Pilot Test of a Cultural Intervention to Enhance Alaska Native Students' Behavioral Health
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 44
- 试验地点
- 1
- 主要终点
- Degree of Identification with Cultural Identity at Baseline
研究概览
简要总结
This project aims to enhance AN university students' behavioral health by supporting their cultural identity development. While the connection between cultural identity and behavioral health is becoming clearer, comparably less research has explored methods of enhancing identity development. Consequently, the investigators will pilot a cultural identity development program for AN students at the University of Alaska Anchorage (UAA). This intervention is based on extant scientific literature, local findings from focus group with AN students, and traditional wisdom from AN Elders. The eight-week Elder-facilitated program incorporates storytelling, experiential learning, connection, exploration, and sharing of identity, cultural strengths, life paths, and rootedness in who they are in order to remain grounded when they face changes and challenges. Approximately 40 to 50 AN university students will be recruited for the intervention. Participants will be randomized, with half the participants receiving the intervention in the Fall 2020 semester and half the students receiving the intervention in the Spring 2021 semester. We hypothesize that engaging in this intervention will strengthen AN students' cultural identities, strengths, and sense of community; improve their behavioral health, as evidenced in higher self-reported wellbeing, and lower substance use, depression, anxiety, and suicidal ideation symptoms; and support their academic persistence and achievement. Outcomes will be tested via mixed design analyses of covariance. Moreover, program feasibility will be examined through a process evaluation, which will entail thematic analyses of six focus groups with program participants (n=40-50) and with the Elders who facilitated the program (n=5).
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Sequential
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 100 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •self-identify as Alaska Native,
- •are registered as an undergraduate student at UAA,
- •are at least 18 years old,
- •speak English
排除标准
- 未提供
研究组 & 干预措施
Intervention in Fall 2020
Participants will receive the intervention in Fall 2020
干预措施: Knowing Who You Are (Becoming): Cultural Identity Intervention (Behavioral)
Intervention in Spring 2021
Control in Fall 2020
干预措施: Knowing Who You Are (Becoming): Cultural Identity Intervention (Behavioral)
结局指标
主要结局
Degree of Identification with Cultural Identity at Baseline
时间窗: Baseline, Pre-Intervention
Multigroup Ethnic Identity Measure (Roberts et al., 1999), a 12-item self-report measure developed for diverse groups that has been validated with Native people (e.g., Moran et al., 1999) to measure cultural identity. Range = 6-30, higher scores indicate greater identification with cultural identity
Degree of Anxiety Symptoms at Baseline
时间窗: Baseline, Pre-Intervention
Anxiety scale of the Mental Health Inventory (Veit \& Ware, 1983). Converted scores range from 0-100, higher scores indicate more anxiety.
Change in Post-Intervention Degree of Depression Symptoms at 6-Month Follow-Up
时间窗: Follow-Up, Approximately 6 Months After Intervention
Depression scale of the Mental Health Inventory (Veit \& Ware, 1983). Converted scores range from 0-100, higher scores indicate more depression.
Degree of Identification with Cultural Strengths at Baseline
时间窗: Baseline, Pre-Intervention
Native Cultural Health Assessment Tool (White Shield, 2013), a 10-item self-report measure of cultural strengths in given time period (past month for project) that was developed for Native people to measure cultural strengths. Range = 10-50, higher scores indicate greater identification with cultural strengths.
Degree of Wellbeing at Baseline
时间窗: Baseline, Pre-Intervention
Wellbeing scale of the Mental Health Inventory (Veit \& Ware, 1983). Converted scores range from 0-100, higher scores indicate greater wellbeing.
Change in Baseline Degree of Wellbeing Immediately Following Intervention
时间窗: Immediately After Intervention
Wellbeing scale of the Mental Health Inventory (Veit \& Ware, 1983). Converted scores range from 0-100, higher scores indicate greater wellbeing.
Change in Post-Intervention Degree of Wellbeing at 6-Month Follow-Up
时间窗: Follow-Up, Approximately 6 Months After Intervention
Wellbeing scale of the Mental Health Inventory (Veit \& Ware, 1983). Converted scores range from 0-100, higher scores indicate greater wellbeing.
Change in Baseline Degree of Anxiety Symptoms Immediately Following Intervention
时间窗: Immediately After Intervention
Anxiety scale of the Mental Health Inventory (Veit \& Ware, 1983). Converted scores range from 0-100, higher scores indicate more anxiety.
Degree of Depression Symptoms at Baseline
时间窗: Baseline, Pre-Intervention
Depression scale of the Mental Health Inventory (Veit \& Ware, 1983). Converted scores range from 0-100, higher scores indicate more depression.
Change in Baseline Degree of Identification with Cultural Identity Immediately Following Intervention
时间窗: Immediately After Intervention
Multigroup Ethnic Identity Measure (Roberts et al., 1999), a 12-item self-report measure developed for diverse groups that has been validated with Native people (e.g., Moran et al., 1999) to measure cultural identity. Range = 6-30, higher scores indicate greater identification with cultural identity
Change in Baseline Degree of Identification with Cultural Strengths Immediately Following Intervention
时间窗: Immediately After Intervention
Native Cultural Health Assessment Tool (White Shield, 2013), a 10-item self-report measure of cultural strengths in given time period (past month for project) that was developed for Native people to measure cultural strengths. Range = 10-50, higher scores indicate greater identification with cultural strengths.
