and Substance Involvement Screening Test (ASSIST)
baseline, 1 month, 6 month
Center for Epidemiologic Studies Depression Scale (CESDR-10)
baseline, 1 month, 6 month
General Anxiety Disorder-7 (GAD-7)
baseline, 1 month, 6 month
Self-rated (physical, mental, spiritual) health
baseline, 1 month, 6 month
Other Outcomes (4)
Oslo Social Support Scale (OSSS)
baseline, 1 month, 6 month
Cultural efficacy
baseline, 1 month, 6 month
Traditional Spiritual Activities score
baseline, 1 month, 6 month
- +1 more other outcomes
Study Arms (2)
Ceremony
EXPERIMENTALCompletes baseline, ceremony, and post assessments (in that order).
Waitlist control
NO INTERVENTIONCompletes baseline, post assessments, and is offered ceremony (in that order) but is not required to complete ceremony for study involvement.
Interventions
Lifecourse ceremony led by Elders that used to be offered to everyone prior to colonization
Eligibility Criteria
You may qualify if:
- Are 18 years of age or older,
- Self-identify as Ojibwe/Anishinaabe/Chippewa,
- Self-report using any kind of substances in the past 30 days,
- Have no history of head injury with loss of consciousness,
- Do not have a seizure disorder,
- Do not currently have Type 2 Diabetes,
- Are not currently pregnant
You may not qualify if:
- Younger than18 years of age
- Does not Self-identify as Ojibwe/Anishinaabe/Chippewa,
- Does not self-report using any kind of substances in the past 30 days,
- Has history of head injury with loss of consciousness,
- Has Type 2 Diabetes,
- Has a seizure disorder,
- Currently pregnant
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Great Lakes Hub
Duluth, Minnesota, 55812, United States
Related Publications (1)
Gonzalez MB, Johnson AZ, Martin LA, Naawakwe, Fish J, Sevillano L, Walls ML, Staples LO. Planting the seed: using research as a tool to revitalize puberty ceremonies in Anishinaabe communities. Qual Res J. 2024 Dec 4;24(5):473-490. doi: 10.1108/QRJ-03-2024-0072. Epub 2024 Oct 10.
PMID: 40191601BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Migis Gonzalez, PhD
Johns Hopkins University
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- INVESTIGATOR, OUTCOMES ASSESSOR
- Masking Details
- Investigators, data collectors, and data analysts will be blinded to participant randomization.
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 11, 2025
First Posted
July 20, 2025
Study Start
September 9, 2025
Primary Completion (Estimated)
December 1, 2028
Study Completion (Estimated)
May 31, 2029
Last Updated
March 31, 2026
Record last verified: 2026-03
Data Sharing
- IPD Sharing
- Will not share