The Elders' Resilience Curriculum: Toward Building Empirical Evidence Around a Culturally-Grounded, Strengths-Based Intervention
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Suicidal Ideation
- Sponsor
- Johns Hopkins Bloomberg School of Public Health
- Enrollment
- 72
- Locations
- 1
- Primary Endpoint
- Change in Reasons for Life as Assessed by the Reasons for Life Scale
- Status
- Completed
- Last Updated
- 11 months ago
Overview
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.
Detailed Description
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. Prior to this trial, the investigators collaborated with WMAT research partners to gather qualitative data to identify key protective factors and core components of the ERC. After identifying key protective factors and core components of the ERC, the investigators developed a culturally adapted assessment battery and theoretical model to assess the ERC. This study works with White Mountain Apache tribal community partners to collaboratively pilot test a rigorous evaluation of the ERC.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Ages 9-14 years
- •Enrolled in a school where the Elders' Resilience Curriculum is delivered
- •Participating in the Elders' Resilience Curriculum Program
Exclusion Criteria
- •Parent/Guardian objection to youth participation
Outcomes
Primary Outcomes
Change in Reasons for Life as Assessed by the Reasons for Life Scale
Time Frame: Baseline, 26 weeks
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.
Change in Cultural Connectedness as Assessed by the Cultural Connectedness Scale - Short Form
Time Frame: Baseline, 26 weeks
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.
Secondary Outcomes
- Change in Awareness of Connectedness as Assessed by the Awareness of Connectedness Scale(Baseline, 26 weeks)