Change in Post-Intervention Degree of Identification with Cultural Strengths at 6-Month Follow-Up
时间窗: Follow-Up, Approximately 6 Months After Intervention
Native Cultural Health Assessment Tool (White Shield, 2013), a 10-item self-report measure of cultural strengths in given time period (past month for project) that was developed for Native people to measure cultural strengths. Range = 10-50, higher scores indicate greater identification with cultural strengths.
Change in Baseline Strength of Sense of Community with Alaska Native People at University Immediately Following Intervention
时间窗: Immediately After Intervention
Sense of Community Index, Second Edition (Chavis et al., 2008), a 24-item self-report measure of membership in, shared emotional connection with, fulfillment of needs from, and mutual influence on a given community (e.g., Alaska Native community at UAA) that has been used with diverse populations. Range = 0-72, higher scores indicate greater sense of community.
Change in Post-Intervention Degree of Anxiety Symptoms at 6-Month Follow-Up
时间窗: Follow-Up, Approximately 6 Months After Intervention
Anxiety scale of the Mental Health Inventory (Veit \& Ware, 1983). Converted scores range from 0-100, higher scores indicate more anxiety.
Degree of Suicidality Symptoms at Baseline
时间窗: Baseline, Pre-Intervention
Suicidality scale of the Mental Health Inventory (Veit \& Ware, 1983). Converted scores range from 0-100, higher scores indicate more suicidality.
Degree of Substance Use at Baseline
时间窗: Baseline, Pre-Intervention
Items from the Monitoring the Future Survey (U. Michigan), a 9-item self-report measure of tobacco, alcohol, cannabis, cocaine, amphetamine-type stimulants, inhalants, sedatives, hallucinogens, and opioid use in past 30 days. Higher scores indicate greater substance use.
Change in Post-Intervention Degree of Identification with Cultural Identity at 6-Month Follow-Up
时间窗: Follow-Up, Approximately 6 Months After Intervention
Multigroup Ethnic Identity Measure (Roberts et al., 1999), a 12-item self-report measure developed for diverse groups that has been validated with Native people (e.g., Moran et al., 1999) to measure cultural identity. Range = 6-30, higher scores indicate greater identification with cultural identity
Change in Baseline Degree of Suicidality Symptoms Immediately Following Intervention
时间窗: Immediately After Intervention
Suicidality scale of the Mental Health Inventory (Veit \& Ware, 1983). Converted scores range from 0-100, higher scores indicate more suicidality.
Change in Baseline Degree of Substance Use Immediately Following Intervention
时间窗: Immediately After Intervention
Items from the Monitoring the Future Survey (U. Michigan), a 9-item self-report measure of tobacco, alcohol, cannabis, cocaine, amphetamine-type stimulants, inhalants, sedatives, hallucinogens, and opioid use in past 30 days. Higher scores indicate greater substance use.
Strength of Sense of Community with Alaska Native People at University at Baseline
时间窗: Baseline, Pre-Intervention
Sense of Community Index, Second Edition (Chavis et al., 2008), a 24-item self-report measure of membership in, shared emotional connection with, fulfillment of needs from, and mutual influence on a given community (e.g., Alaska Native community at UAA) that has been used with diverse populations. Range = 0-72, higher scores indicate greater sense of community.
Change in Post-Intervention Strength of Sense of Community with Alaska Native People at University at 6-Month Follow-Up
时间窗: Follow-Up, Approximately 6 Months After Intervention
Sense of Community Index, Second Edition (Chavis et al., 2008), a 24-item self-report measure of membership in, shared emotional connection with, fulfillment of needs from, and mutual influence on a given community (e.g., Alaska Native community at UAA) that has been used with diverse populations. Range = 0-72, higher scores indicate greater sense of community.
Change in Baseline Degree of Depression Symptoms Immediately Following Intervention
时间窗: Immediately After Intervention
Depression scale of the Mental Health Inventory (Veit \& Ware, 1983). Converted scores range from 0-100, higher scores indicate more depression.
Change in Post-Intervention Degree of Substance Use at 6-Month Follow-Up
时间窗: Follow-Up, Approximately 6 Months After Intervention
Items from the Monitoring the Future Survey (U. Michigan), a 9-item self-report measure of tobacco, alcohol, cannabis, cocaine, amphetamine-type stimulants, inhalants, sedatives, hallucinogens, and opioid use in past 30 days. Higher scores indicate greater substance use.
Change in Post-Intervention Degree of Suicidality Symptoms at 6-Month Follow-Up
时间窗: Follow-Up, Approximately 6 Months After Intervention
Suicidality scale of the Mental Health Inventory (Veit \& Ware, 1983). Converted scores range from 0-100, higher scores indicate more suicidality.
次要结局
- Change in Baseline Academic Achievement Immediately Following Intervention(Immediately After Intervention)
- Rate of Students Maintaining University Enrollment One Year Post-Intervention(Follow-Up, Approximately 12 Months After Intervention)
- Academic Achievement at Baseline(Baseline, Pre-Intervention)
- Change in Post-Intervention Academic Achievement at 1-Year Follow-Up(Follow-Up, Approximately 12 Months After Intervention)
- Rate of Students Maintaining University Enrollment Semester of Intervention(Immediately After Intervention)
- Rate of Students Maintaining University Enrollment Semester after Intervention(Follow-Up, Approximately 6 Months After Intervention)
研究者
Sara Buckingham
Assistant Professor of Psychology
University of Alaska Anchorage