Talking Circle for Native American Youth Living Well (AYoLi)
Trial Snapshot
- Phase
- Not Applicable
- Status
- Enrolling By Invitation
- Sponsor
- Enrollment
- 200
- Locations
- 1
- Primary Endpoint
- Native Reliance Questionnaire
Study Overview
Brief Summary
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 American Indians in Texas at the Spanish Colonial Missions (AIT-SCM) in Central Texas.
Detailed Description
The UH3 will now continue with a new site in Central Texas the American Indian Texas-Spanish Colonial Mission Tribes (AIT-SCM). This study will test the effectiveness of the Talking Circle intervention primarily for increasing Native-Reliance, and reducing anxiety, stress, depression, and substance use (alcohol, drugs, commercial tobacco,), and secondarily for suicide ideation, among rural and urban Native American youth, ages 10-12 via a cluster randomized trial with a 2 (intervention v. wait-list control) x 2 (rural v. urban) factorial design across three timepoints (baseline, 3-months, 6-months). For youth assigned to the intervention group, Native Reliance will increase more, and anxiety, stress, substance use (alcohol, drugs, commercial tobacco) and suicide ideation will decrease significantly more across the 3 measurement occasions (baseline, 3 months post-intervention, 6 months post-intervention) than for youth assigned to the control group. This study will also examine whether primary and secondary outcomes differ by location (rural vs urban), and the extent to which the intervention's impact on outcomes is moderated by location.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Factorial
- Primary Purpose
- Prevention
- Masking
- Double (Investigator, Outcomes Assessor)
Eligibility Criteria
- Ages
- 10 Years to 12 Years (Child)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Participant criteria include Native American students in 5th or 6th grade (ages 10-12) and part of one of the Urban or Rural School After School Programs (5 Urban and 5 Rural).
- •Inclusion Criteria includes:
- •Native American students enrolled in the 5th and 6th grades
- •English-speaking
- •Able to read and write English
- •Willingness to provide Assent
- •Not part of another Mental, Emotional or Behavioral Health Program
Exclusion Criteria
- •Not Native American or in 5th or 6th grades,
- •Non-English speakers,
- •Unable to read and write English
- •Unwillingness to provide Assent
- •Part of another Mental, Emotional or Behavioral Health Program
Arms & Interventions
Talking Circle Intervention Group
The intervention group is receiving the talking circle intervention.
Intervention: Talking Circle Intervention (Behavioral)
Wait-List Control Group
Mental Health
Intervention: Wait-List Control Group (Behavioral)
Outcomes
Primary Outcomes
Native Reliance Questionnaire
Time Frame: Baseline, 3-Month Post-Intervention and 6-Month-Post-Intervention
Native Reliance Questionnaire is a cultural derived self-report instrument measuring self-reliance (or cultural identity), using a five-point Likert scale (1-5) varying from strongly disagree to strongly agree with a minimum score of 24 and a maximum score of 120. A higher score indicates a better outcome or a strong connection to self-reliance cultural identity.
Global Assessment of Individual Needs-Quick (GAIN-Q)- Sources of Stress Index
Time Frame: Baseline, 3-Month Post-Intervention and 6-Month-Post-Intervention
The Global Assessment of Individual Needs-Quick (GAIN-Q) sources of stress scale is a self-report and brief assessment designed for use in diverse settings. This assessment includes questions on general life problems such as sources of stress and health distress. The sources of stress index, is a 13-item scale used to measure stress and includes a score of 0 to 13 with a minimum score of 0 and a maximum score of 13. A higher score indicates higher sources or stress or a worse outcome.
Generalized Anxiety Disorder-7 (GAD-7)
Time Frame: Baseline, 3-Month Post-Intervention and 6-Month-Post-Intervention
The Generalized Anxiety Disorder-7 (GAD-7) is a brief self-report instrument used to evaluate anxiety using a 3-point Likert scale of 0 to 3. All 7 items are added together to create a total score. This scale has a score of 0 to 30, with 0 being the minimum score and 30 being the maximum score. Further evaluation is recommended when the score is 10 or greater. A higher score indicates a worse outcome and higher anxiety. disorder
Center for Epidemiologic Studies Depression Scale Revised-10 (CESD-R-10)
Time Frame: Baseline, 3-Month Post-Intervention and 6-Month-Post-Intervention
The Center for Epidemiologic Studies Depression Scale-Revised-10 (CESD-R-10) is a 10-item self-reported instrument used to measure depression. Items are summed to create a total score of 30. The total score is calculated by finding the sum of 10 items. The scale has a score of 0 to 30 with a minimum score of 0 and a maximum score of 30. Any score equal to or above 10 is considered a worse outcome and defined as depressed.
Secondary Outcomes
- Global Youth Commercial Tobacco-Survey(Baseline, 3-Month Post-Intervention and 6-Month-Post-Intervention)
- Suicidal Ideation Questionnaire-Junior-15(Baseline, 3-Month Post-Intervention and 6-Month-Post-Intervention)
- Global Assessment of Needs Assessment-Q Substance Use Scale(Baseline, 3-Month Post-Intervention and 6-Month-Post-Intervention)
Investigators
Melessa Kelley
Co-Investigator
University of Texas at Austin