Healing Lodge First Face Training Evaluation Study

Not Applicable

Recruiting

• Conditions: Addiction; Trauma, Psychological; Depression/Anxiety; Self-harm
• Interventions: Behavioral: First Face for Mental Heatlh

• Registration Number: NCT06290180
• Lead Sponsor: Cambridge Health Alliance

Brief Summary

The purpose of this study is to evaluate a culturally grounded training program, xaʔtus (meaning First Face) for Mental Health. This program will train community members in how to recognize and respond to youth and adults experiencing mental health crises and ways to serve as a bridge between these individuals and the help they need. All Healing Lodge staff are being asked to complete First Face training.

To evaluate First Face, the investigators will ask all trainees to complete surveys before and after training, and again 3 months later. These surveys will measure knowledge about mental health and addiction, as well as the ability and confidence to respond appropriately to mental health crises. The study will help the investigators understand whether the First Face training program influences mental health and attitudes, as well as responses to mental health crisis situations.

Detailed Description

With funding from the National Institutes for Health, the investigators created First Face for Mental Health. First Face is a culturally-appropriate community-based mental health training that prepares trainees to provide assistance to someone having a mental health crisis. The more community members within Tribal nations who are trained in a culturally sensitive program to provide support to youth in recovery and members struggling with mental health problems or crises, the better positioned that community is to create a supportive recovery environment for its youth. The investigators are in the process of launching First Face trainings and evaluations among several Tribal communities. Additionally, they will be training staff from the Healing Lodge of the Seven Nations (HL) in the First Face program. This particular application concerns the evaluation of First Face training among HL staff. The investigators will measure primary and secondary outcomes at pre-training, post-training, and 3-month follow-up.

Study Timeline

• Study First Submitted: 2024-02-13
• Study First Submitted QC: 2024-02-28
• Study First Posted: 2024-03-04
• Study Start: 2024-04-04
• Status Verified: 2024-05
• Last Update Submitted: 2024-05-21
• Last Update Posted: 2024-05-23
• Primary Completion: 2025-03-31
• Study Completion: 2025-03-31

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 100

Inclusion Criteria

• Employment at the Healing Lodge of the Seven Nations
• Selection to participate in First Face for Mental Health training

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Exclusion Criteria

° Previous completion of First Face for Mental Health training

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Healing Lodge First Face Training Evaluation Study	First Face for Mental Heatlh	All participants in this evaluation will be assigned to the First Face for Mental Health training condition. The investigators will use a pre-post design to measure change in relevant outcomes from pre-training, to post-training, to 3-months post-training.

Primary Outcome Measures

Name	Time	Method
Attitudes Towards Serious Mental Illness - Adolescent Version	Included at pre-training, post-training (i.e. immediately after training), and 3-months post-training	The Attitudes Towards Serious Mental Illness - Adolescent Version (ATSMI-AV) is a validated 21-item self-report scale designed to measure attitudes towards mental illness. Participants respond on a 5-point Likert scale. The scale measures five aspects of mental health attitudes: threat, social construction/concern, wishful thinking, categorical thinking and out of control. The investigators will calculate an overall score as well as factor-specific scores, if they observe adequate internal reliability.; Each item has response categories ranging from Completely disagree (coded as 1) to Completely agree (coded as 5), and a mean of all 21 items is calculated to create the scale. The scale has a possible range of 1 to 5 Higher scores indicate higher levels of stigma towards mental illness.
Perceived Competence to Respond	Included at pre-training, post-training (i.e. immediately after training), and 3-months post-training	A 10-item measure that taps respondents' confidence in their competence to respond to and help people experiencing mental health problems (i.e., Confidence in Recognizing, Intervening and Connecting Individual(s) with Resources Scale). Each response option has a possible range of 1 (Not at all confident) to 5 (Very confident), and a mean score will be calculated from all 10 items to yield a scale with a possible range of 1 to 5. Higher values indicate greater perceived competence respond to and help people experiencing mental health problems.
First Face knowledge assessment	Included at pre-training, post-training (i.e. immediately after training), and 3-months post-training	This is a 12-question quiz testing participants' knowledge of concepts taught in the First Face training. The investigators will score each response as correct or incorrect and sum scores (possible range = 0-12) on each occasion. Higher scores indicate better knowledge of First Face concepts.

Secondary Outcome Measures

Name	Time	Method
Satisfaction with Training	Post-training (i.e. immediately after training)	Three items administered immediately post-training asking about (1) satisfaction with training (from 1 ("very dissatisfied") to 7 ("very satisfied")), with higher scores indicating greater satisfaction; (2) intended professional use of the information (from 1 ("not at all") to 4 ("to a great extent")) with higher scores indicating greater likelihood of using the training; and (3) intended personal use of the information (from 1 ("not at all") to 4 ("to a great extent")) with higher scores indicating higher likelihood of using the training.
Intended Use of First Face learnings in professional/personal life	Post-training (i.e. immediately after training)	Participants will report how likely they are to use the First Face training in the professional life on a 4-point scale from Not at all to To a great extent. They will do the same for their personal life.
Use of First Face learnings in professional/personal life	3-months post-training	This is a novel 2-question instrument asking about use of First Face learnings in professional or personal life, including self-reported skill use (for those who indicate they have used their First Face training) and barriers (for those who indicate that they have not used their First Face training).

Trial Locations

Locations (1)

Healing Lodge of the Seven Nations; 🇺🇸 Spokane Valley, Washington, United States