Evaluation of an Entrepreneurship Program for American-Indian Youth

Not Applicable

Completed

• Conditions: Depressive Symptoms; Substance Use
• Interventions: Behavioral: Arrowhead Business Group Curriculum; Behavioral: Recreational League Control Condition

• Registration Number: NCT02157493
• Lead Sponsor: Johns Hopkins Bloomberg School of Public Health

Brief Summary

This study will use a randomized controlled design to evaluate whether a youth entrepreneurship/life-skills intervention for reservation-based American Indian adolescents (ages 13-15) improves psychosocial, behavioral health, educational, and economic outcomes from baseline for up to 3 years follow-up as compared to a recreational sports league control condition.

Detailed Description

Intervention activities will be held over a 3 night/4 day residential camp and 6 weekend workshops during the academic year. The control condition will consist of a recreational sports league held on 3 Saturdays, also during the academic year.

Study Timeline

• Study Start: 2014-04
• Study First Submitted: 2014-06-04
• Study First Submitted QC: 2014-06-05
• Study First Posted: 2014-06-06
• Primary Completion: 2018-07
• Study Completion: 2019-06-25
• Status Verified: 2024-01
• Last Update Submitted: 2024-01-12
• Last Update Posted: 2024-01-17

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 449

Inclusion Criteria

• American Indian ethnicity and primary residence within the Fort Apache Indian Reservation.
• Participants must be 13-15 years old, enrolled as a student at one of the participating high schools, and must have parent/guardian consent for participation in the study.

Exclusion Criteria

• Youth that are currently enrolled in foster care will not be eligible to participate in the study.
• Those unable to participate in any of the evaluation assessments or intervention components will also be excluded.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Arrowhead Business Group Curriculum	Arrowhead Business Group Curriculum	The Arrowhead Business Group (ABG) Curriculum is a 22-session youth entrepreneurship/life-skills intervention delivered by trained American Indian paraprofessionals from the community to mixed-gender groups of approximately 25 youth. The intervention is delivered over a 3 night/4 day camp along with weekend workshops once a month for 6 months during the academic year. Depending on the time of enrollment, subjects will receive follow-up assessments at 6-month intervals for up to 36-months post-intervention. (Subjects in this cohort will also receive the activities associated with the control condition.)
Arrowhead Business Group Curriculum	Recreational League Control Condition	The Arrowhead Business Group (ABG) Curriculum is a 22-session youth entrepreneurship/life-skills intervention delivered by trained American Indian paraprofessionals from the community to mixed-gender groups of approximately 25 youth. The intervention is delivered over a 3 night/4 day camp along with weekend workshops once a month for 6 months during the academic year. Depending on the time of enrollment, subjects will receive follow-up assessments at 6-month intervals for up to 36-months post-intervention. (Subjects in this cohort will also receive the activities associated with the control condition.)
Recreational League Control Condition	Recreational League Control Condition	The Recreational League Control Condition will be led by local American Indian study staff who are experienced with Johns Hopkins camps and community-based Apache sports programs. Sports and recreational activities will be conducted on 3 Saturdays during the academic year to mixed gender groups of approximately 50 participants.

Primary Outcome Measures

Name	Time	Method
Decreased substance use as measured by Youth Risk Behavior Survey (YRBS) in treatment vs. control group at 24 months follow-up	24 months follow-up

Secondary Outcome Measures

Name	Time	Method
Decreased depressive symptoms on Patient Health Questionnaire-9 (PHQ-9) in treatment vs. control group at 24 months follow-up	24 months follow-up
Increased academic achievement as measured by school records and Across Time Orientation measure in treatment vs. control group at 24 months follow-up	24 months follow-up

Trial Locations

Locations (1)

Johns Hopkins Center for American Indian Health - Whiteriver Office; 🇺🇸 Whiteriver, Arizona, United States